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- Abdominal and Gastrointestinal
- Allergy and Immunology
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- 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
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- Procedures and Skills
- Psychiatry/Behavioral Health
- Renal and Genitourinary
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- Thoracic and Respiratory
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REBEL Core Cast 104.0 – Subtle ECGs in Acute Coronary Occlusion
Take Home Points Provider assessment of how the patient looks is extremely important. If it looks and feels like a STEMI clinically, get serial ECGs and consult Cardiology immediately. POCUS has been a phenomenal tool in the management and early ...
The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation
Background: Atrial fibrillation and atrial flutter with rapid ventricular rate (AF/AFL with RVR) are the most common subtypes of SVT, comprising a large number of ED visits in aging populations. Currently, rhythm and rate control are the mainstays of therapy ...
REBEL Cast Ep119: A Discussion with Scott Weingart on the CT FIRST Trial
Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC?. This stemmed a lot of discussion in the background between Swami, myself, and Scott. We felt it ...
REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?
Background: Hemorrhage is the leading cause of mortality in trauma patients. Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. However, mortality still ...
The COVID-OUT Trial: Does Metformin Reduce the Risk of Long COVID?
Background: The COVID-19 pandemic has been the focus of massive research efforts over the last three years. Our understanding of the disease and effective treatments to reduce mortality have progressed rapidly during this time. However, the medical community is only ...
Rethinking the Role of TXA: Are We Asking Too Much?
Background: Injuries are a major cause of death worldwide. Hemorrhage accounts for about 1/3 of all trauma deaths and as such, it should be our goal to find treatments to decrease death from hemorrhage. Our bodies have a finely tuned ...
Rosh Review EM Scholar Monthly Question
A 45-year-old man is brought in by EMS after being found unconscious by his partner. He is confused and agitated. His vital signs are a BP of 90/60 mm Hg, HR of 120 bpm, RR of 24/min, and T of ...
Anaphylactic Shock
Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergic reaction (IgE-mediated disorder). If not treated rapidly can become fatal. Scott Weingart, MD put together a manual titled the Resuscitation Crisis Manual, which in short, ...
The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults
Background Information: Acute Hypotension is associated with increased morbidity and mortality. Continuous vasopressor infusions have previously been the mainstay of treatment. However, peripherally dosed push dose pressors, (PDPs), are beginning to be administered more frequently for management of acute hypotension.1-4 ...
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