Archive

Author: Salim Rezaie

REBEL Cast Ep 46a – Respiratory Failure and NIV with Haney Mallemat

Imagine you have a patient in respiratory failure sitting right in front of you. The patient has an increased work of breathing and obviously in distress.  Monitors are beeping, nurses are asking you what you want to do, and if ...

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Thoracic and Respiratory

More Trials Showing Harm of Opioids in ACS…or do They?

Background: Typical medical treatment of ACS patients include dual antiplatelet therapy (DAPT) and revascularization with primary percutaneous coronary intervention (PPCI).  Nitroglycerin is first line therapy in the treatment of pain in ACS with morphine as a common adjunct. Morphine helps ...

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Cardiovascular

Is it PROPER to PERC it Up?

Background: The diagnosis of PE is a tricky thing.  We want to limit over-testing patients and therefore, over-diagnosis. On the other hand, we don’t want to limit testing so much that we miss the diagnosis where treatment would make a ...

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Thoracic and Respiratory

Peripheral Vasopressors: Safe or Dangerous?

Background: We have discussed the safety of peripheral vasopressors on REBEL EM before. In that review by Loubani et al was a systematic review of 85 articles and 270 patients.  95% of the extravasation events occurred in PIVs with infusions ...

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Resuscitation

An Emergency Difficult Airway Predictor Would be From HEAVEN

Background: Predicting an anatomically and/or physiologically challenging airway is not a straightforward task by any stretch of the imagination.  There are some existing difficult-airway prediction tools available (i.e. LEMON = Look externally, Evaluate 3-3-2 rule, Mallampati score, Obstruction, Neck mobility), ...

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Resuscitation
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