Download Hospitals Shock 
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% Liberal: 14.9% Liberal: 14.9%
Don't Forget the Bubbles
FEBRUARY 5, 2025
All hospitals will have different makeups of trauma teams and possibly different levels of activation) Do I need any additional expertise outside of who would typically be in the trauma team? Some specific considerations could be: Team Who will be the trauma team leader? Do I need a trauma team activation?
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RebelEM
JANUARY 29, 2024
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?
Don't Forget the Bubbles
JULY 26, 2023
For anyone approaching a structured ABC would be a priority to establish whether shock was present or not. Typical features include: HR >220bpm Narrow complex regular tachycardia P waves difficult to identify In this case there is no shock present so we can proceed to the right branch of the ALSG guideline.
EM SIM Cases
DECEMBER 15, 2023
Delayed (but still early) development of shock in a trauma patient has the same differential differential diagnosis as during the primary survey but the treating clinician needs to be vigilant to avoid early diagnostic closure based on lab and imaging results that have been completed.
PHEM Cast
APRIL 10, 2016
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. Severe Sepsis in Pre-Hospital Emergency Care. Link to the Sepsis-3 guideline. 2009;13(5):R167. Am J Respir Crit Care Med. J Emerg Med.
RebelEM
MARCH 2, 2023
Click here for Direct Download of the Podcast Paper: Stewart, RAH et al. Based on recent studies, current guidelines recommend that O2 should not be given to non-hypoxemic patients with STEMI or NSTEMI [2,3]. REBEL Cast Ep114 – High Flow O2, Suspected ACS, and Mortality? Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86 aOR 0.78; 95% CI 0.63
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