August 5, 2019

Background: Epinephrine (adrenaline) remains a central part of management of OHCA in ACLS guidelines. Recent studies (i.e. PARAMEDIC-2) have raised concerns about the efficacy and possible deleterious effects of epinephrine on both overall survival and long-term neurological outcomes. Other observational trials have suggested that there may be a time dependent effect of epinephrine on survival, with earlier timing of epinephrine improving outcomes, and later timing of epinephrine causing deleterious effects[2]. This trial attempts to analyze the association between timing and dose of epinephrine given on survival and neurologic outcomes of patients with OHCA.

July 29, 2019

This is a special edition REBEL Cast done by my good friend Andy Little, DO (Twitter: @andylittle).  As I was busy running the 2nd annual Rebellion in EM clinical conference, Andy was able to sit down with the speakers to summarize their main take away messages from each of their talks.  This post is a summary of day 3.

July 11, 2019

REBEL EM has been committed to critical appraisal of current research with application at the bedside to improve patient care. The constant influx of new published research makes it difficult to stay current with the latest and greatest. We had our 2nd annual Rebellion in EM conference from June 28th - 30th, 2019 in San Antonio, TX.  The opening keynote on day 3 of the conference was given by Anand Swaminathan, MD on the most powerful words in medicine. As emergency clinicians, our words matter. Some words, though, matter more than others. Here we explore the most powerful words in medicine, why they are so powerful and how understanding their power can help us develop and grow.

July 8, 2019

REBEL EM has been committed to critical appraisal of current research with application at the bedside to improve patient care. The constant influx of new published research makes it difficult to stay current with the latest and greatest. We had our 2nd annual Rebellion in EM conference from June 28th - 30th, 2019 in San Antonio, TX.  The opening keynote on day 2 of the conference was given by myself, on the impact we have on our patients & the impact they have on us. We see thousands of patients a year…we are kind, professional, and get the job done. But every once in a while, perhaps only a couple times a year…there is a patient, or family that we really connect with. There’s no real “science” behind what selects out some people from the flocks of other patients that we see. For me, the story I’m about to share with you is about a patient that I personally connected with. He and his family opened up my eyes about the importance of human connection. He reminded me why we do what we do, and it’s important to learn from the patients’ perspective…that our interaction with them can also leave a long lasting impact.”
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