Archive

Rebel Category: REBEL Core

Clinical Conundrum: Should Acute Asthma Exacerbations Be Discharged From the ED With Combination Beta Agonist/Corticosteroid Inhalers?

Bottom Line Up Top: In patients with mild to moderate asthma exacerbations that are stable for discharge home, there is evidence to support discharging patients from the ED with combination Inhaled Corticosteroid/Long-Acting Beta Agonist (ICS-LABA) maintenance therapy. Clinical Scenario: A ...

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Thoracic and Respiratory

REBEL Core Cast 133.0 – TMJ Dislocation

Take Home points: Atraumatic TMJ dislocations are typically anterior in nature and can be reduced by a variety of techniques in the ED Traumatic TMJ dislocations often involve mandible fractures and typically require open reduction and fixation in the operating ...

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Head, Eye, Ear, Nose, and Throat

REBEL Core Cast 132.0 – Recent-Onset AFib

Take Home points: If the patient is low risk with CHA2DS2-VASc (men < 2, women < 3), cardioversion is safe up to 48 hours from onset. In higher risk patients, we should reserve cardioversion unless there is clear onset less ...

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REBEL Core Cast 131.0 – Traumatic Arthrotomy

Take Home points: Always suspect an open joint if there is a laceration, regardless of size, the lies over joint CT scan of the affected joint is widely considered to be the standard approach to evaluation but the saline load ...

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Trauma

Elbow Dislocations

Elbow Dislocation Definition:  Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology:  Incidence Second most common joint dislocation (after shoulder) in adults  Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ...

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Trauma

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