Take Home Points Once you figure out the neonate that presented to your ED is sick, run through a differential of why then can be sick so you don’t anchor. I like to use TIMOT (Trauma, Infection, Metabolic, Organs, Tox) but use whatever works for you. Use your detailed history looking for risk factors to ... Read more The post REBEL Core Cast 66.0 – Congenital Cardiac Issues appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Cast

REBEL Core Cast 66.0 – Congenital Cardiac Issues

Background: The clinical importance of immediate coronary angiography after out of hospital cardiac arrest (OHCA) without STEMI continues to be debated. A systematic review and meta-analysis published in 2016 suggested that this set of patients has a high likelihood of having a culprit lesion when getting a catheterization. However, the studies included in this review ... Read more The post REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI

REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension Click here for Direct Download of Podcast Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie) The post REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension

Take Home Points Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipase 3x normal, CT scan) A RUQ US should be performed looking for gallstones as this finding significantly alters management The focus of management is on supportive care. IV fluids, while central ... Read more The post REBEL Core Cast 64.0 – Acute Pancreatitis appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 64.0 – Acute Pancreatitis

Take Home Points Adrenal insufficiency is a life-threatening emergency; recognize early and treat aggressively Hallmark is hypotension refractory to IVF/pressors Suspect in patients with unexplained hypotension and risk factors Prior glucocorticoid therapy History of autoimmune diseases Hyperpigmentation  AIDS or TB history Treat empirically with hydrocortisone 100mg IV and search for precipitating causes Less than 50% ... Read more The post REBEL Core Cast 63.0 – Adrenal Crisis appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 63.0 – Adrenal Crisis

Background: COVID-19 is now a vaccine preventable illness but, unfortunately, many have not received the COVID-19 vaccine due to a number of reasons including access, misinformation and a lack of confidence.  In the US, the emergency department is the safety net of healthcare and could play a bigger role in increasing vaccination rates in vulnerable ... Read more The post REBEL Cast Ep100: REVVED UP – COVID-19 Vaccination in the ED appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Cast Ep100: REVVED UP – COVID-19 Vaccination in the ED

Take Home Points Infuse factor first, investigate later Treat when bleeding is suspected, not confirmed. Have a low threshold! It is better to over treat... The post REBEL Core Cast 62.0 – Hemophilia appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 62.0 – Hemophilia

Take Home Points 1. Debriefing is critical. Studies show numerous benefits in terms of team communication and staff ability to regroup. 2. Start by gathering... The post REBEL Core Cast 61.0 – Debriefing appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 61.0 – Debriefing

Take Home Points – Unexplained tachycardia (or any abnormal vital sign) warrants investigation. – Pain, induration, “woody” feel of any muscle group should raise suspicion... The post REBEL Core Cast 60.0 – Pyomyositis appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 60.0 – Pyomyositis

Take Home Points Neck movement (both extension and flexion) has the ability to cause cord damage. Using hyperangulated blade in video laryngoscopy improves chances for... The post REBEL Core Cast 59.0 – C-Spine Intubation appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 59.0 – C-Spine Intubation

REBEL Core Cast 58.0 – Wound Care IV Click here for Direct Download of Podcast Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie) The post REBEL Core Cast 58.0 – Wound Care IV – Future Directions appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 58.0 – Wound Care IV – Future Directions

REBEL Core Cast 58.0 – Crush Your Rotation Click here for Direct Download of Podcast Read More EMRA: Making the Most of Patient Presentations Post... The post REBEL Core Cast 57.0 – Crush Your Rotation appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 57.0 – Crush Your Rotation

Background: It’s no surprise that unplanned, emergency intubations are significantly different from intubations in the operating room (OR). Unplanned intubations on the floors and in... The post REBEL Cast Ep99: The INTUBE Study –  Adverse Peri-Intubation Events in the Critically Ill appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Cast Ep99: The INTUBE Study –  Adverse Peri-Intubation Events in the Critically Ill

Take Home Points If youre concerned about a retained foreign body make sure to get imaging There is a higher risk of wound infection associated... The post REBEL Core Cast 56.0 – Wound Care III – Pitfalls appeared first on REBEL EM - Emergency Medicine Blog.

REBEL Core Cast 56.0 – Wound Care III – Pitfalls

Take-Home Points: The conditions needed to achieve flow are: Clear goals Immediate feedback Balance between challenge and skill We can use the flow state to... The post REBEL MedEd Cast 1.0 – Autotelics and Flow appeared first on REBEL EM - Emergency Medicine Blog.

REBEL MedEd Cast 1.0 – Autotelics and Flow

Rational Evidence-Based Evaluation of Literature

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REBEL Cast

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