recent articles

practice updates

R.E.B.E.L. EM – Diagnosis of RV Strain with TTE

Abnormal vital signs are poor predictors of mortality associated with pulmonary embolism (PE). Diagnosis of PE and right ventricular (RV) strain with transthoracic echocardiography (TTE) however, has been well documented as a predictor for pending shock and significant in-hospital mortality.

practice updates

R.E.B.E.L. EM – Mythbuster: Administration of Vasopressors Through PIV

Vasopressors are frequently used in critically ill patients with hemodynamic instability both in the emergency department (ED) as well as intensive care units (ICUs). Typically, vasopressors are given through central venous catheters (CVCs) as opposed to peripheral intravenous (PIV) access due to the concerns about adverse events (i.e. tissue ischemia/necrosis) associated with extravasation through PIVs.

practice updates

R.E.B.E.L. EM – Beyond ACLS: A New Pulseless Electrical Activity Algorithm

Using the new classification system of PEA simplifies the working differential and initial treatment approach in conjunction with bedside ultrasound, however this strategy has not been tested systematically, tested for resuscitation outcomes, and caution should be used before implementing this algorithm until further studies are performed in the clinical setting.