Archive

Rebel Category: REBEL EM

Screening for Alcohol Use Disorder

Each year, about 1 in 7 men and 1 in 11 women in the United States meet criteria for alcohol use disorder (AUD)—affecting nearly 29 million people, roughly the entire population of Texas. Patients with AUD face staggering health risks: ...

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Toxicology

MDCalc Wars – Tiny Patient, Big Decision: Head CT or no Head CT?

PECARN has been THE  decision rule for guidance on management of kids with head injuries, but the Infant Scalp Score dives even deeper—built just for babies with scalp hematomas.  Which rule is best in this situation?

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Trauma

Clinical Conundrum: What is the Utility of Procalcitonin in the ED?

Procalcitonin is a protein that is upregulated during inflammatory states. An elevation in procalcitonin should be specific to bacterial infections. Viral infections should result in decreased procalcitonin levels thus allowing us to differentiate bacterial from viral and help guide antibiotic ...

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Infectious Disease

TXA for Hemoptysis: We Put That $#!t on Everything (That Bleeds)

Hemoptysis is a potentially life-threatening emergency that can lead to airway compromise and hemorrhagic shock. While definitive treatments like bronchoscopy, bronchial artery embolization (BAE), and surgery can be effective, they often require significant time and specialized resources—capabilities not universally available ...

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ResuscitationThoracic and Respiratory

MDCalc Wars: Sorting Out Syncope – Which Rule Should You Trust?

Syncope is one of the most common complaints we face in the ED. Most patients do well, yet a small subset are harboring serious cardiac or neurologic disease. Admit everyone, and we waste beds and resources; discharge everyone, and we ...

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Cardiovascular

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