Archive

Author: Salim Rezaie

The ADRENAL Trial: Steroids in Septic Shock

Background: Randomized clinical trials evaluating the efficacy of adjunctive corticosteroids in septic shock have shown conflicting evidence of clinical relevance. Two trials in particular looked at lower dose hydrocortisone (200mg/day) and its effect on mortality in patients with septic ...

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Infectious Disease

Should we Pump up the Juice (Steroids) in Septic Shock?

Background: A Cochrane review was published in 2015 evaluating 33 trials with 4,268 participants to evaluate the effects of corticosteroids on death at one month in patients with sepsis.  In that meta-analysis the authors concluded that despite the overall low ...

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Infectious Disease

REBEL Cast Ep 43: Pain Control and Opioid Sparing Options in the ED

Background: In the United States we are not only seeing an opioid epidemic but also a shortage of IV opioid agents. For both reasons, it is important to find non-opioid options for common pain complaints seen in the ED.  Changing ...

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Trauma

The Rebellion in EM Clinical Conference

Rebellion in EM May 11th – 13th, 2018 San Antonio, TX Venue: Pearl Stable Website: www.rebellioninem.com

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Door to Furosemide (D2F) in Acute CHF…Really?

Background: Acute congestive heart failure (AHF) is a common complaint seen in the ED and associated with a high morbidity, mortality, cost, and resources.  Many patients with AHF, ultimately end up being admitted and interventions in the ED can make ...

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Cardiovascular

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