Category Name: R.E.B.E.L. EM

R.E.B.E.L. EM

Post Intubation Hypotension: The AH SHITE mnemonic

You have just secured the endotracheal tube following an uneventful intubation of a moderately ill patient in your emergency department. They had a normal pre-intubation blood pressure. As you are calling the admit in to the ICU the patient’s nurse tells you that the BP is now in the 70’s. NOW WHAT?

R.E.B.E.L. EM

R.E.B.E.L. EM – Is Amiodarone Dead?

This post dives into the three most common places amiodarone is employed in the ED: cardioversion of atrial fibrillation, cardioversion of VT and in refractory VF/VT cardiac arrest and demonstrates that superior evidence points to better options for management.

R.E.B.E.L. EM

R.E.B.E.L. EM – Mythbuster: Glucose Levels Must be Below a “Safe” Threshold Before Discharge

Anyone who works in the Emergency Department has seen patients brought in by EMS or sent from the clinic with a chief complaint of “high blood sugar.” Now, we are not talking about patients with diabetic ketoacidosis, but just simple hyperglycemia. This is a common complaint with no real consensus on optimal blood glucose levels before safe discharge.