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The RAMPP Trial: Randomised Ambulatory Management of Primary Pneumothorax

REBEL EM

However, management continues to be debated and may lead to unnecessary hospitalization. PMID: 32622394 Clinical Question: Can ambulatory management of patients with primary spontaneous pneumothorax reduce the length of hospitalization? Often patients are otherwise young and healthy. Paper: Hallifax RJ et al. 2020;396(10243):39-49.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

REBEL EM

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. Stratified by center (different hospital practices may affect results) and GCS (<8 or ≥8) (higher VAP risk inherent to lower GCS). 4, 8 Paper: Dahyot-Fizelier, C.,

Hospital 124
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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

REBEL EM

Patterson’s allergic diseases. 2005 Sep;116(3):643-9. Benadryl (diphenhydramine hydrochloride injection,USP) [package insert] New Brunswick , NJ: Johnson & Johnson; 2016. Bernstein J, Leslie T. Antihistamines. In: Grammer LC, Greenberger PA, editors. Philadelphia: Wolters Kluwer Health; 2018. Epub 2010 Feb 8. PMID: 20146728.

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REBEL Core Cast 122.0 – Neutropenic Fever

REBEL EM

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

Disease 104