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REBEL Cast Ep119: A Discussion with Scott Weingart on the CT FIRST Trial

RebelEM

Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study. We felt it was worthwhile to record this as a podcast to better flush out some nuanced points. Below you will find some of the points we discussed. The CT FIRST Trial: Should We Pan-CT After ROSC?,

CPR 144
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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

There is significant evidence in adults and developing in the paediatric population that TXA results in better outcomes if given early in patients with mild to moderate traumatic brain injury (TBI) and does not cause harm. Immediate Treatment One immediate medication to consider is tranexamic acid (TXA). link] SafeLives.

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

Click here for Direct Download of the Podcast Paper: Aykan AC et al. Because the lungs receive 100% of cardiac output, it has been hypothesized that a lower dose of thrombolytic therapy may still be effective with a better safety profile [3][4]. REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

Stroke 133
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SGEM#353: At the COCA, COCA for OCHA

The Skeptics' Guide to EM

JAMA 2021 This was an SGEM Journal Club and all the slides from the presentation can be downloaded using this LINK. Bystander CPR is being performed. Bystander CPR is being performed. The paramedics performed high-quality CPR and follow their ACLS protocol. As a reminder, here are the five rules for SGEM JC.

CPR 52
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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Low risk BRUE: Age >60 days Gestational age >32/40 Post conceptual age >45 weeks First episode No CPR given (by a trained medical provider) No concerning history or examination findings (eg FHx sudden cardiac death) Where the above features are present then investigation and hospital stay can be limited.

EKG/ECG 98
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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. N Engl J Med.

EMS 52