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Classic heat stroke

EM SIM Cases

Dr Brad Stebner is a staff Emergency physician in Kelowna, BC, Clinical Instructor at UBC and one of our editors at EM Sim Cases. WHY IT MATTERS Classic heat stroke is a potentially deadly diagnosis that effects some of the most vulnerable of our populations.

Stroke 52
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REBEL Core Cast 127.0 – Penetrating Neck Injuries

RebelEM

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 77
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REBEL Core Cast 132.0 – Recent-Onset AFib

RebelEM

Cardioversion recommendations exclude patients with recent strokes or valvular heart disease. REBEL Core Cast 132.0 – Recent-Onset AFib Click here for Direct Download of the Podcast. Acad EM 2010; 17: 408-15. Ann of EM 2011; 58: 517-20. Ann of EM 2011; 58: 517-20. Read More Atzema CL, Barrett TW.

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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. 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 130
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REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

RebelEM

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? Severe acute traumatic coagulopathy = PT >1.5

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Multi-case Resuscitation

EM SIM Cases

EM physicians are required to task switch numerous times, often assessing a new patient immediately after critical interventions have been implemented on their current patient. The exact moment these orders are completed, a stroke activation will be called for a patient eligible for tPA.

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REBEL Core Cast 97.0 – Acute Vision Loss II

RebelEM

CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download of the Podcast Definition: Decrease of visual acuity due to a non-traumatic cause. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download.

Stroke 52