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REBEL Core Cast 108.0 – Angioedema

REBEL EM

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Both conditions can range in severity from benign to life threatening (Wilkerson 2012). Angioedema in the Emergency Department: An Evidence Based Review.

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The Broselow-Luten System

Pediatric EM Morsels

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Int J Emerg Med.

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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage. If bleeding, the only lab that is needed in the Emergency Department is a type and cross.

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Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe. 2012 PMID: 21893125.

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PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

EMDocs

Avoid Trying to Reason With Them When agitated, a child’s prefrontal cortex is suppressed by the cortisol and epinephrine induced fight-or-flight reaction. 2012 Jan;109(3):27-32. Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas.

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Optimizing Hemodynamics Prior to RSI

FOAMfrat

Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. Per the Manual of Emergency Airway Management (6th Edition), "If the need for intubation is not immediate, then abnormal hemodynamic parameters should be normalized as much as possible prior to intubation." Intern Emerg Med.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. The study included 109 hyperkalemic cardiac arrest patients from 2006 through 2012. Association between calcium administration and outcomes during adult cardiopulmonary resuscitation at the emergency department.

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