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Rebel Category: REBEL Crit

REBEL Cast Ep77: 2019 ACLS Update

The American Heart Association (AHA) released a focused update in 2019, for advanced cardiovascular life support (ACLS) guidelines, to addend those published in 2017 and 2018 for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care.  These recommendations were based on evidence ...

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Resuscitation

The DOSE VF Pilot RCT: Double Sequential External Defibrillation for Refractory Ventricular Fibrillation

Background Information: Refractory ventricular fibrillation (RVF) is a complication of cardiac arrest defined as ventricular fibrillation (VF) that does not respond to three or more standard defibrillation attempts.1,2 Patients with RVF during their cardiac arrest have a mortality of up ...

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CardiovascularResuscitation

Surviving Sepsis Campaign Guidelines on the Management of Critically Ill Adults with COVID-19

Background: The Surviving Sepsis Campaign published their recommendations for the management of patients with COVID-19 on March 20th, 2020 (though as of the date of this blog post, the document has not been peer reviewed).  36 experts from 12 countries ...

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Infectious Disease

REBEL Cast Ep 76: The 65 Trial – Shooting for a Lower MAP in Older Patients with Sepsis?

Background: Vasopressors are often used to improve hypotension and perfusion in an effort to decrease mortality of patients with septic shock. Mean arterial pressure (MAP) of >65mmHg has typically been used to guide vasopressor therapy in most patients and higher ...

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Infectious DiseaseResuscitation

Rebellion in EM 2019: Optimal Airway Management in OHCA via Chris Hicks, MD

Traditionally, endotracheal intubation has been the gold standard for airway management in cardiac arrest. However, more recent data suggests that maybe less is more (i.e. supraglottic airways and/or bag valve mask ventilation).  The AHA guidelines have also de-emphasized airway management ...

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Procedures and SkillsResuscitation
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