Archive

Medical Category: Procedures and Skills

Spontaneous Pneumothorax: Stand There and Do Nothing?

Background: Most published clinical guidelines on the management of primary spontaneous pneumothorax (PSP) advocate for a conservative approach of observation for small asymptomatic pneumothoraces (PTX).(1,2) However, procedural re-expansion with a catheter or chest tube is recommended for all large pneumothoraces, regardless ...

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Procedures and SkillsThoracic and Respiratory

One More Update on Using Peripheral Intravenous (PIV) Vasopressors

Background: In REBEL Cast Episode 73, Anand Swaminathan and I discussed two recent studies on the safety of peripheral vasopressors from two large trials . An email from good friend Rory Spiegel brought my attention to yet another trial on ...

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Procedures and SkillsResuscitation

Midline IV Catheters

Background: In critically ill patients needing IV access, ultrasound has helped improve gaining access to a set of peripheral veins, located deeper in the arm.  The time it takes to do this however is not insignificant but even more importantly ...

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Procedures and Skills

The CURASMUR Trial: Roc Rocks & Sux Sucks?

Background: Rapid sequence intubation (RSI) is the most widely utilized approach for patients requiring emergency tracheal intubation.  RSI typically requires the use of a induction agent followed by the use of a neuromuscular blocking agent (NMBA) to improve the overall ...

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Procedures and Skills

Should Bed Up Head Elevated (BUHE) be the New Standard Position for RSI in the ED?

Background: Although the standard positioning for intubation is supine in the sniffing position, there has been recent literature in the past decade that elevating the head of the bed to 25 to 30 degrees may be a preferable setup for ...

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Procedures and Skills
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