Archive

Author: Matt Astin

Reflections on the Closing of a Hospital

I know, I know. We here at REBEL EM are normally very clinically oriented. We take recent articles or hot topics and give you the breakdown and clinical take home points. But a recent event happened that made me look ...

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The SPLIT Trial: Saline vs Plasma-Lyte Fluid Therapy

There has been a lot of debate over the recent years about the safety of crystalloid fluid therapy in acutely ill patients. Several observational studies have shown an increased risk of acute kidney injury (AKI)  with the use of normal ...

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Endocrine, Metabolic, Fluid, and Electrolytes

Elevated Asymptomatic Hypertension: To Treat or Not to Treat?

As emergency physicians, we are constantly on the look out for elevated blood pressures and the potential devastating consequences. We are concerned about intracranial bleeds and acute pulmonary edema from heart failure. But what about the patient that comes in ...

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Cardiovascular

tPA-Associated Angioedema

  For the most part, the biggest concern with administering tPA is the bleeding complications, specifically intracranial hemorrhage. But there is another side effect that is being reported more frequently. I, myself, saw two cases in one week. This side ...

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Neurology

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