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 Ep77: 2019 ACLS Update

The American Heart Association (AHA) released a focused update in 2019, for advanced cardiovascular life support (ACLS) guidelines, to addend those published in 2017 and 2018 for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care.  These recommendations were based on evidence …

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Resuscitation

REBEL Core Cast 30.0 – Neonatal Resuscitation

Take-Home Points Before starting a neonatal resuscitation, take some deep breaths to calm yourself Call in your friends – get a second team to manage the mother, call OB, call the NICU – all hands on deck Anticipate the equipment …

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PediatricsResuscitation

REBEL Cast Ep 76: The 65 Trial – Shooting for a Lower MAP in Older Patients with Sepsis?

Background: Vasopressors are often used to improve hypotension and perfusion in an effort to decrease mortality of patients with septic shock. Mean arterial pressure (MAP) of >65mmHg has typically been used to guide vasopressor therapy in most patients and higher …

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Infectious DiseaseResuscitation

REBEL Core Cast 29.0 – Vascular Disasters

Vascular Disasters Take Home Points Consider vascular pathologies in all of your patients with atraumatic limb pain – especially those with typical and atypical risk factors Early diagnosis is imperative. Time is tissue. Catch this as early as possible. Pain …

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Cardiovascular

REBEL Cast Ep75: 2019 PALS Update

Welcome back to REBEL Cast, I am your host Salim Rezaie.  In this episode we are going to review a recent focused 2019 update to the American Heart Association (AHA) pediatric advanced life support (PALS) guidelines from 2018-19. This 2019 …

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PediatricsResuscitation

REBEL Core Cast 28.0 – Conference Pearls

Take Home Points  No palpable pulse does not equal no perfusion. We aren’t great at feeling pulses Patients with moderate to severe signs and symptoms of lithium toxicity should be considered for hemodialysis Always consider serious causes of back pain …

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ResuscitationToxicology

REBEL Core Cast 27.0 – Endocarditis

Take-Home Points Endocarditis can have vague and varied presentations and has high morbidity and mortality. Be on the lookout in patients with risk factors including:  Congenital heart disease Cardiac prosthesis or devices Immunocompromise IV drug use Recent invasive procedure Hx …

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CardiovascularInfectious Disease

REBEL Crit Cast Episode 2.0: Overview of High Flow Nasal Cannula (HFNC) – Part 1

The use of heated and humidified high flow nasal cannula (HFNC) has become increasingly popular in the treatment of patients with acute respiratory failure through all age groups.  Over the past several years, many studies have come out reviewing the …

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Thoracic and Respiratory

REBEL Core Cast 26.0 – Lactated Ringers

Take Home Points When compared to 0.9% saline, lactated ringers is a more balanced solution and more closely resembles our serum. SALT ED and SMART trials show normal saline may increase the occurrence of major adverse kidney events in comparison …

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Endocrine, Metabolic, Fluid, and ElectrolytesResuscitation

REBEL Cast Ep74 – Is it all About the VITAMINS in Sepsis?

Background: The combination of vitamin C, hydrocortisone and thiamine in sepsis has been a topic of hot debate in the past couple years.  There is a hypothetical pathophysiological basis to make an argument for the use of this combination of …

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Infectious DiseaseResuscitation

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