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All Categories
  • All Categories
  • Abdominal and Gastroinstestinal
  • Allergy and Immunology
  • Cardiovascular
  • Dermatology
  • EMS and Disaster
  • Endocrine, Metabolic, Fluid, and Electrolytes
  • Environmental
  • Ethical and Legal
  • Head, Eye, Ear, Nose, and Throat
  • Hematology and Oncology
  • Human Behavior
  • Infectious Disease
  • Neurology
  • Obstetrics and Gynecology
  • Orthopedics
  • Pediatrics
  • Procedures and Skills
  • Pyschobehavioral
  • Renal and Genitourinary
  • Resuscitation
  • Team Performance
  • Thoracic and Respiratory
  • Toxicology
  • Trauma

In Criticism Of Praise

Sometimes the most profound academic concepts haven’t come from the wonderful medical conferences or hundreds of academic articles I’ve read, but they come from arenas completely tangential to the medical field.  The topic of this article is a great example of ...

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REBEL Cast Episode 9: Sepsis Care in 2015

So I was recently invited to the Texas College of Emergency Physicians meeting in Austin, TX (April 23rd – 26th, 2015) and was asked to give a lecture on sepsis, titled “Optimizing ED Management of Sepsis.” I was able to ...

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Infectious Disease

Is it Time to Start Using the HEART Pathway in the Emergency Department?

There are approximately 8 to 10 million patients complaining of chest pain coming to Emergency Departments (EDs) in the United States annually. In the US, we use a very liberal testing strategy in order to avoid acute coronary syndrome (ACS) ...

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Cardiovascular

Hands-On Defibrillation: If the Glove Fits…You Must Acquit!

We’ve had some heated debates on the topic of hands-on defibrillation (HOD) for the past few years. We all know the most important time to avoid a pause during CPR is the perishock pause (). We also know that despite ...

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Resuscitation

Skin Anesthesia: Lidocaine vs Bupivacaine +/- Epinephrine

When selecting a local anesthetic agent for skin wounds I have historically been taught to use lidocaine to provide a faster onset, and to use bupivacaine for a longer duration of action. It can be time consuming to find 0.5% ...

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Trauma

REBEL Cast Episode 8: The Skeptical Edition – Active Compression CPR with Augmentation of Negative Intrathoracic Pressure

Welcome back to a special edition, or should I say “skeptical edition” of REBELCast. We have started to do something new by inviting guests onto the show to discuss papers in the literature they find interesting.  This month I had ...

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Resuscitation

Accelerated Diagnostic Protocol for Chest Pain Not Useful in a US Population?

There are approximately 8 to 10 million patients coming to Emergency Departments (EDs) in the United States annually. In the US, we use a very liberal testing strategy in order to avoid acute coronary syndrome (ACS) in patients presenting with ...

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Cardiovascular

Do Patients with Posterior Epistaxis Managed by Posterior Packs Require ICU Admission?

This post is part 2 of epistaxis dogma. In the first post, we discussed the (dis)utility of prophylactic antibiotics in patients with epistaxis who require nasal packing. Here, we will take on dogma #2: Dogma #2: Patients with posterior packs ...

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Head, Eye, Ear, Nose, and Throat

Lidocaine + Bupivacaine vs Bupivacaine Alone for Digital Nerve Blocks

When I first learned digital nerve blocks in the late 1990’s I was taught to mix Lidocaine and Bupivacaine 50/50 to provide faster onset (Lidocaine) and a longer duration of action (Bupivacaine). My use of two agents for digital nerve ...

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Trauma

REBEL Cast Episode 7: BLS vs ACLS in OHCA & Anatomic vs Functional Testing for CAD

Welcome to the REBEL Cast Episode 7, where Swami, Matt, and I are going to tackle a couple of articles just published this year. Today we are going to specifically tackle: Topic #1: Basic Life Support (BLS) vs Advanced Cardiac ...

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CardiovascularResuscitation

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