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Rebel Category: REBEL EM

COVID-19 NIV: Helmet vs Mask

Background: Over the past few weeks there has been a shift in the management of critically ill COVID-19 patients.  Many seem to have moved away from an intubate early strategy to the use of high flow nasal cannula (HFNC) and ...

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Thoracic and Respiratory

COVID-19: Two More Trials Just Published on Remdesivir

Background: Currently, there are no approved medications for the treatment of COVID-19, but,  there are many investigational agents that have shown antiviral activity against SARS-CoV-2 in vitro.  Unfortunately in vitro studies do not always extrapolate to clinical care  In vitro ...

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Infectious Disease

COVID-19: Home O2 Protocol

Needs Assessment: As the COVID19 pandemic continues to mount, hospitals will rapidly reach maximal capacity. As a result, patients are boarding longer in the ED and, new patients are waiting longer to be seen. This dynamic poses numerous threats to ...

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Thoracic and Respiratory

The ISCHEMIA Trial: Initial Invasive or Conservative Strategy for Stable Coronary Disease?

Background: In patients with stable coronary artery disease the goals of treatment are to reduce the risk of death, ischemic events, and to improve quality of life. In order to achieve those objectives all patients with coronary artery disease should be ...

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Cardiovascular

COVID-19: Awake Proning

Background: Awake proning, or having patients lie on their stomachs, can help oxygenation by helping to recruit posterior portions of the lungs and by helping with perfusion to oxygenated lung segments. The literature around proning centers on intubated patients with ...

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Infectious DiseaseThoracic and Respiratory

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