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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
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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. ...
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 ...
REBEL Cast Ep97: The NoPAC Trial – TXA for Epistaxis?
Background: 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). Standard anterior epistaxis treatment consists of holding pressure, use of local vasoconstrictors, topical application of ...
The ARREST Trial: ECMO or EC-No for Refractory Cardiac Arrest?
Background: Despite medical advances, survival after out of hospital cardiac arrest (OHCA) is still largely dependent on high-quality CPR. Many of these events are due to a primary cardiac event, likely coronary artery occlusion. Current guidelines recommend reperfusion therapy following ...
Single Troponin Testing in ED Patients With Suspected Acute Myocardial Infarction
Background: One of the most common reasons for Emergency Department (ED) visits is chest pain. While most of these presentations are at a low risk for cardiac events, it is generally required to perform a full work-up to rule out ...
Put an End to Procrastination
When I first met Eric, I liked him immediately. I remember thinking: “Here’s a guy who has it all figured out.” At 33 years old, he rapidly ascended the academic ranks and was already applying for a residency program director ...
Vitamin D Does Not Decrease Hospital Length of Stay in COVID-19
Background: As the COVID pandemic rages on, we continue to search for treatments to help combat the disease. Severely ill patients commonly have low levels of vitamin D and it has been suggested that optimal levels of Hydroxyvitamin D may ...
Bougie-Assisted Cricothyrotomy
Background: Cricothyrotomy is a high acuity low occurrence (HALO) procedure that is time critical. It is the common final step in the cannot intubate cannot oxygenate (CICO) and/or cannot intubate cannot ventilate (CICV) situation. Due to the time critical nature ...
REBEL Cast Ep96: Heroin OD – Is a 2-Hour Observation Protocol Long Enough?
Background: Opioid-related emergency department visits have been increasing over the past two decades in correlation with increasing rates of heroin use in the United States. Naloxone, which is used to reverse heroin overdose, has a half-life of approximately 60 to ...
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