Archive

Author: Salim Rezaie

Triage ECGs: Reducing Interruptions in a Busy ED

Background: Lets face it. All of us have been interrupted by the onslaught of triage ECGs for interpretation.  This constant flow of pink paper with black scribble causes frequent task switching, interrupts train of thought, and ultimately can lead to …

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Cardiovascular

The Good, The Bad, and The Ugly of Proton Pump Inhibitors in UGIB

Upper gastrointestinal bleeding remains a common reason for emergency department visits and is a major cause of morbidity, mortality, and medical care costs. Often when these patients arrive, the classic IV-O2-Monitor is initiated and hemodynamic stability is assessed. One of the …

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Abdominal and Gastroinstestinal

February 2017 REBEL Cast: The All Hyperoxia Edition

Background: Many providers and health care workers place oxygen on patients as a way to overcome hypoxemia or for patient comfort. Also in STEMI patients, many of us have learned the mnemonic “MONA” to remember the treatments for acute coronary …

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Resuscitation

Chemical Sedation of the Agitated Patient

Background: Acutely agitated and aggressive patients have become an unfortunate commonality in emergency departments throughout the world.  They are often the most difficult patient encounters during a shift. Initially, when these patients’ present, medical providers are trying to figure out the …

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Pyschobehavioral

The PEAPETT Trial: Half Dose tPA for PEA due to Massive Pulmonary Embolism

Background: Anyone who has run a code, knows that pulseless electrical activity (PEA) during cardiac arrest has a worse prognosis compared to patients with shockable rhythms.  In patients with suspected massive PE as the cause of their cardiac arrest the …

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Resuscitation

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