Archive

Rebel Category: REBEL EM

TXA for Hemoptysis: We Put That $#!t on Everything (That Bleeds)

Hemoptysis is a potentially life-threatening emergency that can lead to airway compromise and hemorrhagic shock. While definitive treatments like bronchoscopy, bronchial artery embolization (BAE), and surgery can be effective, they often require significant time and specialized resources—capabilities not universally available ...

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ResuscitationThoracic and Respiratory

MDCalc Wars: Sorting Out Syncope – Which Rule Should You Trust?

Syncope is one of the most common complaints we face in the ED. Most patients do well, yet a small subset are harboring serious cardiac or neurologic disease. Admit everyone, and we waste beds and resources; discharge everyone, and we ...

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Cardiovascular

ICARUS ED Trial: Concentrated Albumin for Undifferentiated Sepsis in the Emergency Department

Sepsis is one of the most common emergencies we encounter, yet despite decades of research, it still carries a high burden of morbidity and mortality. Over the years, our attempts to improve outcomes have spanned the spectrum—from clearly lifesaving (like ...

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Resuscitation

MDCalc Wars: Stop Before the CT! — Are You Using PERC or Wells Correctly

Diagnosing PE in the emergency department is tricky. The symptoms—chest pain, shortness of breath, tachycardia—are nonspecific and overlap with many other conditions. But missing a PE can have devastating consequences, so there’s often a low threshold to order a CTA. ...

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Thoracic and Respiratory

Casting Doubt: The SUSPECT Trial — Bandaging Vs. Casting for Suspected Occult Scaphoid Fracture

Managing patients with suspected occult scaphoid fractures and normal X-rays presents a common clinical dilemma. About 1 in 10 of these patients will have an occult fracture, and roughly 10% of all scaphoid fractures result in nonunion. However, the risk ...

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Orthopedics

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