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Rebel Category: REBEL EM

MDCalc Wars: Massive Transfusion in Trauma – ABC vs. TASH

The ABC Score is a rapid, 4-variable bedside tool for immediate massive transfusion decisions — before labs are back; TASH provides a more precise probability estimate once labs and imaging are available

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ResuscitationTrauma
Healthcare team preparing for rapid sequence intubation with an endotracheal tube and oxygen mask, illustrating rocuronium vs succinylcholine for RSI, awareness, paralysis, and post-intubation sedation.

Rocuronium vs Succinylcholine for RSI: Awareness, Paralysis, and Post-Intubation Sedation

Does rocuronium delay post-intubation sedation and analgesia compared with succinylcholine after RSI? This REBEL EM post appraises a retrospective ED cohort study examining paralytic choice, analgosedation timing, and the risk of awareness during paralysis.

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Procedures and SkillsResuscitation

Meta-Analysis of Norepinephrine vs Epinephrine After Cardiac Arrest

Is there a lower rate of recurrent cardiac arrest in patients who received norepinephrine versus epinephrine post-ROSC?

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CardiovascularResuscitation
sPESI vs Bova Score title image showing pulmonary embolism risk stratification with discharge and monitoring icons.

MDCalc Wars: sPESI vs Bova Score — PE Risk Stratification Made Practical

Not every normotensive PE patient is truly low risk. sPESI helps identify patients who may be safe for outpatient management, while Bova helps recognize patients at risk for early deterioration despite initially stable vital signs.

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Hematology and OncologyThoracic and Respiratory

HI-PEITHO Trial: Ultrasound-facilitated, Catheter Directed Fibrinolysis for PE

In patients with intermediate-risk pulmonary embolism (PE), does ultrasound-facilitated, catheter-directed fibrinolysis (US-CDT) plus anticoagulation improve clinical outcomes compared to anticoagulation alone?

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ResuscitationThoracic and Respiratory
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