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All Categories
  • All Categories
  • 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

Coronary Computed Tomography Angiography (CCTA): The Holy Grail of "Low Risk" Chest Pain Evaluation?

Background: CCTA has become a popular modality in the ED setting to assess anatomic atherosclerotic disease in patients presenting with chest pain.  Advocates of CCTA feel that CCTA has a greater accuracy in identifying obstructive coronary artery disease and identification of ...

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Cardiovascular

Coronary Computed Tomography Angiography (CCTA): The Holy Grail of “Low Risk” Chest Pain Evaluation?

Background: CCTA has become a popular modality in the ED setting to assess anatomic atherosclerotic disease in patients presenting with chest pain.  Advocates of CCTA feel that CCTA has a greater accuracy in identifying obstructive coronary artery disease and identification of ...

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Cardiovascular

Accidental Hypothermia

Definition: Accidental hypothermia is an unintentional core body temperature of < 35°C when heat loss to surroundings is greater than heat generation Most frequent cause is environmental exposure Patient with impaired thermoregulation can develop hypothermia in relatively warm environments Elderly, ...

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Environmental

LOMAGHI Trial: Magnesium Sulfate for Rapid Atrial Fibrillation?

Background: Currently, several medications are recommended for the management of atrial fibrillation with rapid ventricular response in the emergency department including calcium channel blockers, beta blockers and digoxin (the optimal choice is still up for debate). Magnesium sulfate may play a role ...

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Cardiovascular

Building the “Perfect” Curriculum

I was asked to give a talk at ACEP 2018 on Building the Perfect Curriculum and given 25 minutes to make this happen.  As you can imagine there is no way the entirety of building a perfect curriculum can be ...

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Can’t We All Just Get Along? A Generational Survival Guide

Background: For the 1st time we have 4 generations in the workplace.  The reasons for this include, people are living longer on one end of the scale and there has been a huge acceleration in speed of information leading to quicker development ...

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The CASA Exam: A Follow Up Study

Background: POCUS has become a powerful tool in the evaluation of critically ill patients in the ED.  However, in patients with cardiac arrest, the use of POCUS has been shown to significantly increase the duration of pauses.  This is concerning as ...

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Resuscitation

REBEL Cast Ep 59: AIRWAYS-2 – Supraglottic vs Tracheal Intubation in OHCA

Background:There is a lack of high quality RCTs  investigating optimal airway management in patients with out-of-hospital cardiac arrest (OHCA).  The majority of evidence comes from observational studies and expert opinion. The observational trials have consistently favored basic airway management (i.e. BVM) ...

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Resuscitation

Validation of the Ottawa Subarachnoid Hemorrhage Rule in Patients With Acute Headache

Background: The assessment and management of the acute onset headache from the perspective of the emergency department is a point of contention and discussion commonly faced by emergency providers.  The Ottawa Subarachnoid Hemorrhage Rule is a clinical decision making instrument that ...

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Neurology

ResusTO: A Simulation/Resuscitation Conference Like No Other

This past week, one hundred clinicians went back to work inspired. They were reinvigorated, motivated and full of knowledge.  They were the delegates, faculty and volunteers of #resusTO. This inaugural event (hopefully) laid the groundwork for many more to come ...

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Resuscitation
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