REBEL EM has primarily been a clinical blog focusing on critical appraisal of research, but now we are proud to introduce

REBEL Core

, an initiative to improve discussion of core content in emergency medicine/critical care. Free Open Access Medical Education (FOAMed) has long been dedicated to discussing current literature to shorten knowledge translation. However, if all you use is FOAMed, then you will have “swiss cheese knowledge”, due to the lack of having foundational knowledge. The entire breadth of emergency medicine is not currently covered by FOAMed with a disproportionate representation of critical care topics (i.e. ECG, Ultrasound, Resuscitation, Procedures). REBEL Core will continue to discuss the foundational knowledge necessary in all aspects of emergency care.

May 19, 2021

Take Home Points
  • If youre concerned about a retained foreign body make sure to get imaging
  • There is a higher risk of wound infection associated with age, diabetes, wound size, contamination, and a location not on the head or neck. Other conditions that impair wound healing include renal failure, obesity, malnutrition, immunocompromised status. 
  • Prophylactic antibiotics are not recommended for routine use in wound care.. Antibiotics have a role in select wounds considered high risk for infection.
  • Pain control and administration of an anesthetic may be required before a patient can fully cooperate with examination. 
  • Its ok to get consultation - sometimes the wound is outside of our scope of practice

May 5, 2021

Take Home Points
  • There is no strict golden hour for wound closure. Location, contamination and patient factors all should be taken into account
  • Dog bites can be closed primarily. Bites on the hand and foot are higher risk for infection. If you close, strongly consider adding antibiotic prophylaxis
  • Sterile water is unnecessary for wound decontamination as are additives (ie betadine). Tap water under reasonable pressure (45 psi) is adequate.