Author: Salim Rezaie

Posterior Occlusion Myocardial Infarctions and STDmaxV1-4

Background: Not all occlusion myocardial infarctions (OMIs) present with classic ST-segment elevation (We have covered this on REBEL EM Before HERE, HERE, and HERE). OMIs of the “posterior” and “lateral” walls are the most commonly missed, with >50% of left …

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REBEL Cast Ep104: VAM-IHCA – Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrest

Background: Two prior trials compared the addition of vasopressin 20 IU (for each dose of epinephrine) and methylprednisolone 40mg to placebo for in hospital cardiac arrest. The 1st trial was published in 2009 [2] and the second in 2013 [3].  …

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Pre-Charging the Defibrillator Before Rhythm Checks in Cardiac Arrest

Background: High quality CPR and early defibrillation are the cornerstones of improving outcomes in cardiac arrest.  We know that prolonged duration of pauses during chest compressions affect hemodynamics, shock conversion rates and ultimately survival [2].  Therefore, it is paramount to …

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REBEL Cast Ep103: Outpatient COVID-19 Therapy

I was fortunate enough to record a podcast on Rob Orman’s, Stimulus podcast on Oct 14th, 2021.  We both felt it was an important enough topic that we should post it on both his and my site.  The treatment of …

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Infectious Disease

Rebellion21: Cut The Neck – The Bougie Assisted Cric via Andy Little, DO

In this 10-minute presentation from Rebellion in EM 2021, Dr. Andy Little, DO discusses the bougie assisted cricothyrotomy. Of the many High Acuity Low Occurence (HALO) procedures in medicine, few are as daunting as performing a bougie assisted Cric. For …

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Procedures and Skills