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Rebel Category: REBEL EM

The SALSA Trial: Symptomatic Hyponatremia and Hypertonic Saline

Background: Hyponatremia is one of the most common electrolyte abnormalities seen in clinical practice. Under-correction could lead to cerebral edema, whereas overcorrection could result in osmotic demyelination syndrome (ODS).  The current recommendation is to use hypertonic saline in small, fixed, ...

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Endocrine, Metabolic, Fluid, and Electrolytes

The Pneumonia Short Treatment Trial: Antibiotic Treatment for 3 days vs 8 days

Background: In 2019 the World Health Organization listed “Antimicrobial Resistance” as a top 10 threat to global health. This was echoed in a 2021 document. The classic medical teaching regarding antimicrobial therapy pushed for longer treatment ...

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Infectious DiseaseThoracic and Respiratory

In the Pipeline: Head Up CPR in OHCA?

Background: Head up (HUP) CPR is an emerging concept.  The theory behind HUP is it allows for venous blood to drain from the brain to the heart thereby decreasing intracranial pressure and lowering the arterial/venous pressure waves which concuss the brain ...

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Resuscitation

SENIOR-NSTEMI: Should Elderly Patients with NSTEMI Receive Invasive Care?

Background: Non-ST-elevation myocardial infarction (NSTEMI) is defined as acute coronary injury resulting in ischemia and myocardial infarction. The diagnosis is made based on clinical presentation and non-specific electrocardiogram (ECG) changes including ST-segment depression, T-wave inversions, or other nonspecific findings.1 Based ...

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Cardiovascular

Dogmalysis: GCS <8, Then Intubate?

In emergency medicine, the standard of care is to place an advanced airway for ventilatory or oxygenation failure, impending airway compromise, or inability to protect the airway. A patient with significant cognitive impairment may have depressed gag and/or cough reflexes, ...

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Procedures and Skills
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