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 69.0 – Epiglottitis

Take home points: Epiglottitis has demonstrated a resurgence in the adult population. It is no longer a pediatric only disease. The classic presentation of epiglottitis (3Ds of drooling, dysphagia and distress) is uncommon Epiglottitis should be high on your differential …

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Head, Eye, Ear, Nose, and Throat

REBEL Core Cast 68.0 – Pericarditis

Take-Home Points Always consider STEMI as the diagnosis prior to diagnosing pericarditis. If the EKG shows convex ST elevations, reciprocal ST depressions, or dynamic changes, the patient is much more likely to have a STEMI. Patients with pericarditis should be …

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Cardiovascular

REBEL Core Cast 67.0 – Tips for Medical Education

The reviewed article highlights the complex relationships between six themes:  Improving the processing of information Promoting effortful learning Applying learned information to new and varied contexts Developing expertise Harnessing the power of emotion for learning Teaching and learning in a …

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REBEL Core Cast 66.0 – Congenital Cardiac Issues

Take Home Points Once you figure out the neonate that presented to your ED is sick, run through a differential of why then can be sick so you don’t anchor. I like to use TIMOT (Trauma, Infection, Metabolic, Organs, Tox) …

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CardiovascularPediatrics

REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension

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Neurology

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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