Archive

Rebel Category: REBEL EM

The VEINART Trial: VBG vs ABG

Background: Patients coming to the ED frequently have several interventions performed in their evaluation and management.  Blood draws, for the most part, are venous. Occasionally, however, arterial sampling is used to gauge acid-base status, PaO2, PaCO2, lactate etc.  This is ...

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Procedures and Skills

Can We Predict Which COVID-19 Patients Will Decompensate?

Background: As the COVID-19 pandemic continues a number of challenges have arisen. Amongst these is the ability of clinicians to predict which patients will suffer from early decompensation. It is well established that there are patients that will rapidly decline ...

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Infectious Disease

Thrombolysis in Acute Ischemic Stroke: Now We Have No Positive RCTs

Background: The scientific process in medicine is complicated. Obtaining high-quality data to guide management requires hypothesis formulation, data to support the hypothesis and study replication. Time and again beneficial findings in therapeutic studies fail to be replicated in subsequent studies. ...

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Neurology

Traumatic Cardiac Arrest – Can we Find Prognostic Factors that Predict Survival?

Background: Trauma remains the leading cause of death in the United States for those aged less than 45 years old. Those who arrest from hemorrhage or other traumatic mechanism often carry a very poor prognosis. Various studies have placed the ...

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Trauma

Haloperidol for Treatment of Headache in the Emergency Department

Background Information: Headache is a common chief complaint that emergency physicians encounter almost every day and sometimes multiple times in each shift. In fact, headache is the fifth leading cause of patients presenting to the emergency department (ED).1 Current first-line ...

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Neurology

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