is the blogs audio version. The podcast typically starts by setting a clinical stage with a pertinent clinical question, followed by a discussion of the paper with pertinent results, strengths, limitations, and further discussion. Finally, we end every podcast with clinical take home points from the papers being reviewed. If there are papers you think we should evaluate, email them to srrezaie@gmail.com.
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Background: Convulsive status epilepticus is the most common pediatric neurological emergency worldwide. Currently, phenytoin (UK & Europe) or fosphenytoin (USA) is the recommended second-line IV anticonvulsant for the treatment of pediatric status epilepticus. Some evidence and providers however suggest that …
Take Home Points Myxedema coma is severe, decompensated hypothyroidism with a very high mortality. Classic features include: decreased mental status, hypothermia, hypotension, bradycardia, hyponatremia, hypoglycemia, and hypoventilation Work up includes looking for and treating precipitating causes, most commonly infection as …
Background: Antibiotics are one of the cornerstones of therapy in the treatment of sepsis/septic shock, however according to the Surviving Sepsis Campaign (SSC) guidelines, time to antibiotics is a core measure, though there is weak evidence in support of this. Most …
Take Home Points There is no real distinction between syncope and near syncope. Older folk with near syncope or syncope should be treated the same. Patient with high risk features its reasonable to admit but if they’re low risk, well-appearing …
This is a special edition REBEL Cast done by my good friend Andy Little, DO (Twitter: @andylittle). As I was busy running the 2nd annual Rebellion in EM clinical conference, Andy was able to sit down with the speakers to …
This is a special edition REBEL Cast done by my good friend Andy Little, DO (Twitter: @andylittle). As I was busy running the 2nd annual Rebellion in EM clinical conference, Andy was able to sit down with the speakers to …
Take Home Points on SVT Superficial venous thrombosis refers to a clot and inflammation in the larger, or “axial” veins of the lower extremities and superficial thrombophlebitis refers to clot and inflammation in the tributary veins of the lower extremities. …
Take Home Points on Measles There is a resurgence of measles worldwide Incubation period is 10 – 14 days and patients are contagious 4 days before rash develops and up to 5 days after Suspect measles in any patient with …
Background: Despite the lack of replication of the NINDS & ECASS-3 trials, guidelines recommend the use of tPA in the ≤4.5hr window after the onset of symptoms of acute ischemic stroke [2]. These recommendations used non-contrast computed tomography (NCHCT) for the …
Take Home Points on Tracheostomy Emergencies Track is mature in 7 days – don’t blindly replace before then because concern for false track creation All bleeding needs to be taken seriously and should be evaluated by surgery If not ventilating …
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