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 17.0 – Penetrating Neck Trauma

Take Home Points: Get definitive airway control when necessary Use modality you’re most comfortable with Hard signs –  pulsatile bleeding, bruit or thrill, expanding hematoma, airway compromise, massive hemoptysis (think airway injury), hematemesis (think esophageal injury), grossly injured trachea, neurologic ...

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Trauma

REBEL Cast Ep71: 2nd Line Therapy for Pediatric Status Epilepticus – EcLiPSE & ConSEPT

Background: Convulsive status epilepticus is the most common pediatric neurological emergency worldwide.  Currently, phenytoin (UK & Europe) or fosphenytoin (USA) is the recommended second-line IV anticonvulsant for the treatment of pediatric status epilepticus.  Some evidence and providers however suggest that ...

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Pediatrics

REBEL Core Cast 16.0 – Decompensated Hypothyroidism

Take Home Points Myxedema coma is severe, decompensated hypothyroidism with a very high mortality. Classic features include: decreased mental status, hypothermia, hypotension, bradycardia, hyponatremia, hypoglycemia, and hypoventilation Work up includes looking for and treating precipitating causes, most commonly infection as ...

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Cast Ep70 – Time to Antibiotics in Sepsis

Background: Antibiotics are one of the cornerstones of therapy in the treatment of sepsis/septic shock, however according to the Surviving Sepsis Campaign (SSC) guidelines, time to antibiotics is a core measure, though there is weak evidence in support of this.  Most ...

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Infectious Disease

REBEL Core Cast 15.0 – Syncope Literature Updates

Take Home Points There is no real distinction between syncope and near syncope. Older folk with near syncope or syncope should be treated the same. Patient with high risk features its reasonable to admit but if they’re low risk, well-appearing ...

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Cardiovascular

REBEL Cast Episode 69: Rebellion in EM Day 3 Speaker Summaries with Andy Little

This is a special edition REBEL Cast done by my good friend Andy Little, DO (Twitter: @andylittle).  As I was busy running the 2nd annual Rebellion in EM clinical conference, Andy was able to sit down with the speakers to ...

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REBEL Cast Ep 68: Rebellion in EM Day 2 Speaker Summaries with Andy Little

This is a special edition REBEL Cast done by my good friend Andy Little, DO (Twitter: @andylittle).  As I was busy running the 2nd annual Rebellion in EM clinical conference, Andy was able to sit down with the speakers to ...

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REBEL Core Cast 14.0 – Superficial Venous Thrombosis

Take Home Points on SVT Superficial venous thrombosis refers to a clot and inflammation in the larger, or “axial” veins of the lower extremities and superficial thrombophlebitis refers to clot and inflammation in the tributary veins of the lower extremities. ...

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Hematology and Oncology

REBEL Core Cast 13.0 – Measles

Take Home Points on Measles There is a resurgence of measles worldwide Incubation period is 10 – 14 days and patients are contagious 4 days before rash develops and up to 5 days after Suspect measles in any patient with ...

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Infectious Disease

REBEL Cast Episode 67: EXTEND-ing Times for Systemic Thrombolysis in Acute Ischemic Stroke?

Background: Despite the lack of replication of the NINDS & ECASS-3 trials, guidelines recommend the use of tPA in the ≤4.5hr window after the onset of symptoms of acute ischemic stroke . These recommendations used non-contrast computed tomography (NCHCT) for the ...

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Neurology
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