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HINTS vs Sudbury Vertigo Risk Score title graphic featuring a brain and inner-ear illustration.

MDCalc Wars: HINTS vs Sudbury Vertigo Risk Score — Which Tool Fits the Dizzy Patient?

🧭 REBEL Rundown 🗝️ Key Points 👀 HINTS requires the right patient: Ongoing acute vestibular syndrome with nystagmus—and a trained examiner. 🧮 Sudbury assesses broader risk: It estimates the likelihood of serious central diagnoses in patients with dizziness, vertigo, or ...

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Neurology

The A2B Trial: Are Alpha-2 Agonists Better than Propofol for ICU Sedation?

Does primary sedation with dexmedetomidine or clonidine reduce the time to successful extubation in mechanically ventilated critically ill patients compared to propofol-based sedation?

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Neurology

Revisiting a Core Practice: Antibiotic Prophylaxis in Cirrhotic Bleeds

In adults with cirrhosis and upper gastrointestinal bleeding, does shorter‑duration or no antibiotic prophylaxis, compared with longer‑duration prophylaxis, lead to better clinical outcomes such as reduced mortality, infection, or adverse events?

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Abdominal and Gastrointestinal

REBEL MIND – The Nature Reset

Welcome back to Rebel MIND, the podcast where we sharpen the person behind the practitioner. MIND stands for Mastering Internal Negativity during Difficulty. This series emphasizes productivity, provider performance, and team optimization to ensure we are at our best during ...

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Human BehaviorTeam PerformanceWell-being

MDCalc Wars: Pediatric Appendicitis – Three Scores, One Diagnosis

Compare the strengths, limitations, and ideal use cases of Alvarado, PAS, and pARC to choose the right appendicitis score for your next pediatric patient.

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Pediatrics

Effect of Sepsis Bundle (SEP-1) Compliance and Implementation on Mortality

Is there any moderate or high-level evidence that SEP-1 compliance and/or implementation is associated with improvement in sepsis mortality?

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Infectious DiseaseResuscitation

SPICE III Trial: Does Early Dexmedetomidine Improve Survival in Mechanically Ventilated ICU Patients?

Is HFNC as effective as NIV in reducing respiratory rate and improving respiratory distress within 2 hours in ACPE?

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Neurology

Casting Doubt on Tradition: Boot vs Cast for Toddler’s Fractures

For uncomplicated, radiographically confirmed toddler’s fractures, a removable walking boot may be a practical alternative to casting, reducing caregiver burden without worsening pain outcomes.

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OrthopedicsPediatrics

REBEL MIND – Teaching Towards Expertise with Gamification

Welcome back to Rebel MIND, the podcast where we sharpen the person behind the practitioner. This series emphasizes productivity, provider performance, and team optimization to ensure we are at our best during high-pressure situations. In this episode, we introduce an ...

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Human BehaviorProcedures and Skills

HFNC vs. NIV in Acute Cardiogenic Pulmonary Edema: Go with the Flow?

Is HFNC as effective as NIV in reducing respiratory rate and improving respiratory distress within 2 hours in ACPE?

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Resuscitation
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