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 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 …

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Abdominal and Gastroinstestinal

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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Procedures and Skills

REBEL Crit Cast Ep 4.0: Lung Protective Mechanical Ventilation

Goals of lung protective mechanical ventilation: Minimizing harm during mechanical ventilation with a lung-protective strategy with: Low tidal volume (TV) Limit plateau pressure to <30mmHg Optimal positive end expiratory pressure (PEEP) set to decrease driving pressure

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Thoracic and Respiratory

REBEL Cast Ep81: COVID-19, Thrombosis, and Anticoagulation

Early reports have shown that COVID-19 is most likely causing a hypercoagulable state, however the prevalence of acute VTE and exactly how to treat it is an evolving area.  Limited data suggest pulmonary microvascular thrombosis may play a role in …

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Hematology and OncologyInfectious Disease

REBEL Cast Ep80: A New War Plan for COVID-19 with Richard Levitan

In this episode of REBEL Cast,I sit down with Richard Levitan and talk about some ideas from his experience in New York, where he spent 10 days during the surge of the COVID-19 pandemic. And the lessons he took away …

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Infectious DiseaseThoracic and Respiratory

REBEL Core Podcast 32.0 – N95 Mask Reuse

Take Home Points N95 masks ideally should be single use but in COVID19 times, safe reuse practices are critical. The best approach to reuse is vaporized H2O2 and UV light decontamination with a total of 3 decon cycles prior to …

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Procedures and Skills

REBEL Crit Cast Ep3.0: Airway Pressure Release Ventilation (APRV) Made Simple

Airway Pressure Release Ventilation (APRV) is a mode of ventilation that allows spontaneous breathing throughout the ventilation cycle.  It is a time-cycled mode of ventilation between two levels of positive airway pressure with the main time on the high level …

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Thoracic and Respiratory

REBEL Core Cast 31.0 – Hyperthyroidism

Take Home Points Hyperthyroidism can present along a spectrum from the minimally symptomatic to severely decompensated and presentation can vary with age If there are a lot of interconnecting systems complaints consider obtaibning a TSH, t3 and t4  Once you’ve …

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Cast Ep79: COVID-19 – Trying Not to Intubate Early & Why ARDSnet may be the Wrong Ventilator Paradigm

Hey there REBEL Cast listeners, Salim Rezaie here.  For me and I am sure many COVID-19 has been quite the whirlwind.  So much information, so little time to process all of it.  Meanwhile, many of us are on the frontlines …

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Infectious DiseaseThoracic and Respiratory

REBEL Cast Ep78: Length Matters – At Least When it Comes to US-Guided Peripheral IV Catheters

Background: Peripheral intravenous (PIV) access is one of the most commonly performed invasive procedures in unwell patients.  Although, most patients can have PIVs placed by palpation, there is a subset of patients with difficult vascular access that will require ultrasound-guided …

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Procedures and Skills

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