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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.
Listen:
REBEL Core Cast 37.0 – Spinal Epidural Abscess
Take Home Points Spinal Epidural Abscess may present insidiously and patients often lack the classic triad of fever, back pain and neurologic symptoms Empiric Antibiotics should cover Staphylococcus (including MRSA) and Gram negative Bacilli All patients with clinical suspicion require ...
REBEL Core Cast 36.0 – Seizures
Take Home Points When approaching the patient with uspected seizure, focus on questions that matter in determining if the event was a seizure or not Extensive lab work after a first time seizure is not necessary in patients who are ...
REBEL Cast Ep85: The HALT-IT Trial – TXA in Acute GI Bleeds
Background: Acute gastrointestinal bleeding (GIB) is a common diagnosis dealt with by emergency clinicians. Definitive therapy for acute GIB often includes endoscopy or surgery. However, there is a myriad of pharmaceutical options (i.e. PPI, Somatostatin Analogues, Antibiotics, etc.) as well ...
REBEL Core Cast 35.0 – Environmental Hyperthermia
Take Home Points Heat stroke is a life-threatening disorder characterized by elevated core temperature, compromise to neurologic function and multi-system organ dysfunction The keystone of treatment is rapid cooling within 30 minutes of presentation preferably with ice water immersion Patients ...
REBEL Cast Ep84: Here We Go Again with Time is Brain
Background: Here we go again with another “Time is Brain,” acute ischemic stroke study. The authors start out by saying that earlier administration of intravenous tPA in acute ischemic stroke is associated with reduced mortality by the time of hospital ...
REBEL Cast Ep83 – COVID-19 in the ICU, ECMO Early, & Steroids with Jeff Dellavolpe, MD
I am fortunate to work in a hospital system that is very forward thinking. We have a phenomenal relationship with our intensivists, and I have been fortunate enough to have several discussions with them about how we are managing COVID-19 ...
REBEL Core Cast 34.0 – Chest Tubes
Take Home Points Small to Moderate Size Pneumothorax – consider managing conservatively with observation (need to make sure consulting services on same page) Needle aspiration for spontaneous pneumothorax recommend by British Thoracic and European Respiratory Societies 1 in 5 patients ...
REBEL Cast Ep82: Timing of Endoscopy for UGIB
Background: Upper endoscopy allows for the identification of the source of bleeding as well as hemostatic treatment for actively bleeding lesions In patients with upper gastrointestinal bleeding (UGIB). Definitive treatment with endoscopic hemostatic treatment can potentially stop bleeding in high-risk ...
REBEL Core Cast 33.0 – Needle Decompression
Take Home Points Forget the “traditional” needle decompression landmark Decompress at 4th or 5th intercostal space in the anterior axillary line
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