RebelEM

AUGUST 7, 2023

REBEL Cast Ep122: Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients Click here for Direct Download of the Podcast Paper: Bandyopadhyay A et al. that would not be possible in an agitated/combative patient. Re-oxygenation with BMV can increase airway-related adverse events (i.e.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

RebelEM

JANUARY 25, 2023

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Don't Forget the Bubbles

JULY 26, 2023

Cardiac testing and outcomes in infants after an ALTE, Hoki et al, Archives of Disease in Childhood 2012 showed significant cardiac disease was present in <1% of patients presenting with ALTE (although cardiac abnormalities were found in 4% overall). How might these present in a less catastrophic way to the ED?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

PulmCCM

FEBRUARY 28, 2022

Death, from any cause, within 90 days of randomization was the primary outcome. There were multiple secondary outcome measures that related to acute kidney injury, hemodynamic stability and respiratory failure. There was no statistically or clinically-significant difference in any of the primary or secondary outcomes.

Fluid Resuscitation 40

Fluid Resuscitation Resuscitation Outcomes Sepsis 40

PulmCCM

JANUARY 4, 2022

” -Fran Lebowitz Background Quite recently, the BaSICS investigators evaluated the infusion rate of a fluid bolus on patient outcome. The primary outcome was identification of the optimal volume for assessing fluid responsiveness. Download his free textbook here. For what are intravenous fluids diagnostic?

Wellness 40

Wellness Outcomes Sepsis Stroke 40

Rural Doctors Net

AUGUST 30, 2013

Imagine being able to stream or access a downloaded 60 sec video file on how to perform a critical procedure – not a tool for novices, but a useful aide memoire for rural clinicians who may only do this stuff once in a blue moon. Even EMST-ATLS has (at last) moved away from the old mantra of “two litres of crystalloid, stat”.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

RebelEM

JULY 31, 2023

REBEL Cast Ep121: The Battle of the Blades – VL vs DL Click here for Direct Download of the Podcast Article: Prekker ME, Driver BE, Trent SA, et al. Outcomes: Primary Outcome: Successful intubation on the first attempt. Secondary Outcomes: Severe complications of tracheal intubation. 1420 patients were enrolled.

Operations 96

Operations Outcomes Emergency Department Airway Management 96