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  • All Categories
  • Abdominal and Gastrointestinal
  • Allergy and Immunology
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  • EMS and Disaster
  • Endocrine, Metabolic, Fluid, and Electrolytes
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  • Procedures and Skills
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  • Thoracic and Respiratory
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  • Trauma

The HEAR Score: Does Very Low-Risk Acute Chest Pain Not Require Troponin Testing?

Background:  Chest pain is one of the most frequent presenting patient complaints in emergency departments (ED) and has an extensive differential diagnosis with very different levels of severity (1). Many of these chest pain presentations require a significant stay in ...

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Cardiovascular

Be Heard In a Respirator Mask

Background: A major challenge during the COVID pandemic is balancing personal protection and communication. Being heard while wearing a surgical mask or N95 isn’t too much of a challenge, communication can be significantly impaired while wearing a respirator mask. There ...

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Resuscitation

High Sensitivity Cardiac Troponin T in a Multisite United States Cohort

Introduction: Chest pain is a common reason or presentation to the Emergency Department (ED). Emergency physicians are often challenged to identify patients who are at high risk for an acute coronary syndrome (ACS), from those with low risk, who might ...

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Cardiovascular

The DEVT + SKIP Trials: Does Systemic Thrombolysis Prior to Endovascular Treatment Improve Outcomes in Large Vessel Occlusion Strokes?

Background: The publication of the MR CLEAN trial in January 2015 changed the face of ischemic stroke care. This was the first study demonstrating a benefit to endovascular treatment of a specific subset of ischemic stroke patients: those with a ...

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Neurology

COVID-19 Update: Convalescent Plasma Therapy & Anticoagulation

Background: Medicine by press release has been an unfortunate reality of the COVID-19 pandemic.  This is not the standard many physicians would use for medical decision making, but one many of us have had to face; what do I do ...

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Infectious Disease

SHOOTING AZIMUTHS

Shooting azimuths is a critical skill required for accurate land navigation in foreign territory. The steps involved are simple: Ascend to the tallest nearby point with a compass in hand. Select a landmark in the distance. Recalibrate your route toward ...

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TIA Risk Stratification: The Canadian TIA Score vs ABCD2

Background: Patients who present with a transient ischemic attack (TIA) are at higher risk of subsequent stroke, especially in the short term (< 7 days). However, the majority of these patients do not experience strokes which leads to a clinical ...

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Neurology

REBEL Core Cast 51.0 – Conference Pearls

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CardiovascularInfectious Disease

The HOT-ICU Trial: Lower vs Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure

Background: Though oxygen is fundamental for life, supra-physiological levels can be deleterious. Several randomized controlled trials and meta-analyses have been conducted in the critically ill to determine whether a conservative oxygenation approach compared to a liberal oxygenation approach is beneficial. ...

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Thoracic and Respiratory

COVID-19 Update: Time to Let Go of Convalescent Plasma Therapy

Background: Early observational studies led to the Emergency Use Authorization (EUA) for convalescent plasma therapy (CPT) in the US in August 2020 for the treatment of COVID-19. Data from the RECOVERY trial, the largest clinical trial on COVID-19 treatments was ...

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Infectious Disease
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