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Medical Category: Procedures and Skills

The VEINART Trial: VBG vs ABG

Background: Patients coming to the ED frequently have several interventions performed in their evaluation and management.  Blood draws, for the most part, are venous. Occasionally, however, arterial sampling is used to gauge acid-base status, PaO2, PaCO2, lactate etc.  This is …

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Procedures and Skills

Peripheral Pressors: 6 Pearls to Not F*#k Up the Arm

Traditionally, vasopressor infusions have been done through central venous catheters (CVCs) due to the hypothetical risk of extravasation injury to extremities when given through peripheral IVs.  The documented risk of extravasation from peripheral pressors is 3 – 6% [1][3][4][5]. Hypothetically, …

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Procedures and Skills

REBEL Core Cast 34.0 – Chest Tubes

Take Home Points Small to Moderate Size Pneumothorax – consider managing conservatively with observation (need to make sure consulting services on same page) Needle aspiration for spontaneous pneumothorax recommend by British Thoracic and European Respiratory Societies 1 in 5 patients …

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Procedures and Skills

REBEL Core Cast 33.0 – Needle Decompression

Take Home Points Forget the “traditional” needle decompression landmark Decompress at 4th or 5th intercostal space in the anterior axillary line

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Procedures and Skills

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

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