Archive

Medical Category: Resuscitation

Succinylcholine or Rocuronium for 1st Pass Success Rate

Background: Administration of a neuromuscular blocker (NMB) is an essential part of Emergency Department  (ED) airway management for facilitating ideal airway conditions and is most commonly performed with either succinylcholine or rocuronium. Despite extensive debates between providers, one agent has not ...

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Resuscitation

RSI, Predictors of Cardiac Arrest Post-Intubation, and Critically Ill Adults

Background:Intubation is a commonly performed procedure in the ED and ICU. We have discussed the physiologically difficult intubation before on REBEL EM.  One of the tenants in managing these patients is “resuscitate before you intubate.”  Two publications in the past ...

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Resuscitation

REBEL Review 86: Flow Rates in IV/IO Access

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REBEL Reviews

Dosing Sedatives Low and Paralytics High in Shock Patients Requiring RSI

Background: A series of tweets I sent out recently generated a visceral response from critical care clinicians the world over. I summarized my strategy of shock dose RSI as sedatives low and paralytics high (low dose ketamine, high dose rocuronium along with ...

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Resuscitation

REBEL Review 83: Optimal CPR

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REBEL Reviews
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