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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
- Toxicology
- Trauma
Therapy Options in Acute Respiratory Distress Syndrome
Background Information: The care and management of patients with acute respiratory distress syndrome (ARDS) is complex and follows an inciting injury to the lungs. This constellation of symptoms is characterized by hypoxemia, diffuse lung inflammation, decreased lung compliance and noncardiogenic ...
Hemophagocytic Lymphohistiocytosis (HLH): A Zebra Diagnosis We Should All Know
What is it HLH? Hemophagocytic Lymphohistiocytosis (HLH) is a rare and often fatal syndrome of uncontrolled and ineffective inflammatory response to a certain trigger. It is characterized by excessive proliferation of lymphocytes and macrophages (histiocytes), hence the name “lymphohistiocytosis”. This ...
Thrombolysis in Acute Ischemic Stroke: Now We Have No Positive RCTs
Background: The scientific process in medicine is complicated. Obtaining high-quality data to guide management requires hypothesis formulation, data to support the hypothesis and study replication. Time and again beneficial findings in therapeutic studies fail to be replicated in subsequent studies. ...
Traumatic Cardiac Arrest – Can we Find Prognostic Factors that Predict Survival?
Background: Trauma remains the leading cause of death in the United States for those aged less than 45 years old. Those who arrest from hemorrhage or other traumatic mechanism often carry a very poor prognosis. Various studies have placed the ...
REBEL Core Cast 37.0 – Spinal Epidural Abscess
Take Home Points Spinal Epidural Abscess may present insidiously and patients often lack the classic triad of fever, back pain and neurologic symptoms Empiric Antibiotics should cover Staphylococcus (including MRSA) and Gram negative Bacilli All patients with clinical suspicion require ...
The ORANGES Trial: Why You Can’t Just Read the Abstract
Background: The cornerstones of sepsis management continues to include early identification, early appropriate empiric antibiotics, definitive source control, and vasopressors to support end organ perfusion. There have been multiple studies looking at the co-administration of hydrocortisone, ascorbic acid, and thiamine ...
Haloperidol for Treatment of Headache in the Emergency Department
Background Information: Headache is a common chief complaint that emergency physicians encounter almost every day and sometimes multiple times in each shift. In fact, headache is the fifth leading cause of patients presenting to the emergency department (ED).1 Current first-line ...
RAFF2: Electrical vs Pharmacological Cardioversion for ED Patients with Acute Atrial Fibrillation
Background: Acute atrial fibrillation (AF) is one of the most common dysrhythmias seen in the emergency department (ED). There has been extensive discussion and debate about the best way to manage acute AF centered around rate and rhythm control. However, ...
REBEL Core Cast 36.0 – Seizures
Take Home Points When approaching the patient with uspected seizure, focus on questions that matter in determining if the event was a seizure or not Extensive lab work after a first time seizure is not necessary in patients who are ...
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