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

Imaging Technology

MAY 11, 2023

“The findings support safety of continuing AT during breast core-needle biopsy (CNB),” wrote lead researcher Melissa Reichman, MD, of Weill Cornell Medicine at New York-Presbyterian Hospital, adding that patients who maintain AT should be counseled regarding risk of bruise. Reichman et al. Finally, bleeding events were compared among groups.

Imaging 105

Imaging Mammogram Hospital Clinic 105

AuntMinnie

NOVEMBER 8, 2023

In a retrospective study led by presenter Bin Zhang, MD, of The First Affiliated Hospital of Jinan University in China, 1,538 pairs of lumbar spine radiographs and dual-energy x-ray absorptiometry (DEXA) results from females aged ≥ 50 years were collected between January 1, 2014, and October 10, 2019.

Radiograph 100

Radiograph Radiographer Radiographer X-ray 100

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 129

Ultrasound Hospital Clinic Diagnose 129

AuntMinnie

NOVEMBER 13, 2024

As more and more radiology practices consolidate and assimilate into hospitals and healthcare networks, "the divide between academic and nonacademic practice has blurred," the authors wrote. But the differences between academic and nonacademic radiologist salaries and clinical workload have not been thoroughly investigated.

Radiologist 100

Radiologist Interventional Radiology Diagnostic Radiology 100

Imaging Technology

MARCH 25, 2024

The UW Clinical Tumor Ablation Program draws patients from all over the world to Madison. Lee is currently leading the translation of histotripsy for clinical use and is a board member and senior medical advisor for HistoSonics, Inc., In 2014, he obtained a master’s degree in healthcare quality and patient safety from Northwestern.

Interventional Radiology 104

Interventional Radiology Radiology Radiology Coding Medical 104

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 98

Imaging Disease Clinic Healthcare 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 104

Hospital Radiograph Radiographer Radiographer 104

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 97

Disease Medical Inpatient Hospital 97

REBEL EM

MARCH 9, 2023

It is reasonable to wait to consult psychiatry until clinical sobriety is achieved. Prerost 2014) In a patient with chronic alcohol use, hallucinations should prompt consideration of acute intoxication, alcoholic hallucinosis, or delirium tremens (DT). As always, document clinical sobriety before discharge.

Hospital 52

Hospital Clinic Emergency Room Public Health 52

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 Medical Clinic Diagnostic 52

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

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 Medical 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 Healthcare 40

AuntMinnie

NOVEMBER 6, 2024

He is the father of contemporary CT imaging -- and thus of clinical radiology as we know it today," Christiane Kuhl, MD, PhD, told AuntMinnie.com on November 4. Willi was the one to invent helical CT, the type of CT which is used today for all whole-body applications of clinical radiology," she said. Willi Kalender, PhD.

Clinic 317

Clinic X-ray Radiology Medical 317

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

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 75

Education IT Nursing Medical 75

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

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

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 122

Hospital X-ray Nursing Clinic 122

AuntMinnie

SEPTEMBER 23, 2024

Using data gathered from the Medicare Provider Data Catalog for the years 2014-2023, Christensen saw an emerging trend of radiologists moving to large multispecialty practices. In his day-to-day life, he is a board member of a clinically integrated hospital network and an executive at Hackensack Radiology Group in New Jersey.

Private Practice 286

Private Practice Radiology Radiologist Medicare 286

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.

Disease 101

Disease Clinic Communication Medical 101

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 Disease Clinic Ultrasound 136

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

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.

Computed Tomography 40

Computed Tomography Inpatient Insurance MRI 40

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

AuntMinnie

JANUARY 10, 2025

The study is the first to assess outcomes of the procedure in people living with HIV, as these patients are often excluded due to immunodeficiency concerns, noted lead author Kartikeya Menon, MD, of Mount Sinai Hospital in New York City. They identified 39 patients with documented HIV-positivity prior to the procedure.

Interventional Radiology 264

Interventional Radiology Hospital Radiation Disease 264

REBEL EM

NOVEMBER 11, 2024

PMID: 38739397 Clinical Question: In adult patients with suspected sepsis treated empirically, does the administration of piperacillin-tazobactam compared to cefepime affect 90-day mortality? Instrumental Variable Assumptions Cannot Be Proven : The validity of the instrumental variable analysis relies on several assumptions (e.g.,

Quality and Compliance 113

Quality and Compliance Clinic Disease Hospital 113

REBEL EM

FEBRUARY 7, 2024

Triple antibiotic coverage is recommended. Philadelphia, PA: Elsevier Saunders; 2014:2331-2350. Philadelphia, PA: Elsevier Saunders; 2014: 2282-2299. Gorgas, D. “Infections related to pregnancy.” ” Emerg Med Clin North Am 26 (2): 345-366, viii. PMID: 18406978 Houry, D and B. Acute Complications of Pregnancy.

X-ray 102

X-ray Hospital Ultrasound Clinic 102