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REBEL Core Cast 115.0 – Cardiogenic Shock

RebelEM

DECEMBER 27, 2023

Norepinephrine is a great first line vasopressor in Cardiogenic shock. Dobutamine is useful for inotropic support in Cardiogenic shock. Norepinephrine is a great first line vasopressor in Cardiogenic shock. Dobutamine is useful for inotropic support in Cardiogenic shock. Use POCUS in ED. Read more

Shock

Shock EMS Resuscitation

REBEL Core Cast 110.0 – On Shift Learning Pearls

RebelEM

OCTOBER 11, 2023

REBEL Core Cast 110.0 – On Shift Learning Pearls Click here for Direct Download of the Podcast Links EM: RAP: Atrial Fibrillation Update REBEL EM: The Pragmatic Combination of YEARS Score and Age-Adjusted D-Dimer Core EM: Age-Adjusted D-dimer (Using DDU) REBEL EM: Anaphylactic Shock REBEL EM: Core Cast 21.0 – ECG in Syncope Post Created (..)

Anaphylaxis

Anaphylaxis EMS EKG/ECG Shock

REBEL Core Cast 127.0 – Penetrating Neck Injuries

RebelEM

SEPTEMBER 18, 2024

Skip the zones of the neck and focus on hard signs of vascular ( Shock w/o another source, Pulsatile bleeding, Expanding hematoma, Audible bruit, Signs of stroke) or aerodigestive (Airway compromise, Bubbling wound, Extensive SubQ air, Stridor, Significant hemoptysis/hematemesis). Control hemorrhage with a single finger and direct pressure.

Stroke

Stroke Shock EMS

REBEL Core Cast 132.0 – Recent-Onset AFib

RebelEM

DECEMBER 4, 2024

REBEL Core Cast 132.0 – Recent-Onset AFib Click here for Direct Download of the Podcast. PMID: 25701296 The SGEM: Shock Through the Heart (Ottawa Aggressive Atrial Fibrillation Protocol) ALiEM: Atrial Fibrillation Rate Control in the ED: Calcium Channel Blockers or Beta Blockers. Acad EM 2010; 17: 408-15.

Emergency Department

Emergency Department Stroke EMS Shock

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

RebelEM

SEPTEMBER 27, 2023

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning Click here for Direct Download of the Podcast Definition and Physiology Standard definition of a wide QRS is anything > 120 msec (3 small boxes on the ECG) In the context of poisoning, a “wide QRS” is anything greater than 100 milliseconds. Boehnert 1985 ).

Poisoning

Poisoning Seizures Administration EKG/ECG

REBEL Cast Ep116: The CLOVERS Trial – Restrictive vs Liberal Fluids in Sepsis-Induced Hypotension

RebelEM

MAY 18, 2023

Background: IV fluids are part of the standard resuscitation bundle in septic shock, however it is unclear if they provide a significant benefit. The goal of the trial was to see if early vasopressors improved shock control by 6 hours. This resulted in better shock control by 6hrs (76.1%

Sepsis

Sepsis Shock Resuscitation Outcomes

REBEL Core Cast 105.0 – Methylxanthine Toxicity

RebelEM

JULY 26, 2023

Hemodialysis should also be considered in cases of refractory shock, dysrhythmias, or seizures. Lastly, for patients in refractory shock or seizures or with life-threatening dysrhythmias, hemodialysis should be considered. Berlinger 1983) Hemodynamics should be supported by a judicious amount of crystalloid, alpha agonism (ie.

Seizures

Seizures COPD Shock EMS

Boating trauma

EM SIM Cases

SEPTEMBER 19, 2024

WHY IT MATTERS Patients in hemorrhagic shock require blood products expeditiously as well as identification and definitive management of the source of bleeding. This case provides an opportunity to practice identification and treatment of multiple sources of blood loss in hemorrhagic shock.

Shock

Shock Emergency Nursing Administration Operations

REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

RebelEM

JUNE 26, 2023

Click here for Direct Download of the Podcast Paper: Bouzat P et al. appeared first on REBEL EM - Emergency Medicine Blog. High-quality studies are needed to determine the utility of this intervention. REBEL Cast Ep118: The PROCOAG Trial – 4F-PCC in Trauma Patients?

