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All Categories
  • All Categories
  • Abdominal and Gastrointestinal
  • 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
  • Psychiatry/Behavioral Health
  • Renal and Genitourinary
  • Resuscitation
  • Team Performance
  • Thoracic and Respiratory
  • Toxicology
  • Trauma

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

Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics?

Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% (Gifford 2008, Pallin 2005). Posterior epistaxis is considerably less common than anterior epistaxis and represents about 5-10% of all presentations. ...

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Head, Eye, Ear, Nose, and ThroatInfectious Disease

The Protocolised Management in Sepsis (ProMISe) Trial

Since 2002, the surviving sepsis campaign (SSC) has stated that best practice in sepsis care includes: early recognition, source control, appropriate/timely antibiotic therapy, resuscitation with intravenous fluids (IVF) and vasoactive medications. Resuscitation of the septic patient in the emergency department ...

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Infectious DiseaseResuscitation
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