REBEL Core Cast 56.0 – Wound Care III – Pitfalls
Take Home Points If youre concerned about a retained foreign body make sure to get imaging There is a higher risk of wound infection associated with age, diabetes, wound size,...
Marco Torres |
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- 4F-PCC
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- 60-Second Soapbox
- 65 Trial
- 68W
- 7 sign
- 9-1-1
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- 911
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Asymptomatic Hypertension: A 2 Year Look Back from Canada
Background: A patient presents to the emergency department (ED) for medical treatment. After comprehensive evaluation and management, the patient’s condition improves and you prepare to discharge the patient home. The...
Marco Torres |
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Coronavirus, Corticosteroids, COVID-19, Critical Care, Dexamethasone, Mechanical Ventilation, Novel Coronavirus 2019, Pneumonia, Steroid, Steroids, Uncategorized
Dexamethasone vs Methylprednisolone in ICU Patients with COVID19
Background Information: Over one year into the pandemic many therapies to treat COVID-19 have targeted innumerable aspects of the virus. Most recently, the use of corticosteroids to treat the virus’...
Marco Torres |
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Upping Our ECG Game: OMI vs STEMI
Background: Occlusion myocardial infarction (OMI) is defined as acute coronary occlusion or near occlusion with insufficient collateral circulation leading to downstream myocardial infarction. Currently, we use STEMI ECG criteria to...
Marco Torres |
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REBEL MedEd Cast 1.0 – Autotelics and Flow
Take-Home Points: The conditions needed to achieve flow are: Clear goals Immediate feedback Balance between challenge and skill We can use the flow state to supercharge our productivity. Establish clear...
Marco Torres |
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The SALSA Trial: Symptomatic Hyponatremia and Hypertonic Saline
Background: Hyponatremia is one of the most common electrolyte abnormalities seen in clinical practice. Under-correction could lead to cerebral edema, whereas overcorrection could result in osmotic demyelination syndrome (ODS). The...
Marco Torres |
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REBEL Core Cast 55.0 – Wound Care II – Dogma
Take Home Points There is no strict golden hour for wound closure. Location, contamination and patient factors all should be taken into account Dog bites can be closed primarily. Bites...
Marco Torres |
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The Pneumonia Short Treatment Trial: Antibiotic Treatment for 3 days vs 8 days
Background: In 2019 the World Health Organization listed “Antimicrobial Resistance” as a top 10 threat to global health. This was echoed in a 2021 document. [WHO 2019, WHO 2021] The...
Marco Torres |
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In the Pipeline: Head Up CPR in OHCA?
Background: Head up (HUP) CPR is an emerging concept. The theory behind HUP is it allows for venous blood to drain from the brain to the heart thereby decreasing intracranial pressure...
Marco Torres |
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One-Time Vancomycin Doses in the Emergency Department
Background A previous ALiEM post from 2013 by an EM pharmacist colleague argued the case against one-time vancomycin doses in the ED prior to discharge. The take-home points from this...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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SENIOR-NSTEMI: Should Elderly Patients with NSTEMI Receive Invasive Care?
Background: Non-ST-elevation myocardial infarction (NSTEMI) is defined as acute coronary injury resulting in ischemia and myocardial infarction. The diagnosis is made based on clinical presentation and non-specific electrocardiogram (ECG) changes...
Marco Torres |
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REBEL Cast Ep98: Intravenous Contrast and Long-Term Kidney Impairment
Background: It has long been thought that intravenous contrast can lead to acute kidney injury. Recent data, however, has called this dogmatic teaching into question. Unfortunately, the data arguing against...
Marco Torres |
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Dogmalysis: GCS
In emergency medicine, the standard of care is to place an advanced airway for ventilatory or oxygenation failure, impending airway compromise, or inability to protect the airway. A patient with...
Marco Torres |