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- 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
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The EMERGE Trial: Emergency vs Delayed Catheterization in Survivors of Out-of-Hospital Cardiac Arrest
Background: Previous observational studies published in 2015 (Geri 2015)(Vyas 2015) indicated that early cardiac catheterization in patients with out-of-hospital cardiac arrest (OHCA) might improve mortality and result in more favorable neurological outcomes. The TOMAHAWK (Desch 2021), COACT (Abella 2019), and ...
Impact of Emergency Department Crowding on Lung Protective Ventilation
Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. Traditionally patients were managed on the ventilator with lung volumes of 10 – 15 ml/kg. However, that practice is long-outdated and patients ...
REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal
Background information: Alcohol has potentiating effects on the inhibitory GABA neurotransmission system and inhibitory effects on the excitatory glutamate neurotransmission system. Chronic alcohol use causes changes to preserve homeostasis, and when the stimulus is removed, alcohol withdrawal results due to ...
REBEL Core Cast 98.0 – AVNRT
Take Home Points AVNRT is a common tachydysrhythmia that results from a reentrant loop within the AV node. Unstable patients with AVNRT should be considered for immediate synchronized electrical cardioversion. Stable patients with AVNRT can have a trial of vagal ...
Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis
Background: Traumatic cardiac arrest in the prehospital setting carries an extremely high mortality rate. Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the ...
Managing the Patient with Alcohol Intoxication
Background: Acute alcohol intoxication is often identified early in a patient’s visit by behavioral changes accompanied by slurred speech, ataxia, nystagmus, or the smell of alcohol. However, evaluating and managing patients with acute alcohol intoxication in the emergency department can ...
REBEL Core Cast 97.0 – Acute Vision Loss II
Take Home Points: Assess patients with floaters or flashers for retinal or vitreous detachment. Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. CRAO is a stroke of the eye; patients should be considered for a complete stroke work ...
REBEL Cast Ep114: High Flow O2, Suspected ACS, and Mortality?
Background: Historically, we have treated acute coronary syndrome with supplemental oxygen regardless of the patient’s oxygen saturation. This intervention was based on the belief that pushing the patient’s PaO2 to supra therapeutic levels would increase O2 delivery to ischemic myocardium ...
REBEL Core Cast 96.0 – Acute Vision Loss I
Take Home Points: Suspect glaucoma in any patient with an acute change in vision and get an intraocular pressure measurement First line treatment in acute angle closure glaucoma is a topical beta blocker Consider giant cell arteritis in patients with ...
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