Administration

Administration Outcomes Resuscitation Radiology

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

RebelEM

JANUARY 29, 2024

Click here for Direct Download of the Podcast Paper: Aykan AC et al. appeared first on REBEL EM - Emergency Medicine Blog. 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]. Clin Exp Emerg Med 2023.

Stroke

Stroke Outcomes Hospitals Administration

Episode 7: Sepsis

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. There are toolkits available to download, including one specifically written for the prehospital environment with the College of Paramedics, which summarises the recognition and management of sepsis. March 2016.

Sepsis

Sepsis Fluid Resuscitation Resuscitation Emergency Department

REBEL Cast Ep114: High Flow O2, Suspected ACS, and Mortality?

RebelEM

MARCH 2, 2023

Click here for Direct Download of the Podcast Paper: Stewart, RAH et al. For More Thoughts on This Topic Checkout: REBEL EM: The DETO2X Trial: Do Patients with AMI Need Supplemental O2? REBEL EM: The Death of MONA in ACS – Part II – Oxygen REBEL Cast: Ep13 – The AVOID Trial & The FLORALI Trial References: Stewart, RAH et al.

Outcomes

Outcomes EMS EKG/ECG Hospitals

REBEL Core Cast 94.0 – SBO

RebelEM

JANUARY 25, 2023

Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 94.0 – SBO appeared first on REBEL EM - Emergency Medicine Blog. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 0.27 – 0.83

Operations

Operations Sepsis Resuscitation Ultrasounds

Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Relatively early account of then status of prehospital care, before EMS movement took place. Download from Hindawi Publishing without additional data availability. Classic pre-EMS document describing rescue care by rural volunteer squads. Committee on Shock. Ambulances and emergency medical care. Farrington, J.

Resuscitation

Resuscitation Military Operations Emergency Nursing

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy

RebelEM

JUNE 12, 2024

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy Click here for Direct Download of the Podcast. Background and Physiology Shock secondary to beta-blocker (BB) or calcium-channel blocker (CCB) toxicity bears a tremendous degree of morbidity and mortality. Clin Toxicol (Phila). 2007;45(4):396-401.

Poisoning

Poisoning Stroke Shock Administration

REBEL Core Cast 117.0 – Infections of Pregnancy

RebelEM

FEBRUARY 7, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 117.0 – Infections of Pregnancy appeared first on REBEL EM - Emergency Medicine Blog. REBEL Core Cast 117.0 – Infections of Pregnancy Click here for Direct Download of the Podcast Urinary Tract Infection/Pyelonephritis Epidemiology: Occurs in as many.

Sepsis

Sepsis Shock Hospitals Ultrasounds

REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Identify low risk patients and send them home with PO antibiotics and close oncology follow-up in conjunction with your oncologist.

Infectious Diseases

Infectious Diseases Administration Sepsis Anaphylaxis

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

DECEMBER 19, 2022

This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it. N Engl J Med.

EMS

EMS CPR Shock Resuscitation

Emergency Care Today

REBEL Core Cast 115.0 – Cardiogenic Shock

REBEL Core Cast 110.0 – On Shift Learning Pearls

Trending Sources

REBEL Core Cast 127.0 – Penetrating Neck Injuries

REBEL Core Cast 132.0 – Recent-Onset AFib

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

REBEL Cast Ep116: The CLOVERS Trial – Restrictive vs Liberal Fluids in Sepsis-Induced Hypotension

REBEL Core Cast 105.0 – Methylxanthine Toxicity

Boating trauma

REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

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

Episode 7: Sepsis

REBEL Cast Ep114: High Flow O2, Suspected ACS, and Mortality?

REBEL Core Cast 94.0 – SBO

Early Modern Resuscitators

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy

REBEL Core Cast 117.0 – Infections of Pregnancy

REBEL Core Cast 122.0 – Neutropenic Fever

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

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