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Rebellion in EM 2019: Care for Yourself – Sleep Hygiene via Arlene Chung, MD

Chronic sleep deprivation can affect health, performance, and safety.  There are many causes of sleep deprivation including stresses of daily life, shift work, and unrecognized sleep disorders.  In this talk from Rebellion in EM 2019, Arlene Chung, MD, facts about ...

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REBEL Crit Cast Ep3.0: Airway Pressure Release Ventilation (APRV) Made Simple

Airway Pressure Release Ventilation (APRV) is a mode of ventilation that allows spontaneous breathing throughout the ventilation cycle.  It is a time-cycled mode of ventilation between two levels of positive airway pressure with the main time on the high level ...

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Thoracic and Respiratory

COVID-19: Thrombosis and Hemoglobin

The Novel Coronavirus 2019, was first reported on in Wuhan, China in late December 2019.  The outbreak was declared a public health emergency of international concern in January 2020 and on March 11th, 2020, the outbreak was declared a global ...

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Infectious Disease

The Kompas Trial: Sodium Bicarbonate Prehydration in Adults with CKD Prior to Contrast-Enhanced CT

Background: Most guidelines recommend prehydration prior to iodine-based contrast media to prevent postcontrast acute kidney injury (PC-AKI) in patients with CKD.  There is, however, a lack of evidence for the effectiveness of this as well as the potential adverse effects ...

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Renal and Genitourinary

REBEL Core Cast 31.0 – Hyperthyroidism

Take Home Points Hyperthyroidism can present along a spectrum from the minimally symptomatic to severely decompensated and presentation can vary with age If there are a lot of interconnecting systems complaints consider obtaibning a TSH, t3 and t4  Once you’ve ...

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Endocrine, Metabolic, Fluid, and Electrolytes

IV or IO Epi in OHCA?

Background: Epinephrine remains a staple in cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA).  However, the optimal dose, timing, and route of administration are still unknown.  Standard dosing of epinephrine is 1mg every 3 to 5 minutes via the intravenous ...

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Resuscitation

REBEL Cast Ep79: COVID-19 – Trying Not to Intubate Early & Why ARDSnet may be the Wrong Ventilator Paradigm

Hey there REBEL Cast listeners, Salim Rezaie here.  For me and I am sure many COVID-19 has been quite the whirlwind.  So much information, so little time to process all of it.  Meanwhile, many of us are on the frontlines ...

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Infectious DiseaseThoracic and Respiratory

COVID-19: Protected Code Blue

The protected code blue is designed to keep your staff safe when managing a patient with COVID-19 who has a sudden cardiac arrest. You will continue to do high quality CPR, defibrillation (if indicated), give code medications, and BVM with ...

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Resuscitation

REBEL Cast Ep78: Length Matters – At Least When it Comes to US-Guided Peripheral IV Catheters

Background: Peripheral intravenous (PIV) access is one of the most commonly performed invasive procedures in unwell patients.  Although, most patients can have PIVs placed by palpation, there is a subset of patients with difficult vascular access that will require ultrasound-guided ...

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Procedures and Skills

COVID-19 Hypoxemia: A Better and Still Safe Way

I have been thinking a lot about patients with COVID-19 and the pulmonary pattern that they develop.  This disease process has been categorized like ARDS, but the reality is it is not like “typical” ARDS.  Lung compliance is often normal ...

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Infectious DiseaseResuscitation
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