Rebel Category: REBEL EM

MDCalc Wars: Pediatric Appendicitis – Three Scores, One Diagnosis

by Eric Steinberg DO, MEHP posted August 31, 2026 No Comments

Compare the strengths, limitations, and ideal use cases of Alvarado, PAS, and pARC to choose the right appendicitis score for your next pediatric patient.

Pediatrics

Effect of Sepsis Bundle (SEP-1) Compliance and Implementation on Mortality

by Melissa Smith, MD, RN and Maren Leibowitz, MD posted August 24, 2026 No Comments

Is there any moderate or high-level evidence that SEP-1 compliance and/or implementation is associated with improvement in sepsis mortality?

Infectious DiseaseResuscitation

SPICE III Trial: Does Early Dexmedetomidine Improve Survival in Mechanically Ventilated ICU Patients?

by Dorian Alexander, MD posted August 17, 2026 No Comments

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

Neurology

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

by Thomas Scott, MD and Molly Estes, MD posted August 10, 2026 No Comments

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.

OrthopedicsPediatrics