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Rebel Category: REBEL EM

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

Background Information:  Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating ...

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CardiovascularProcedures and SkillsResuscitation

Short Course Antibiotics for Peds CAP: A Systematic Review and Meta-Analysis

Background: There is a shifting paradigm with persuasive evidence favoring a shorter duration of antibiotics for outpatient management of community-acquired pneumonia (CAP) in children. The SAFER and CAP-IT trials found that short-course antibiotic therapy was not inferior to standard duration ...

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Infectious DiseasePediatrics

Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. Regardless of the cause, a thoracostomy is often required for ...

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Thoracic and Respiratory

Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis

Background: Rapid sequence intubation (RSI) induction agent selection remains a heavily debated matter. Etomidate causes adrenal suppression in critically ill patients triggering a groundswell of support in favor of ketamine. (Albert 2011, Jabre 2009) However, the existing literature comparing etomidate ...

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Resuscitation

Less is More . . . Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Recent evidence has challenged the routine use of aggressive hydration as unnecessary. There are also potential harms ...

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Abdominal and Gastrointestinal
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