Archive

Author: Salim Rezaie

What Every Speaker Needs to Have When Traveling to a Conference

Anyone speaking on the international/national level has run into AV difficulties and there is nothing more stressful than not being prepared to handle it.  In this post, what every speaker needs to have when traveling to a conference, we (Salim …

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Industry Sponsored Trials and  Entresto in CHF

Background: Congestive Heart Failure (CHF) is one of the leading causes of hospitalization among adults over the age of 65 years of age. Despite improvement in outcomes with optimal medical treatment, admission rates still remain high with many patients requiring rehospitalization.  The …

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Cardiovascular

RSI, Predictors of Cardiac Arrest Post-Intubation, and Critically Ill Adults

Background:Intubation is a commonly performed procedure in the ED and ICU. We have discussed the physiologically difficult intubation before on REBEL EM.  One of the tenants in managing these patients is “resuscitate before you intubate.”  Two publications in the past [1][2] …

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Resuscitation

REBEL Cast Episode 50 – Intoxicated Patients can Equal Badness

Background: Visits to the ED for alcohol intoxication can create quite the clinical conundrum both for acute medical and traumatic reasons.  Acutely intoxicated patients, just like young kids, don’t always have the ability to communicate due to sedation, agitation, or …

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Toxicology

Dosing Sedatives Low and Paralytics High in Shock Patients Requiring RSI

Background: A series of tweets I sent out recently generated a visceral response from critical care clinicians the world over. I summarized my strategy of shock dose RSI as sedatives low and paralytics high (low dose ketamine, high dose rocuronium along with …

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Resuscitation

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