Archive

Rebel Category: REBEL EM

EPIC Trial: Electrode Positioning in Cardioverting Atrial Fibrillation

Background Information: Electrical cardioversion of atrial fibrillation is regularly performed by emergency physicians, intensivists, and cardiologists. Although many approaches to performing this procedure exist, the most common electrode placement is the anterior-lateral compared to the anterior-posterior positioning.1 The literature backing ...

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CardiovascularProcedures and SkillsResuscitation

Traumatic Hemothorax: Pigtail vs Chest Tube

Background: Optimal management of pneumothorax and hemothorax with chest thoracostomy has been widely debated over the last decade.  We no longer question the utility of pigtail catheters for pneumothorax and now ask whether a catheter has to be placed at ...

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Thoracic and RespiratoryTrauma

The Dirty Epi Drip and IV Flow Rates

Recently, I put out a video on the dirty epi drip (YouTube and TikTok) and in that video I discuss the use of this modality when in a pinch (i.e. can’t get push-dose pressors and/or a pump is not available ...

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Resuscitation

Massive Acetaminophen Overdose: Are We Giving Enough N-acetyl-cysteine?

Introduction: Acetaminophen, N-acetyl-p-aminophenol, or APAP, is one of the most commonly used medications worldwide. While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites. Hepatic necrosis is preventable in overdose ...

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Toxicology

Intermittent Fasting and PLEASE Don’t Just Read the Abstract

Background: There are many lifestyle modification strategies available as a way to aid in weight management.  Two in particular include calorie restriction and intermittent fasting. Caloric restriction is self-explanatory, however personal experience has been it can be difficult to maintain ...

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Endocrine, Metabolic, Fluid, and Electrolytes
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