REBEL Cast

is the blogs audio version. The podcast typically starts by setting a clinical stage with a pertinent clinical question, followed by a discussion of the paper with pertinent results, strengths, limitations, and further discussion. Finally, we end every podcast with clinical take home points from the papers being reviewed. If there are papers you think we should evaluate, email them to srrezaie@gmail.com.

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  • REBEL Cast
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REBEL Core Cast 45.0 – Mesenteric Ischemia

Take Home Points Be sure to consider mesenteric ischemia in any elderly patient with abdominal pain or lower gastrointestinal (GI) complaints.  Remember, the presentation can be tricky to find and they may have a reassuring abdominal exam. Ask about artherosclerotic …

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Abdominal and Gastroinstestinal

REBEL Cast Ep91: Static Ultrasound vs Landmark Placement of Subclavian Central Lines

Background Information: Central venous catheterization is a common procedure performed in the ICU for the purposes of drug administration and resuscitation. The subclavian vein is the more preferred access site given its fixed puncture location, ease for nursing access and low …

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Procedures and SkillsResuscitation

REBEL Cast Ep90: Ultrasound vs Landmark-Guided Palpation for Radial Arterial Line Placement

Background Information: Ultrasound guided peripheral and central venous access has become more common while simultaneously decreasing complications and increasing first pass success. Landmark guided palpation has historically been considered the standard of care when placing arterial lines, however the use …

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Procedures and SkillsResuscitation

REBEL Cast Ep 89: The CODA Trial – Antibiotics vs Appendectomy for Appendicitis

Background: The well-established, standard treatment for acute appendicitis is surgical appendectomy.  However, recent research has challenged the dominance of the surgical approach in looking at antibiotics alone. The available literature on non-operative treatment of appendicitis (NOTA) has important limitations: exclusion …

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Abdominal and GastroinstestinalInfectious Disease

REBEL Core Cast 44.0 – Postpartum Hemorrhage

Take Home Points Watch for continued bleeding in excess of 500 ml or bleeding that is “more than normal.” Call it postpartum hemorrhage and start resuscitation Call your obstetric and/or surgical consultants early as operative intervention is often required Replace …

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Obstetrics and Gynecology

REBEL Cast Ep88: The MIDAS Trial – Midodrine vs Placebo for Pressor Discontinuation

Background: ICU discharge is often delayed due to intravenous vasopressor requirements to maintain clinically indicated blood pressure goals. In some patients without impairment of tissue oxygenation, the use of oral agents could facilitate weaning from IV vasopressors and lead to …

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Resuscitation

REBEL Core Cast 43.0 – Measles + Antivax

Take Home Points Measles is highly infective: One infected person can infect approximately 10-20 unvaccinated people 2 doses of MMR is 97% protective Unvaccinated people can acquire measles from travel to endemic areas with low vaccination rates There is a …

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Infectious Disease

REBEL Core Cast 42.0 – Orbital Compartment Syndrome

Take Home Points Trauma resulting in a retrobulbar hemorrhage can lead to orbital compartment syndrome which is a vision threatening injury Diagnosis is made clinically based on the presence of an afferent pupillary defect, vision loss and an intraocular pressure …

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Head, Eye, Ear, Nose, and Throat

REBEL Cast Ep87: Video Laryngoscopy – Standard vs Hyperangulated Geometry

Background information: There are two popular blade shapes for video laryngoscopy, a standard-geometry blade comparable to a Macintosh blade and a hyperangulated blade. The standard-geometry blade permits both direct and indirect visualization during intubation, whereas the hyperangulated blade permits only …

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Procedures and SkillsResuscitation

REBEL Core Cast 41.0 – Acute Chest Syndrome

Take Home Points 100k people in US have sickle cell, the majority will at some point develop acute chest syndrome (ACS) The mortality rate per episode is 3-9%, similar to those of STEMI ACS is a syndrome – CXR infiltrate …

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CardiovascularHematology and Oncology

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