Steroids in Septic Shock via George Willis, MD
“You’re in the emergency department, you have a patient who EMS has brought in from a nursing home…who’s excited? Right, nobody is. And they are brought in for a chief...
Marco Torres |
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Helmet CPAP vs Venturi Mask in Severe Acute Hypoxemic Respiratory Failure due to Pneumonia
Background: Although Helmet CPAP is not something commonly used in the US, I think its nice to know what other potential options there are to help patients in the midst of...
Marco Torres |
-
REBEL Crit Cast Ep 4.0: Lung Protective Mechanical Ventilation
Goals of lung protective mechanical ventilation: Minimizing harm during mechanical ventilation with a lung-protective strategy with: Low tidal volume (TV) Limit plateau pressure to <30mmHg Optimal positive end expiratory pressure...
Marco Torres |
-
COVID-19 Cardiovascular Literature Update
There continues to be a slew of publications coming out on a near daily basis in regard to COVID-19. Some publications will deserve their own posts and others can really...
Marco Torres |
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COVID-19: Tube Exchange
Introduction: Emergency physicians rarely are involved in tube exchanges; I can’t remember the last time I had to do one. However, during the COVID19 surge, we found ourselves boarding intubated...
Marco Torres |
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Coronavirus, COVID-19, COVID19, Neurologic Manifestations, Novel Coronavirus 2019, SARS-CoV-2, Uncategorized
COVID-19: Neurologic Manifestations
The Novel Coronavirus 2019, was first reported on in Wuhan, China in late December 2019. The outbreak was declared a public health emergency of international concern in January 2020 and...
Marco Torres |
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COVID-19 NIV: Helmet vs Mask
Background: Over the past few weeks there has been a shift in the management of critically ill COVID-19 patients. Many seem to have moved away from an intubate early strategy...
Marco Torres |
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COVID-19: Two More Trials Just Published on Remdesivir
Background: Currently, there are no approved medications for the treatment of COVID-19, but, there are many investigational agents that have shown antiviral activity against SARS-CoV-2 in vitro. Unfortunately in vitro...
Marco Torres |
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COVID-19: Home O2 Protocol
Needs Assessment: As the COVID19 pandemic continues to mount, hospitals will rapidly reach maximal capacity. As a result, patients are boarding longer in the ED and, new patients are waiting...
Marco Torres |
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Anticoagulation, Coronavirus, COVID-19, COVID19, Novel Coronavirus 2019, SARS-CoV-2, Thrombosis, Uncategorized, VTE
REBEL Cast Ep81: COVID-19, Thrombosis, and Anticoagulation
Early reports have shown that COVID-19 is most likely causing a hypercoagulable state, however the prevalence of acute VTE and exactly how to treat it is an evolving area. Limited...
Marco Torres |
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The ISCHEMIA Trial: Initial Invasive or Conservative Strategy for Stable Coronary Disease?
Background: In patients with stable coronary artery disease the goals of treatment are to reduce the risk of death, ischemic events, and to improve quality of life. In order to achieve...
Marco Torres |
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COVID-19: Awake Proning
Background: Awake proning, or having patients lie on their stomachs, can help oxygenation by helping to recruit posterior portions of the lungs and by helping with perfusion to oxygenated lung...
Marco Torres |
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REBEL Cast Ep80: A New War Plan for COVID-19 with Richard Levitan
In this episode of REBEL Cast,I sit down with Richard Levitan and talk about some ideas from his experience in New York, where he spent 10 days during the surge...
Marco Torres |