Archive

Rebel Category: REBEL EM

Casting Doubt on Tradition: Boot vs Cast for Toddler’s Fractures

For uncomplicated, radiographically confirmed toddler’s fractures, a removable walking boot may be a practical alternative to casting, reducing caregiver burden without worsening pain outcomes.

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OrthopedicsPediatrics

HFNC vs. NIV in Acute Cardiogenic Pulmonary Edema: Go with the Flow?

Is HFNC as effective as NIV in reducing respiratory rate and improving respiratory distress within 2 hours in ACPE?

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Resuscitation

The TASC Trial: Therapeutic vs Prophylactic Anticoagulation for Acute Chest Syndrome

In adults with sickle cell disease hospitalized for acute chest syndrome (ACS) without pulmonary artery macrothrombosis, does therapeutic-dose anticoagulation with tinzaparin shorten ACS duration compared with prophylactic-dose anticoagulation?

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Hematology and Oncology

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
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