Archive

Rebel Category: REBEL EM

Association of Maternal First-Trimester Ondansetron Use with Cardiac Malformations and Oral Clefts in Newborns

Background Information: Nausea and vomiting during pregnancy most commonly occurs during the first trimester. If left untreated, the development of hyperemesis gravidarum can lead to further complications characterized by dehydration and electrolyte abnormalities.1 Ondansetron, a 5-HT3 receptor antagonist has quickly ...

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Obstetrics and GynecologyToxicology

Rebellion in EM 2019: Care for Yourself – Sleep Hygiene via Arlene Chung, MD

Chronic sleep deprivation can affect health, performance, and safety.  There are many causes of sleep deprivation including stresses of daily life, shift work, and unrecognized sleep disorders.  In this talk from Rebellion in EM 2019, Arlene Chung, MD, facts about ...

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The Kompas Trial: Sodium Bicarbonate Prehydration in Adults with CKD Prior to Contrast-Enhanced CT

Background: Most guidelines recommend prehydration prior to iodine-based contrast media to prevent postcontrast acute kidney injury (PC-AKI) in patients with CKD.  There is, however, a lack of evidence for the effectiveness of this as well as the potential adverse effects ...

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Renal and Genitourinary

COVID-19 Hypoxemia: A Better and Still Safe Way

I have been thinking a lot about patients with COVID-19 and the pulmonary pattern that they develop.  This disease process has been categorized like ARDS, but the reality is it is not like “typical” ARDS.  Lung compliance is often normal ...

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Infectious DiseaseResuscitation

Lopinavir-Ritonavir in Hospitalized Patients with Severe COVID-19

Background: Since the introduction of SARS-CoV-2 to the world in December 2019, there have been no medications approved or proven effective for the treatment of this pandemic. Lopinavir is an HIV protease inhibitor that is combined with Ritonavir to increase ...

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Infectious Disease

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