REBELEM Blog

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All Categories
  • All Categories
  • Abdominal and Gastroinstestinal
  • Allergy and Immunology
  • Cardiovascular
  • Dermatology
  • Endocrine, Metabolic, Fluid, and Electrolytes
  • Environmental
  • Ethical and Legal
  • Head, Eye, Ear, Nose, and Throat
  • Hematology and Oncology
  • Infectious Disease
  • Neurology
  • Obstetrics and Gynecology
  • Orthopedics
  • Pediatrics
  • Procedures and Skills
  • Pyschobehavioral
  • Renal and Genitourinary
  • Resuscitation
  • Thoracic and Respiratory
  • Toxicology
  • Trauma

Massive Acetaminophen Overdose: Are We Giving Enough N-acetyl-cysteine?

Introduction: Acetaminophen, N-acetyl-p-aminophenol, or APAP, is one of the most commonly used medications worldwide. While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites. Hepatic necrosis is preventable in overdose …

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Toxicology

Monkeypox…The Basics

Background: Monkeypox is a poxviridae virus closely related to smallpox (variola).  It was first described in humans in 1970 and has since become endemic in parts of Africa.  In recent weeks, clusters of cases have been described in several countries …

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Infectious Disease

REBEL Core Cast 81.0 – Priapism

Take Home Points Priapism is compartment syndrome of the penis. Ischemia and infarction can occur with prolonged priapism and rapid treatment and detumescence is critical Provide adequate analgesia early to facilitate necessary interventions. Dorsal block of the penis is the …

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Renal and Genitourinary

Embedding Fonts into Your PowerPoint on Macs

It’s no secret or surprise that I love presentation design.  I love to nerd out on it like I do dissecting recent clinical literature.  What is surprising to many is that I use PowerPoint for my presentations, and not Keynote.  …

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REBEL Cast Ep109: The RePHILL Trial

Background: Currently, trauma resuscitation focuses on immediate hemorrhage control, resuscitation with blood products (i.e. PRBCs, plasma) and early administration of tranexamic acid.  The evidence for the use of blood-based resuscitation in the pre-hospital system has been mixed (PAMPer and COMBAT …

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Hematology and OncologyTrauma

Intermittent Fasting and PLEASE Don’t Just Read the Abstract

Background: There are many lifestyle modification strategies available as a way to aid in weight management.  Two in particular include calorie restriction and intermittent fasting. Caloric restriction is self-explanatory, however personal experience has been it can be difficult to maintain …

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Endocrine, Metabolic, Fluid, and Electrolytes

Race Multiplier in the eGFR Equation: What’s the impact for African-Americans?

Background: Race is a sociological construct that affects how clinicians deliver health care to various racial/ethnic groups.  This in turn affects clinical outcomes.  Thus, African Americans with chronic kidney disease have worse outcomes with respect to hypertension control, timely nephrology …

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Ethical and LegalRenal and Genitourinary

RESCUE-Japan LIMIT Trial

Background: The publication of the MR CLEAN trial in January 2015 changed the face of ischemic stroke care. This was the first study demonstrating a benefit to endovascular treatment of a specific subset of ischemic stroke patients: those with a …

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Neurology

REBEL Core Cast 80.0 – Compartment Syndrome

Take Home Points Compartment syndrome is a life and limb threatening emergency that requires early recognition, prompt diagnosis and immediate management with fasciotomy While clinical evaluation is flawed, pain out of proportion to injury and pain with passive stretch of …

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Trauma

Using the Word “Quiet“ in the ED

Background: For those who believe in superstition, the superstitious belief that saying the word “quiet” while working in the ED will result in a calamitous surge of patients is a real concern. We reviewed a study from 2019 performed in …

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