Archive

Rebel Category: REBEL EM

Rethinking the Role of TXA: Are We Asking Too Much?

Background: Injuries are a major cause of death worldwide. Hemorrhage accounts for about 1/3 of all trauma deaths and as such, it should be our goal to find treatments to decrease death from hemorrhage. Our bodies have a finely tuned ...

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Trauma

Rosh Review EM Scholar Monthly Question

A 45-year-old man is brought in by EMS after being found unconscious by his partner. He is confused and agitated. His vital signs are a BP of 90/60 mm Hg, HR of 120 bpm, RR of 24/min, and T of ...

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Toxicology

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

Background Information: Acute Hypotension is associated with increased morbidity and mortality. Continuous vasopressor infusions have previously been the mainstay of treatment. However, peripherally dosed push dose pressors, (PDPs), are beginning to be administered more frequently for management of acute hypotension.1-4 ...

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CardiovascularResuscitation

Trauma Resuscitation Updates

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock.  In the initial management of trauma resuscitation there are 4 key principles that should be followed: Control bleeding Restore tissue perfusion Minimize iatrogenic injury from ...

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ResuscitationTrauma

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

Background: The geriatric patient population is at high risk for undertreatment of pain (Hwang et al. 2010). Regrettably, they are less likely to receive pain medication and commonly experience longer delays in treatment (Hwang et al. 2010). Likewise, there are ...

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Procedures and Skills
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