REBEL CAST - REBEL EM - Emergency Medicine Blog

REBEL Cast brings REBEL EM posts to life in audio form. We open with a clinical scenario and a focused clinical question, then critically appraise the study—key results, strengths, limitations, and what it means at the bedside. Every episode ends with actionable take-home points.

Have a paper we should review? Email: rebelemteam@gmail.com.

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REBEL Core Cast – Basics of EM – Introduction

by Ellsworth Wright posted June 1, 2022 No Comments

REBEL Core Cast – Basics of Emergency Medicine Podcast Welcome to the EMRA Basics of Emergency Medicine Podcast. I am your host EJ Wright, and the following series is an all encompassing approach to the most common chief complaints in ...

Abdominal and GastrointestinalAllergy and ImmunologyCardiovascularDermatologyEndocrine, Metabolic, Fluid, and ElectrolytesEnvironmentalHead, Eye, Ear, Nose, and ThroatHematology and OncologyInfectious DiseaseNeurologyObstetrics and GynecologyOrthopedicsRenal and GenitourinaryResuscitationThoracic and RespiratoryToxicologyTrauma

REBEL Core Cast 81.0 – Priapism

by Anand Swaminathan posted May 18, 2022 No Comments

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 ...

Renal and Genitourinary

REBEL Cast Ep109: The RePHILL Trial

by Salim Rezaie posted May 16, 2022 No Comments

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 ...

Hematology and OncologyTrauma

REBEL Core Cast 80.0 – Compartment Syndrome

by Anand Swaminathan posted May 4, 2022 No Comments

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 ...

Trauma

REBEL Core Cast 79.0 – Orthostatics in Volume Loss

by Anand Swaminathan posted April 20, 2022 No Comments

Bottom Line: Based on the limited available evidence, it’s unlikely orthostatic vital sign measurement can be used to determine which patients have volume loss and which do not. The baseline prevalence of orthostatic vital signs is common and patients will ...

REBEL Cast Book Club Episode 3 — An Astronaut’s Guide To Life on Earth

by Marco Propersi posted April 13, 2022 No Comments

In this episode of the REBEL Cast Book Club, Swami, Marco, Steve, and Brandon discuss how the lessons learned from Col. Chris Hadfield’s “An Astronaut’s Guide to Life on Earth” might apply to emergency medicine.

REBEL Core Cast 78.0 – Herpes Zoster

by Anand Swaminathan posted April 6, 2022 No Comments

Take Home Points Classically, herpes zoster will present with rash and pain in a dermatomal distribution Immunocompromised patients are at greater risk for significant complications of zoster, including visceral dissemination and zoster ophthalmicus Appropriate therapy includes antiviral therapy within 72 ...

DermatologyInfectious Disease

REBEL Core Cast 77.0 – Pyogenic Flexor Tenosynovitis

by Anand Swaminathan posted March 23, 2022 No Comments

Take Home Points Think about flexor tenosynovitis in a patient with atraumatic finger pain. They may have any combination of these signs: Tenderness along the course of the flexor tendon Symmetrical swelling of the finger – often called the sausage ...

Infectious DiseaseOrthopedics

REBEL Cast Ep108: The PLUS Trial – Balanced vs Unbalanced Fluids in the Critically Ill

by Salim Rezaie posted March 10, 2022 No Comments

Background: In the past few years there has been a growing debate between the use of balanced multielectrolyte solutions (BMES) and saline in the critically ill (See the “for more about this topic” section below). Recent research has yielded inconsistent ...

Endocrine, Metabolic, Fluid, and Electrolytes