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Rebel Category: REBEL EM

MDCalc Wars: Alcohol Withdrawal–When CIWA-Ar Breaks Down, mMINDS Score Still Works

CIWA-Ar breaks down when patients can’t participate. mMINDS offers an objective, ICU-ready approach to scoring severe alcohol withdrawal—especially in delirious, intubated, or critically ill patients.

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Toxicology

Seizing the Evidence: Should We Consider Ketamine’s Place in Seizure Protocols?

Ketamine was first introduced for human use in 1965 and has been widely utilized as a general anesthetic with an excellent safety profile (Mion 2017, Dorandeu 2013). Ketamine works on several receptors, resulting in various actions such as anesthesia, analgesia, ...

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Neurology

RENOVATE Trial: HFNC vs BPAP in Acute Respiratory Failure

With high flows, modest PEEP, and effective dead-space washout, HFNC can improve oxygenation and decrease work of breathing while preserving the ability to talk, cough, eat, and interact with staff and family. The RENOVATE trial set out to answer a ...

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ResuscitationThoracic and Respiratory

The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation

Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence intubation (RSI) has raged for years with no clear winner. Etomidate has been touted in the past for its rapid onset and minimal intrinsic effects on hemodynamics. ...

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ResuscitationThoracic and Respiratory

POCUS Use in Shock Resuscitation: Evidence for Patient and System-Level Benefits

Shock is a life threatening condition that requires rapid resuscitation, and targeted treatment. Due to its complex nature, shock management poses many challenges for physicians in the acute care setting, more specifically, in the emergency department (ED). Point-of-care-ultrasound (POCUS) has ...

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CardiovascularResuscitationThoracic and Respiratory
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