Archive

Rebel Category: REBEL EM

I Love Me Some High-Dose NTG and NIV for SCAPE

Background: Hypertensive acute heart failure is a subgroup of acute congestive heart failure (CHF) patients.  Physiologically there is increased afterload and decreased venous capacitance both leading to fluid shifts resulting in pulmonary vascular congestion.  Sympathetic crashing acute pulmonary edema (SCAPE) ...

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Cardiovascular

External Validation of the Canadian Syncope Risk Score

Background Information: The Canadian Syncope Risk Score (CSRS) is one of several clinical decision tools used in the emergency department (ED) following a syncopal episode. (Figure 1) It was derived from one of the largest datasets currently available and its ...

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Cardiovascular

The KetaBAN Trial: Nebulized Ketamine for Analgesia in the ED

Background: Intravenous sub-dissociative dosed ketamine has gained an expanded role in the management of a variety of acute painful conditions in the ED (REBEL EM).  When IV access is not readily available or unobtainable, sub-dissociative dosed ketamine can be given ...

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Procedures and Skills

Thromboembolic Events After Cardioversion of Acute Atrial Fibrillation and Flutter: Should we Anticoagulate?

Background: Atrial fibrillation and atrial flutter are two of the most common dysrhythmias seen in the emergency department (ED). Rarely does a shift go by that you don’t see one or the other. For decades, there has been a debate ...

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CardiovascularNeurology

Chest Pain and Chemotherapy: 5-FU Induced Coronary Vasospasm

58 y/o female with colorectal cancer recently started on continuous 5-FU chemotherapy presents to the ED with chest pain, shortness of breath, and diaphoresis.  The symptoms wax and wane with no specific exacerbating factors.  She has no other past medical ...

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Cardiovascular

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