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 Cast

REBEL Cast Ep86: Baloxavir for Influenza Prophylaxis

Background: Baloxavir (trade name Xofluza) was approved for the treatment of acute, uncomplicated influenza in patients > 12 years of age in October 2018. However, high-quality data has been underwhelming at best for its efficacy in treatment. Back in November …

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Infectious Disease

REBEL Core Cast 40.0 – Wernicke Encephalopathy

Take Home Points Wernicke encephalopathy is characterized by ataxia, altered mental status and ophthalmoplegia but patients are unlikely to have all these components Suspect Wernicke encephalopathy in any patient that is at risk of malnutrition or malabsorption and has any …

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Toxicology

REBEL Core Cast 39.0 – Upper GI Bleed

Take Home Points Focus on resuscitating well by focusing on the basics Recognize Massive GIB (MGIB) with a thorough exam of the patient and vital signs (Shock index >0.7 is ABNORMAL and signals impending shock) Obtain large bore PIV access …

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Abdominal and Gastroinstestinal

REBEL Core Cast 38.0 – Productivity

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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 …

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Infectious DiseaseNeurologyOrthopedics

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 …

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Neurology

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 …

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Abdominal and Gastroinstestinal

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 …

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Environmental

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 …

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Neurology

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 …

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Infectious DiseaseResuscitationThoracic and Respiratory

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