Archive

Author: Anand Swaminathan

REBEL Core Cast 66.0 – Congenital Cardiac Issues

Take Home Points Once you figure out the neonate that presented to your ED is sick, run through a differential of why then can be sick so you don’t anchor. I like to use TIMOT (Trauma, Infection, Metabolic, Organs, Tox) …

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CardiovascularPediatrics

REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI

Background: The clinical importance of immediate coronary angiography after out of hospital cardiac arrest (OHCA) without STEMI continues to be debated. A systematic review and meta-analysis published in 2016 suggested that this set of patients has a high likelihood of …

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CardiovascularResuscitation

REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension

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Neurology

REBEL Core Cast 64.0 – Acute Pancreatitis

Take Home Points Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipase 3x normal, CT scan) A RUQ US should be performed looking for gallstones as this finding …

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Abdominal and Gastroinstestinal

REBEL Core Cast 63.0 – Adrenal Crisis

Take Home Points Adrenal insufficiency is a life-threatening emergency; recognize early and treat aggressively Hallmark is hypotension refractory to IVF/pressors Suspect in patients with unexplained hypotension and risk factors Prior glucocorticoid therapy History of autoimmune diseases Hyperpigmentation¬† AIDS or TB …

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Endocrine, Metabolic, Fluid, and Electrolytes

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