🧭 REBEL Rundown 📌 Key Points 🩸 No BP Boost at 24h: Early 20% albumin in sepsis didn’t significantly improve systolic BP at 24 hours compared to standard care. 💉 Less Fluid, Fewer Pressors: Albumin group received 725mL less fluid over 72h and needed vasopressors 7.4% less often—but the differences were small and statistically fragile….
Although many cases of children presenting to the emergency department (ED) with bloody diarrhea are benign and self-limited, one potentially morbid diagnosis should always be considered: Shiga toxin-producing Escherichia coli (STEC). Although relatively rare, STEC infections carry the serious risk of hemolytic uremic syndrome (HUS), a leading cause of acute kidney injury in children. Shiga…
Graham Walker, MD, knows what it’s like to experience burnout. He’s familiar with feeling “mental fatigue” during his shifts. “We spend so much time not just documenting [patient experiences], but constantly juggling clinical data, decision-making, and administrative tasks,” said Dr. Walker, an emergency physician with Kaiser Permanente Medical Center in San Francisco. “That load accumulates…
Since he was young, Andre Pennardt, MD, FACEP, chief medical officer of the Federal Emergency Management Agency (FEMA), has had a way of bringing calmness to chaotic situations. Growing up, Dr. Pennardt became fascinated with the television show “Emergency!” and watched every episode, which led to taking CPR and first-aid classes by age 14. Dr….
Language molds perceptions, defines roles, and creates shared understanding. The term “provider” has seeped into health care vernacular, applied indiscriminately to anyone who delivers health services. However, this broad brush diminishes the extensive training, expertise, and responsibility that comes with the role of the physician. It is time we critically examine its effect and curb…
In this episode, I’ll discuss a pharmacy-driven rapid bacteremia response program. While rapid diagnosis of bacteremia infections is wonderful, nothing matters until the patient actually receives effective antibiotic treatment. However the lag time between laboratory notification, physician order selection, pharmacy verification and dispensing, and nurse administration can be significant as each step in the process…
Cite this post as: Scott Weingart, MD FCCM. EMCrit RACC-Lit Review – August 2025. EMCrit Blog. Published on August 10, 2025. Accessed on August 11th 2025. Available at [https://emcrit.org/emcrit/racc-lit-august-2025/ ]. Financial Disclosures: The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant…
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 314: Optimizing PEEP and Keeping Lungs Open in the ICU with Thomas Piraino and Brandon Oto Play Episode Pause Episode Mute/Unmute Episode Rewind 10 Seconds 1x Fast Forward 10 seconds 00:00 / Subscribe Share In this 314th episode I welcome Thomas Piraino and Brandon Oto…
Correct answer: C This patient’s presentation of pain, progressive vision loss, eye redness, and hypopyon (yellow layering in the anterior chamber) is highly suggestive of postoperative endophthalmitis, a serious intraocular infection that occurs after intraocular surgery, most commonly cataract surgery. The rapid progression within 24 hours is characteristic of acute post-surgical bacterial endophthalmitis, which is…
Choosing the right Automated External Defibrillator (AED) for your workplace is more than just a procurement decision it’s a critical safety imperative. In the U.S. each year, sudden cardiac arrests strike in a variety of settings: roughly 236,400 at home , 57,050 in public places, 36,050 in nursing homes, and 10,000 on the job. With…