REBEL EM

SEPTEMBER 22, 2022

Racial Differences in Detection of Fever Using Temporal vs Oral Temperature Measurements in Hospitalized Patients. PMID: 36066526 Clinical Question: Is there a discrepancy in fever identification between oral and temporal thermometers in Black vs white patients presenting with suspected infection? to 0.05C; p = 0.18 95% CI 0.89

Hospital 52

Hospital Clinic Medical Diagnostic 52

Imaging Technology

JUNE 26, 2024

Food and Drug Administration (FDA) approval for its latest update of its AI-based clinical software LungQ (v3.0.0). The announcement noted that Blackford provides healthcare professionals access to an extensive portfolio of more than 130 AI solutions designed to augment clinical accuracy and drive efficiency and improve patient outcomes.

Imaging 40

Imaging Disease Clinic IT 40

REBEL EM

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? Paper : Hawa F et al.

Hospital 52

Hospital Clinic Inpatient Medical 52

Global Radiology CME

SEPTEMBER 11, 2022

Vasitis: a clinical confusion diagnosis with inguinal hernia. Vasitis: clinical and ultrasound confusion with inguinal hernia clarified by computed tomography. Clinical Radiology. Vasitis: the need for imaging and clinical acumen. Published 2014 Oct 17. References: Yang DM, Kim HC, Lee HL, Lim JW, Kim GY.

Ultrasound 52

Ultrasound Education Global Radiology Computed Tomography 52

REBEL EM

MARCH 2, 2023

PMID: 33653685 Clinical Question: Is there an association between high flow supplementary oxygen and 30-day mortality in patients presenting with a suspected acute coronary syndrome (ACS)? Circulation 2014. Click here for Direct Download of the Podcast Paper: Stewart, RAH et al. Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86

Hospital 52

Hospital Clinic IT 52

REBEL EM

DECEMBER 1, 2022

Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). Air is Air?

Hospital 52

Hospital Clinic Disease Patient Care 52

REBEL EM

AUGUST 18, 2022

Additionally, several recent clinical trials have offered a challenge to the long-held dogmatic belief of antibiotic necessity 3,4. PMID: 34183510 [ Access on Read by QxMD ] Clinical Question : Is it necessary to prescribe antibiotics to all patients undergoing outpatient management for mild diverticulitis as identified on CT scan?

Clinic 52

Clinic Hospital Disease Radiograph 52

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 85

Clinic Inpatient Hospital Disease 85

Imaging Technology

MAY 5, 2023

A rapid and accurate onsite approach for determining FFR-CT should address challenges encountered in the clinical adoption of prior FFR-CT implementations,” wrote corresponding author Ronny Ralf Buechel , MD, from University Hospital Zurich in Switzerland. and/or iwFR ≤0.89.

Clinic 75

Clinic Hospital Diagnostic Imaging 75

Global Radiology CME

NOVEMBER 10, 2023

She graduated summa cum laude with a Bachelor of Business Administration degree in Finance and International Business with honors college completion and an international bank management certificate in 2014. Dr. Rice has made several media appearances as part of his ongoing commitment to public education.

Radiograph 52

Radiograph Radiographer Radiographer Computed Tomography 52

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.

Ultrasound 111

Ultrasound Disease Hospital Diagnostic 111

REBEL EM

JULY 20, 2023

INTRODUCTION You’re moonlighting in a remote access hospital. Combating this decay simply cannot happen through standard clinical practice. EMS radios in for a burn patient and to anticipate a difficult airway. You can hear the tension in their voice. They’re rolling up now. The patient is horribly burned. PMID: 28628511.

Education 66

Education IT Nursing Medical 66

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 98

Hospital X-ray Nursing Clinic 98

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 85

Hospital Radiograph Radiographer Radiographer 85

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 113

Ultrasound Hospital Clinic Diagnose 113

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 121

Hospital Clinic Disease Ultrasound 121

REBEL EM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. An analysis of two national emergency registries. 2011;15(6):276.

Basic Life Support 52

Basic Life Support Hospital IT Healthcare 52

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 75

Disease Medical Inpatient Hospital 75

REBEL EM

JULY 11, 2022

Medical providers, especially Emergency Physicians, bear witness to the toll of mass shootings as we sit on the interface between the community and the hospital. Clinical Question: Do states with permissive gun laws have more mass shootings than states with restrictive gun laws? Article : Reeping PM et al.

Medical 52

Medical IT Clinic Hospital 52

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 This will have been formulated based on local resistance patterns and likely with input from your institution’s oncologists.

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Disease Clinic Communication Medical 77

REBEL EM

JULY 18, 2022

Clinical Question: Does the topical application of standard injectable tranexamic acid in adult patients presenting to the ED with persistent epistaxis reduce the need for anterior nasal packing? Am J Emerg Med. 2013 Sep;31(9):1389-92. Epub 2013 Jul 30. PMID: 23911102. Read More: REBEL EM: The NoPAC Trial – TXA for Epistaxis?

Medical 52

Medical Nursing IT Clinic 52

Northwestern EM

DECEMBER 16, 2019

Each boasts near perfect sensitivity and negative predictive values for clinically significant acute intracranial processes. Only New Orleans included clinical intoxication, while NEXUS was the only rule to include coagulopathy. versus 99.1%) compared with the original study for clinically significant intracranial injury.

Computed Tomography 52

Computed Tomography Clinic Radiography IT 52

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.

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Computed Tomography Inpatient Insurance MRI 40