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Rebel Category: REBEL EM
Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration?
Bottom Line Up Top: Pretreatment is ineffective and unnecessary as it does not significantly reduce the risk of serious adverse reactions to contrast. Pretreatment should not delay imaging required for definitive diagnosis. Clinical Scenario: A 65 year-old woman presents with ...
Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (MINT Trial)
Background: Concurrent anemia worsens outcomes in patients that present with acute myocardial infarctions. Transfusions increase the oxygen carrying capacity of blood which can improve the perfusion of at-risk cardiac tissue. However, transfusions are also associated with immunosuppression, thrombotic phenomena, volume ...
Another Study on Peripheral Vasopressors
Background: Use of vasopressors is a common practice to support hemodynamics and optimization of tissue perfusion in patients presenting with shock. Historically the administration of vasopressors was restricted to central venous catheters (CVC) due to concerns for local tissue injury ...