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MIRACLE2 Risk Score for Early Prediction of Neurologic Outcome in Out-of-Hospital Cardiac Arrest

Background Information: Out-of-hospital cardiac arrest (OHCA) remains a diagnostic challenge to providers and a significant burden on healthcare systems globally. Despite the advancement of invasive medical therapies such as percutaneous coronary intervention (PCI) and extracorporeal membranous oxygenation (ECMO) at designated cardiac ...

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CardiovascularNeurologyResuscitation

REBEL Core Cast 47.0 Nausea and Vomiting

Take Home Points Nausea and Vomiting has an exceedingly large differential – don’t just anchor on GI presentations H&P important – Duration, frequency, content, and associated symptoms Alcohol swab -> If no line and want quick treatment give swab Ondansetron ...

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Abdominal and Gastrointestinal

REBEL Cast Ep94: The ITACTIC Trial – Viscoelastic Hemostatic Assay Augmented Protocols

Background: Current trauma resuscitation prioritizes control of bleeding and uses massive transfusion protocols to prevent and treat coagulopathy. This is typically done in the form of massive transfusion protocols delivered in proportions that approach the composition of whole blood. Two ...

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Trauma

The HaVOC Trial: IV Haloperidol vs Ondansetron for Cannabis Hyperemesis Syndrome

Background/Introduction: Emergency department visits related to cannabis use appear to be increasing nationally secondary to continued trends of legalization, decriminalization, or less restrictive medical cannabis use laws in many states. The number of individuals with daily cannabis use in the ...

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Abdominal and Gastrointestinal

What I Have Learned About Intermittent Fasting

“A little starvation can really do more for the average sick man than can the best medicines and the best doctors.” -Mark Twain- Let me start off by saying, this is not a typical blog post for REBEL EM.  This ...

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Seize the Day

“We continually find more ways to use our time while trying to find more ways to save it. You see, you can’t actually save time. You can find just different ways to spend it. So when you say you don’t ...

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No Evidence that REGN-COV2 (Regeneron) Antibody Cocktail Has Clinical Benefits

Background: Antibodies targeted at the SARS-CoV2 spike protein are an essential part of the body’s immune response to COVID19 infection. The recent emergency use authorization (EUA) Pfizer and Moderna vaccines act by introducing mRNA into the body that instructs cells ...

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Infectious Disease

Respiratory Failure and Airway Management in the Pregnant Patient

Introduction: Respiratory failure is an uncommon but important complication in pregnancy and the postpartum period, occurring 1 in 500 pregnancies.1 Respiratory failure can result from pregnancy-related conditions, conditions exacerbated by pregnancy, or pathologies common to the general population (Table 1). ...

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Obstetrics and GynecologyResuscitation

Blunt Cerebrovascular Injury (BCVI): Universal Imaging for All?

Background: Blunt cerebrovascular injury (BCVI) is defined as carotid or vertebral artery injury due to blunt trauma.  There are several screening criteria that have been developed to screen for this injury, however a significant number of patients may still be ...

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Trauma

COVID-19 Update: The ChAdOx1 (AstraZeneca) COVID-19 Vaccine

Background Information: With rising cases, an increasing death toll, and a significant strain on hospital systems globally, the COVID-19 pandemic seemed to have no end in sight. The aggressive pursuit of a vaccine has led to multiple clinical trials starting before ...

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Infectious Disease
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