REBEL EM

JANUARY 9, 2024

Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. This finding persists when looking at a number of other infections including skin and soft tissue infections (SSTI) ( First10EM ), pyelonephritis ( Strohmeier 2014 ) and even bone and joint infections ( Li 2019 ). 1997; 24(3):457-67.

Clinic 99

Clinic Inpatient Hospital Disease 99

AuntMinnie

APRIL 23, 2024

Researchers led by Li-Da Chen, PhD, from the First Affiliated Hospital of Sun Yat-sen University in Guangzhou, China found that their combined sequential algorithm improved specificity by over 20% for predicting pathologically advanced liver fibrosis compared with the Fibrosis-4 Index (FIB-4) alone. “AI-based

Ultrasound 111

Ultrasound Disease Hospital Diagnostic 111

REBEL EM

FEBRUARY 5, 2024

PMID: 36693146 Clinical Question: In patients aged 18-50 years with primary and complete pneumothorax, is simple aspiration non-inferior to chest tube drainage for rates of pulmonary re-expansion within 24 hours? Including only hospitals with extensive specialist networks may not reflect the conditions in less-resourced hospitals.

Hospital 104

Hospital Radiograph Radiographer Radiographer 104

REBEL EM

FEBRUARY 29, 2024

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. PMID: 38262428 Clinical Question: Does antibiotic prophylaxis with a single dose of ceftriaxone reduce the incidence of early VAP in adults with severe brain injury who require mechanical ventilation?

Hospital 124

Hospital X-ray Nursing Clinic 124

REBEL EM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. Thus, PoCUS is an important facilitator that can narrow differential diagnoses and guide treatment plans with better predictive value than traditional clinical practice [6]. Article: Arvig MD, Lassen AT, Gæde PH, et al.

Ultrasound 128

Ultrasound Hospital Clinic Diagnose 128

REBEL EM

JANUARY 29, 2024

PMID: 37188358 Clinical Question: What is the efficacy and safety of low-dose (25mg) prolonged administration (over 6hrs) of alteplase in patients with massive PE? Click here for Direct Download of the Podcast Paper: Aykan AC et al. Reduced-Dose Systemic Fibrinolysis in Massive Pulmonary Embolism: A Pilot Study. Clin Exp Emerg Med 2023.

Hospital 136

Hospital Clinic Disease Ultrasound 136

REBEL EM

MAY 11, 2023

PMID: 34697777 Clinical Question: In patients with moderate to severe alcohol withdrawal being discharged from the emergency department (ED), does treatment with phenobarbital alone and phenobarbital plus benzodiazepines compared to benzodiazepines alone decrease the odds of returning to the ED within 3 days after initial discharge?

Disease 98

Disease Medical Inpatient Hospital 98

REBEL EM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Neutropenic Fever: Fever (one reading of 38.3C Neutropenic Fever: Fever (one reading of 38.3C This will have been formulated based on local resistance patterns and likely with input from your institution’s oncologists.

Disease 104

Disease Clinic Communication Medical 104

AJNR

MAY 16, 2023

This was a cohort study of adults with anterior circulation large vessel occlusion admitted between 6 and 24 hours after last-seen-well at 5 participating Swiss stroke centers between 2014 and 2021. 14432 RCVS is a cerebrovascular phenomenon that presents clinically as recurrent TCHs predominantly affecting females. 2023;63(1):168-172.

Computed Tomography 40

Computed Tomography Inpatient Insurance MRI 40