Tactical Medicine News Blog

The Autotelic Emergency Physician

In the fall of 2014, while working overnight in the emergency department at a community hospital in NJ, a patient (let’s call him John) presented with ACE inhibitor angioedema. At...

Marco Torres | April 22, 2021

REBEL Core Cast 54.0 Wound Care I – Foreign Bodies

Take Home Points FBs are a very common complication of wounds. X-ray is poor at detecting foreign bodies US is a tremendous tool and be used dynamically at the bedside...

Marco Torres | April 21, 2021

Optimal Needle Position for Decompression of Tension Pneumothorax

Background: Tension Pneumothorax (TP) can occur as a potentially life-threatening complication of chest trauma. With the risk of respiratory and cardiac arrest, an immediate temporizing intervention for this condition is required...

Marco Torres | April 19, 2021

REBEL Cast Book Club Episode 1 – The Coddling of the American Mind

Marco Torres | April 16, 2021

To become Latina Submit Order Star of the event

Latina women are not only known as wonderful addicts but likewise as amazing and exotic brides. Latina mail order brides blend all talents and hidden... The post To become Latina...

Marco Torres | April 16, 2021

The MENDS2 Trial: Dexmedetomidine vs Propofol for Sedation

Background: In patients requiring mechanical ventilation, sedative medications are used for patient comfort and safety.  However, these medications can also lead to brain dysfunction (i.e. delirium or coma) and long-term...

Marco Torres | April 15, 2021

Gone in 120 Seconds!

By the time you finish reading this post, you could have completed most items on your daily to-do list. It’s surprising how many tasks can be completed in under 2...

Marco Torres | April 12, 2021

The VICTAS Trial: How Many More RCTs do we Need on the Metabolic Cocktail in Sepsis?

Background: Since the publication of the before and after Marik trial [1] published in 2016, there have been six randomized clinical trials trying to answer the question of the utility...

Marco Torres | April 8, 2021

REBEL Core Cast 53.0 – Hypertensive Encephalopathy

Take Home Points Altered mental status has numerous possible etiologies. Splitting it into vital sign issues, toxic/metabolic, infectious processes, CNS issues (bleed, mass) and psych/dementia is a good way to...

Marco Torres | April 7, 2021

GLUCOCOVID: A Controlled Trial of Methylprednisolone in COVID-19 Pneumonia

Background Information: The use of corticosteroids in patients with pneumonia secondary to COVID-19 has been a controversially hot topic, particularly early on in the pandemic. Prior evidence seen in Severe...

Marco Torres | April 5, 2021

Delayed Antibiotic Prescriptions for Children: DAP, IAP, vs NAP

Background: Respiratory tract infections (RTIs) are a common reason for medical visits in kids.  Most RTIs are self-limited and the addition of antibiotics rarely alters the course of disease. However,...

Marco Torres | April 1, 2021

Data from Israel on the BNT162b2 (Pfizer) mRNA COVID-19 Vaccine

Background: COVID-19 vaccination is ramping up both in the US as well as throughout the world. Randomized clinical trials looking at the efficacy of the mRNA vaccines demonstrated 94% to...

Marco Torres | March 30, 2021

Systemic Review and Meta Analysis on Topical Pain Control in Corneal Abrasions

 Background Information: Corneal abrasions are responsible for the largest proportion of eye-related chief complaints in patients presenting to emergency departments in the United States. There is substantial variability in physician...

Marco Torres | March 29, 2021