REBEL Core Cast 41.0 – Acute Chest Syndrome
Take Home Points 100k people in US have sickle cell, the majority will at some point develop acute chest syndrome (ACS) The mortality rate per episode is 3-9%, similar to...
Marco Torres |
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- 60-Second Soapbox
- 65 Trial
- 68W
- 7 sign
- 9-1-1
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- 911
- ; LAVADO DE MANOS
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The SWIFFT Trial: To Cut or To Cast – That Is the Question
Background: FOOSH injuries, or falls onto outstretched hands, are a common presentation to the emergency department, and can frequently result in scaphoid fractures. In fact, scaphoid fractures “account for 90% of...
Marco Torres |
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US Expanded Access Program: Convalescent Plasma, Mortality, and COVID-19
Background: Convalescent plasma therapy (CPT) is not a novel treatment modality. It has been used in other illnesses such as SARS, MERS, and Ebola with variable results. The theory behind...
Marco Torres |
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The ALIC4E Trial: Oseltamivir + Usual Care vs Usual Care Alone
Background: Previous evidence has found that oseltamivir reduces median time to alleviation of influenza symptoms over placebo by about 1 day. The benefits were greater when treatment was initiated within...
Marco Torres |
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SAEM Clinical Image Series: Distended Abdomen after ROSC
A 64-year-old female presented to the emergency department (ED) in cardiac arrest. Her family members heard her fall in the bathroom and started CPR. EMS intubated the patient and 20...
Sheri-Ann Olivia Kaltiso, MD |
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REBEL Cast Ep86: Baloxavir for Influenza Prophylaxis
Background: Baloxavir (trade name Xofluza) was approved for the treatment of acute, uncomplicated influenza in patients > 12 years of age in October 2018. However, high-quality data has been underwhelming...
Marco Torres |
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REBEL Core Cast 40.0 – Wernicke Encephalopathy
Take Home Points Wernicke encephalopathy is characterized by ataxia, altered mental status and ophthalmoplegia but patients are unlikely to have all these components Suspect Wernicke encephalopathy in any patient that...
Marco Torres |
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Let’s Get Our ACTS Together: The Metabolic Cocktail and Septic Shock Again
Background: Though it’s been stated numerous times on this blog, it bears repeating: the pillars of sepsis care remain early identification of sepsis, early appropriate empiric antibiotics, source control, and...
Marco Torres |
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Remdesivir in Moderate COVID-19
Background: There are three randomized clinical trials now published on remdesivir in the treatment of COVID-19 pneumonia (RCT 1, RCT 2, & RCT 3). The 1st trial, performed in China,...
Marco Torres |
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Slipped Capital Femoral Epiphysis (SCFE)
Definition: Medial or posterior slippage of the femoral capital epiphysis relative to the metaphysis Epidemiology: Classic patient group: overweight adolescent boys Over 80% of SCFE involves children with a BMI...
Marco Torres |
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It’s Raining Steroids in COVID-19: REMAP-CAP, CoDEX, & CAPE COVID
Background: Over the past few years, corticosteroids have gained traction in the treatment of patients with ARDS and septic shock. Trials such as APROCCHSS and ADRENAL have shown that the...
Marco Torres |
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The THALES Trial: Ticagrelor and Aspirin vs Aspirin Alone in Acute Ischemic Stroke or TIA
Background: The risk of a subsequent ischemic stroke in the first few months after an acute ischemic stroke or transient ischemic attack is approximately 5 to 10%. In these patients...
Marco Torres |
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REBEL Core Cast 39.0 – Upper GI Bleed
Take Home Points Focus on resuscitating well by focusing on the basics Recognize Massive GIB (MGIB) with a thorough exam of the patient and vital signs (Shock index >0.7 is...
Marco Torres |