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COVID-19: Awake Proning

Background: Awake proning, or having patients lie on their stomachs, can help oxygenation by helping to recruit posterior portions of the lungs and by helping with perfusion to oxygenated lung segments. The literature around proning centers on intubated patients with ...

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Infectious DiseaseThoracic and Respiratory

REBEL Cast Ep80: A New War Plan for COVID-19 with Richard Levitan

In this episode of REBEL Cast,I sit down with Richard Levitan and talk about some ideas from his experience in New York, where he spent 10 days during the surge of the COVID-19 pandemic. And the lessons he took away ...

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Infectious DiseaseThoracic and Respiratory

E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI)

Background: Electronic cigarette use, or vaping, has been rising in popularity in the United States. Electronic cigarette use has been associated with respiratory symptoms that have collectively been labeled e-cigarette or vaping product use-associated lung injury (EVALI). In a recent ...

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Thoracic and RespiratoryToxicology

REBEL Core Podcast 32.0 – N95 Mask Reuse

Take Home Points N95 masks ideally should be single use but in COVID19 times, safe reuse practices are critical. The best approach to reuse is vaporized H2O2 and UV light decontamination with a total of 3 decon cycles prior to ...

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Procedures and Skills

N95 Mask Decontamination and Reuse

Introduction: N95 filtering facepiece respirators (FFP, from here out referred to as N95) are designed to filter out 95% of airborne particles and are intended for single use. During the COVID19 pandemic, N95s are in short supply forcing us to ...

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Infectious Disease

Validation of the Canadian Syncope Risk Score

Background Information: The presentation of a patient with syncope to the Emergency Department (ED) can pose a challenge to clinicians as the identification of a serious underlying condition is the priority. Often the original cause of the syncope is difficult to ...

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Cardiovascular

Why COVID-19 Screening Protocols Won’t Work

Many facilities are using COVID-19 screening protocols to determine how to cohort patients in the ED. Although this sounded like a good idea initially, this strategy is destined to fail.  Early on in the pandemic, we thought we could identify ...

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Infectious Disease

COVID-19: Two Important Messages that Need to be Shared Widely

There are lots of mixed messages flying around social media about COVID-19 lung injury.  Although social media is a very powerful way to get information across, it can also amplify messages that are incorrect or not based in quality research ...

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Thoracic and Respiratory

COVID-19: Macgyvering Non-Invasive Ventilation (NIV)

The SARS-CoV-2 pandemic has strained our available healthcare resources and caused unprecedented stress in the lives of our healthcare workers.  With the advent of COVID-19 and the resultant deaths of our colleagues, it has become painfully clear that our profession ...

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Procedures and SkillsThoracic and Respiratory

Association of Maternal First-Trimester Ondansetron Use with Cardiac Malformations and Oral Clefts in Newborns

Background Information: Nausea and vomiting during pregnancy most commonly occurs during the first trimester. If left untreated, the development of hyperemesis gravidarum can lead to further complications characterized by dehydration and electrolyte abnormalities.1 Ondansetron, a 5-HT3 receptor antagonist has quickly ...

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Obstetrics and GynecologyToxicology
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