Archive

Author: Anand Swaminathan

PEGeD Study – Is It Safe to Adjust the D-Dimer Threshold for Clinical Probability?

Background: The clinical diagnosis of pulmonary embolism (PE) can be challenging given its variable presentation, thus requiring dependence on objective testing. decision instruments such as PERC and the Wells’ score help stratify patients to low or high probability, enabling focused …

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Cardiovascular

REBEL Core Cast 23.0 – Vaping Associated Pulmonary Injury

Take Home Points  Ask the patient if they vape! Worry about the sick looking patient and those seen recently CXR is nonspecific and CT might tell you what’s going on Start antibiotics and if you have strong suspicions of vaping …

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Thoracic and Respiratory

REBEL Core Cast 22.0 – Decompensated Liver Disease

Take Home Points    End stage liver disease patients have fragile baseline physiology. Minor insults can have profound effects Always start with the basics – large bore IV lines SBP give 3rd generation cephalosporin + albumin in severe disease Upper …

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Abdominal and Gastroinstestinal

REBEL Core Cast 21.0 – ECG in Syncope

  REBEL Core Cast 21.0 – ECG in Syncope Click here for Direct Download of Podcast

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Cardiovascular

PrePARE: Effect of Fluid Bolus on CV Collapse During RSI

Background: Peri-intubation cardiovascular collapse (shock, cardiac arrest or death) is an all too common complication of airway management in critically ill patients seen in up to 25% of patients (Jaber 2010, Umobong 2018). The causes for collapse are numerous and …

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Resuscitation

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