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

RebelEM

Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. Click here for Direct Download of the Podcast Paper: Bouzat P et al. Severe acute traumatic coagulopathy = PT >1.5

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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. Thirty-day Outcomes of Emergency Department Patients Undergoing Electrical Cardioversion for Atrial Fibrillation or Flutter.

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

RebelEM

These patients can have a vasodilated vascular bed and the initial use of fluids is hypothesized to serve two purposes: Augmenting the macrovascular system (stroke volume and cardiac output) and augmenting the microvascular perfusion (capillary blood flow). This resulted in better shock control by 6hrs (76.1% Liberal: 14.9% Liberal: 14.9%

Sepsis 95
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REBEL Core Cast 97.0 – Acute Vision Loss II

RebelEM

Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. et al, Emergency Medicine Clinical Essentials ed 2.

Stroke 52
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REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts

RebelEM

REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts Click here for Direct Download of the Podcast Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision? How would the hemodynamics respond to RSI?

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. MI or stroke).