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Rebel Category: REBEL EM

Can Emergency Physicians Use Clinical Gestalt to Predict Acute Coronary Syndrome?

Background: Chest pain is a common chief complaint the Emergency Department, and the differential diagnosis includes life-threatening conditions from several organ systems including cardiac, pulmonary, and gastrointestinal, in addition to more benign etiologies. Historically, despite most patients not having acute …

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Cardiovascular

Standard Valsalva vs Modified Valsalva for Cardioversion of SVT?

Background: Supraventricular tachycardia (SVT) is not an uncommon condition in the emergency department. Epidemiologically, SVT has an incidence of 35/100,000 person-years in the United States.2That is roughly 89,000 new cases per year. The Valsalva maneuver is a recognized treatment for SVT, …

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Cardiovascular

Rebellion in EM 2019: Why Tramadol Should Be Called Tramadon’t…The Dirty Truth

Background: Tramadol is a centrally acting synthetic opioid analgesic approved for use in the United States in 1995 by the Food and Drug Administration. In 2014, the Drug Enforcement Agency classified tramadol as a Schedule IV controlled substance. ~41 million …

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Toxicology

Does Co-Administration of Haldol or Versed Diminish Recovery Agitation with Ketamine in Adults Undergoing Procedural Sedation?

Background: Working in the emergency department means frequently performing painful procedures on patients, often we turn to procedural sedation to make these procedures more tolerable for patients, families and clinicians alike.  Ketamine is often used for this purpose, particularly in pediatrics, …

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Procedures and Skills

Rimegepant and Inflammatory Neuropeptide Antagonism in Migraine

Background: Migraine is a chronic neurologic disease characterized by attacks of throbbing, often unilateral headache that are exacerbated by physical activity and associated with photophobia, phonophobia, nausea, vomiting, and, in many patients, cutaneous allodynia. Migraine is very common, and the burden …

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Neurology

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