Archive

Author: Anand Swaminathan

REBEL Core Cast 17.0 – Penetrating Neck Trauma

Take Home Points: Get definitive airway control when necessary Use modality you’re most comfortable with Hard signs –  pulsatile bleeding, bruit or thrill, expanding hematoma, airway compromise, massive hemoptysis (think airway injury), hematemesis (think esophageal injury), grossly injured trachea, neurologic ...

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Trauma

REBEL Core Cast 16.0 – Decompensated Hypothyroidism

Take Home Points Myxedema coma is severe, decompensated hypothyroidism with a very high mortality. Classic features include: decreased mental status, hypothermia, hypotension, bradycardia, hyponatremia, hypoglycemia, and hypoventilation Work up includes looking for and treating precipitating causes, most commonly infection as ...

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Endocrine, Metabolic, Fluid, and Electrolytes

Pregnancy-Adapted YEARS Algorithm for PE – Ready for Prime Time?

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 15.0 – Syncope Literature Updates

Take Home Points There is no real distinction between syncope and near syncope. Older folk with near syncope or syncope should be treated the same. Patient with high risk features its reasonable to admit but if they’re low risk, well-appearing ...

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Cardiovascular

REBEL Core Cast 14.0 – Superficial Venous Thrombosis

Take Home Points on SVT Superficial venous thrombosis refers to a clot and inflammation in the larger, or “axial” veins of the lower extremities and superficial thrombophlebitis refers to clot and inflammation in the tributary veins of the lower extremities. ...

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Hematology and Oncology

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