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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 J Emerg Med 2013; 44 (4): 764-772. Optimizing Emergent Surgical Cricothyrotomy for Austere Environments. Emergency Medicine Practice.

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SGEM#301: You Can’t Stop GI Bleeds with TXA

The Skeptics' Guide to EM

This was the third time coming to McGill University Department of Emergency Medicine to give Grand Rounds. The first visit was back in 2013 for SGEM#50 : Under Pressure – Vasopressin, Steroids and Epinephrine in Cardiac Arrest. The bottom line was this was interesting, but VSE protocol was not ready for routine use.

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The Broselow-Luten System

Pediatric EM Morsels

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. Int J Emerg Med.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). 2013 Jan 24;368(4):394]. Ann Emerg Med. N Engl J Med.

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Classic Journal Club: TXA for Epistaxis

REBEL EM

When simple maneuvers fail, we proceed to topical agents such as lidocaine with epinephrine, oxymetazoline, anterior nasal packing, and electrical or chemical cauterization. Am J Emerg Med. 2013 Sep;31(9):1389-92. Epub 2013 Jul 30. Paper: Zahed R, Moharamzadeh P, Alizadeharasi S et al. PMID: 23911102.

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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. Incidence and factors associated with cardiac arrest complicating emergency airway management. 2013 Nov;84(11):1500-4. Epub 2013 Aug 1. Intern Emerg Med. Acad Emerg Med. Resuscitation. 2013.07.022.

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Case Report: Cardiac Arrest in a Child’s Structurally Normal Heart

ACEP Now

He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. Initial echocardiogram (ECG) on arrival (see figure 2) to our emergency department revealed normal sinus rhythm, mild interventricular conduction delay (RSR’), and possible right ventricular hypertrophy. Click to enlarge.)

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