RebelEM

SEPTEMBER 18, 2024

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). Post Peer Reviewed By: Salim R.

Stroke 94

Stroke Shock EMS 94

RebelEM

DECEMBER 4, 2024

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. Read More Atzema CL, Barrett TW. Managing atrial fibrillation. Ann Emerg Med 2015; 65(5): 532-9. Louis, Mosby, Inc., 2010, (Ch) 79: p 1034-63.

Emergency Department 103

Emergency Department Stroke EMS Shock 103

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% Read more

Sepsis 105

Sepsis Shock Resuscitation Outcomes 105

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?

Stroke 136

Stroke Outcomes Hospitals Administration 136

RebelEM

JUNE 26, 2023

Click here for Direct Download of the Podcast Paper: Bouzat P et al. 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 to 3.33; P = 0.72 to 2.10; P = 0.03

Administration 145

Administration Outcomes Resuscitation Radiology 145

Don't Forget the Bubbles

JULY 5, 2023

The Kilifi algorithm includes five clinical situations that are common sickle cell presentations – clinical jaundice, severe anaemia, bone and joint infections, and stroke. Symptoms may be non-specific in the beginning with patients quickly developing septic shock and disseminated intravascular coagulation.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

PulmCCM

NOVEMBER 17, 2023

For any given hemodynamic state, measure or estimate the P ra and CO [or stroke volume, SV] simultaneously and repeatedly after each intervention. Download his free textbook here. The trick, I believe, lies in ‘operating point guided resuscitation’ [OPGR]. What does this mean? References 1. Front Physiol 2023, 14:1230654.

Operations 132

Operations Ultrasounds Resuscitation Blood Transfusions 132