RebelEM

MARCH 23, 2023

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal Click here for Direct Download of the Podcast Clinical question : Is a phenobarbital-based or lorazepam-based alcohol detoxification protocol associated with a lower hospital length of stay compared to Ativan for alcohol withdrawal?

Emergency Department 52

Emergency Department Outcomes Hospitals Burns 52

PulmCCM

JANUARY 29, 2022

An interim analysis of this study appears to have played some role in the emergency use authorization described above, as well. The primary outcome measure was the proportion of patients with COVID-19-related hospitalization or death from any cause through 28 days. Download his free textbook here. high-risk, unvaccinated].

Hospitals 40

Hospitals Outcomes Wellness Pediatrics 40

PulmCCM

SEPTEMBER 9, 2021

And so, Zampieri and colleagues recently released the Balanced Solutions in Intensive Care Study [BaSICS], comparing two types of crystalloid resuscitation fluid, discussed previously , as well as two infusions rates of these fluids , considered below. saline as well as to two different infusion rates of said fluids. hypotension; c.]

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

Downeast Emergency Medicine

JULY 17, 2021

The primary endpoint was pain reduction at 30 minutes with secondary outcomes looking at 15, 45, and 60 minute scores as well as need for rescue analgesia and adverse effects. Download article summaries EIDINEJAD ET AL. 165 patients were divided into 3 equal groups and received wither 10 mg, 20 mg, or 30 mg of IV ketorolac.

Emergency Department 52

Emergency Department Wellness Administration EMS 52

PulmCCM

JANUARY 2, 2022

.” -Julia Child Background Early observational studies and the RECOVERY collaborative group initially demonstrated the benefit of corticosteroid therapy in oxygen-requiring, COVID-19-patients; additional randomized studies as well as a meta-analysis of these reports corroborated this. Download his free textbook here.

Outcomes 40

Outcomes Hospitals Shock Wellness 40

Downeast Emergency Medicine

APRIL 26, 2021

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. JAMA Neurol.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

PulmCCM

NOVEMBER 18, 2021

As well, while systemic corticosteroids benefitted patients requiring oxygen in the RECOVERY evaluation , in the sub-population of patients without supplemental oxygen requirements, corticosteroids may have been harmful. Download his free textbook here.

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

RebelEM

JUNE 29, 2023

Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study. We felt it was worthwhile to record this as a podcast to better flush out some nuanced points. Below you will find some of the points we discussed. The CT FIRST Trial: Should We Pan-CT After ROSC?, Resus 2023.

CPR 145

CPR EMS Documentation/Coding Outcomes 145

RebelEM

JUNE 26, 2023

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. 4F-PCC contains factors II, VII, IX, X as well as Proteins S and C. Severe acute traumatic coagulopathy = PT >1.5

Administration 144

Administration Outcomes Resuscitation Radiology 144

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. On arrival at hospital the child was well with normal observations. In some specific congenital heart diseases, the prevalence of arrhythmias is now being seen as a late surgical complication as children now survive into adulthood.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

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 98

Operations Outcomes Emergency Department Airway Management 98

RebelEM

JULY 17, 2023

Click here for Direct Download of the Podcast Paper: Knack SKS et al. Got FDA exemption as well as went to the community and made sure their community was ok with the trial). It is possible that the induction agent used could play an important role on hemodynamic effects in critically ill adults.

Outcomes 97

Outcomes Administration Emergency Department Resuscitation 97

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. If I get to the dry cleaners without having a huge fight, that’s challenging enough.”

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. You can make a good argument for early intubation. CIRCULATION Finally onto circulation.

Burns 52

Burns Hospitals Wellness Ambulance Services 52

RebelEM

JANUARY 25, 2023

Small bowel obstruction: Outcome and cost implications of admitting service. 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. Emery Med J 2014; 31(3): 248-9. 0.27 – 0.83

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Downeast Emergency Medicine

MAY 16, 2022

The primary outcome was admission or discharge, and bounce-back to the ED within 48 hours. Secondary outcomes were level of care on admission, ED length of stay, first and highest CIWA score, and adverse events. The primary outcome was initial and subsequent level of hospital care on admission (ICU vs telemetry vs floor).

Outcomes 52

Outcomes Emergency Department Hospitals Wellness 52

RebelEM

DECEMBER 19, 2022

REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med.

EMS 52

EMS CPR Shock Resuscitation 52

Sensible Medicine

FEBRUARY 28, 2024

He is a thoughtful well-read cardiologist. The online MESA Risk Score Calculator is available here and the app can be downloaded for free (search for “MESA Risk Score”) on Apple and Android smartphones. We agree on many things. We don’t agree on the use of coronary artery calcium scoring.

Stroke 45

Stroke Documentation/Coding Outcomes Wellness 45

RebelEM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Changing aetiology, clinical features, antimicrobial resistance, and outcomes of bloodstream infection in neutropenic cancer patients. Time to antibiotics and outcomes in cancer patients with febrile neutropenia. 2014;14:162.

Infectious Diseases 96

Infectious Diseases Administration Sepsis Anaphylaxis 96

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126