Archive

Author: Anand Swaminathan

Nitrous oxide toxicity title image showing whippet canisters and a red balloon on a hospital stretcher

REBEL Core Cast—Nitrous Oxide Toxicity: Whippets and Neurologic Injury

Nitrous oxide, commonly known as “whippets,” is often perceived as harmless. However, frequent use can lead to functional vitamin B12 deficiency, subacute combined degeneration, and potentially permanent neurologic dysfunction. This review covers the pathophysiology, clinical presentation, diagnosis, and treatment of ...

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Toxicology

Clinical Conundrum: What Is the Role of TXA in Dysfunctional Uterine Bleeding?

There are a number of accepted treatments for dysfunctional uterine bleeding (DUB) endometrial ablation and hysterectomy as well as medical treatments like hormonal therapy, NSAIDs and tranexamic acid (TXA). The American College of Obstetrics and Gynecology (ACOG) recommends the use ...

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Obstetrics and Gynecology

Clinical Conundrum: Is Acetaminophen Safe in Pregnancy?

In the first trimester, fever is associated with increased risk of birth defects such as cleft lip and palate, as well as serious neural-tube defects such as spina bifida and anencephaly. In late pregnancy, fevers can boost the risk of ...

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Obstetrics and Gynecology

REBEL Core Cast 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback (With Scripts)

Consults aren’t a formality—they’re a patient-care intervention. In this post, Swami breaks down how to call a consult in the ED using a simple 4-step framework (introduce yourself, lead with the ask, give a focused summary, and close the loop), ...

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Continuous Suctioning Doesn’t Hasten Hypoxemia

Prior research has shown that deep tracheal suctioning can result in more rapid development of hypoxemia. It is unclear if continuous suctioning during intubation poses a similar risk. Does the application of continuous suctioning during rapid sequence intubation (RSI) result ...

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Resuscitation
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