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.
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  • REBEL Core
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  • REBEL Core

REBEL Core Cast 64.0 – Acute Pancreatitis

Take Home Points Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipase 3x normal, CT scan) A RUQ US should be performed looking for gallstones as this finding …

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Abdominal and Gastroinstestinal

REBEL Core Cast 63.0 – Adrenal Crisis

Take Home Points Adrenal insufficiency is a life-threatening emergency; recognize early and treat aggressively Hallmark is hypotension refractory to IVF/pressors Suspect in patients with unexplained hypotension and risk factors Prior glucocorticoid therapy History of autoimmune diseases Hyperpigmentation  AIDS or TB …

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Core Cast 62.0 – Hemophilia

Take Home Points Infuse factor first, investigate later Treat when bleeding is suspected, not confirmed. Have a low threshold! It is better to over treat than undertreat. Give full dose when in doubt Factor 8 = 50U/kg Factor 9 = …

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Hematology and Oncology

REBEL Core Cast 61.0 – Debriefing

Take Home Points 1. Debriefing is critical. Studies show numerous benefits in terms of team communication and staff ability to regroup. 2. Start by gathering your team, thanking them for their work and noting that nothing could have changed the …

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REBEL Core Cast 60.0 – Pyomyositis

Take Home Points – Unexplained tachycardia (or any abnormal vital sign) warrants investigation. – Pain, induration, “woody” feel of any muscle group should raise suspicion of infection in that muscle group that has spread hematogenously especially in those with predisposing …

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REBEL Core Cast 59.0 – C-Spine Intubation

Take Home Points Neck movement (both extension and flexion) has the ability to cause cord damage. Using hyperangulated blade in video laryngoscopy improves chances for glottic visualization in patients with a c-collar in place. Ultimately, hypoxemia kills – Intubate the …

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Procedures and SkillsResuscitation

REBEL Core Cast 58.0 – Wound Care IV – Future Directions

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Trauma

REBEL Core Cast 57.0 – Crush Your Rotation

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REBEL Core Cast 56.0 – Wound Care III – Pitfalls

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. …

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Trauma

REBEL Core Cast 55.0 – Wound Care II – Dogma

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. …

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Trauma

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