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 81.0 – Priapism

Take Home Points Priapism is compartment syndrome of the penis. Ischemia and infarction can occur with prolonged priapism and rapid treatment and detumescence is critical Provide adequate analgesia early to facilitate necessary interventions. Dorsal block of the penis is the …

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Renal and Genitourinary

REBEL Core Cast 80.0 – Compartment Syndrome

Take Home Points Compartment syndrome is a life and limb threatening emergency that requires early recognition, prompt diagnosis and immediate management with fasciotomy While clinical evaluation is flawed, pain out of proportion to injury and pain with passive stretch of …

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Trauma

REBEL Core Cast 79.0 – Orthostatics in Volume Loss

Bottom Line: Based on the limited available evidence, it’s unlikely orthostatic vital sign measurement can be used to determine which patients have volume loss and which do not. The baseline prevalence of orthostatic vital signs is common and patients will …

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REBEL Core Cast 78.0 – Herpes Zoster

Take Home Points Classically, herpes zoster will present with rash and pain in a dermatomal distribution Immunocompromised patients are at greater risk for significant complications of zoster, including visceral dissemination and zoster ophthalmicus Appropriate therapy includes antiviral therapy within 72 …

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DermatologyInfectious Disease

REBEL Core Cast 77.0 – Pyogenic Flexor Tenosynovitis

Take Home Points Think about flexor tenosynovitis in a patient with atraumatic finger pain.  They may have any combination of these signs: Tenderness along the course of the flexor tendon Symmetrical swelling of the finger – often called the sausage …

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Infectious DiseaseOrthopedics

REBEL Core Cast 76.0 – Zoom Better

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REBEL Core Cast 75.0 – Femoral Lines

Take Home Points: Newer data suggests that the infection and DVT rates for femoral lines are similar to that for internal jugular central lines. In a resuscitation situation, there are likely faster ways to obtain access than a femoral line …

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Procedures and SkillsResuscitation

Management of Digoxin Toxicity

A 78-year-old woman is brought in by EMS after her husband called 911 for increased confusion associated with intractable vomiting. On arrival to the emergency department (ED), the patient is altered with a heart rate of 48 and a blood …

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Toxicology

REBEL Core Cast 73.0 – Basic Asthma Management

Take Home Points: First line treatment for asthma exacerbations is inhaled beta agonists, inhaled anticholinergics and systemic corticosteroids. The majority of patients presenting to the ED with asthma exacerbations should be started on short-burst corticosteroids to control inflammation and prevent …

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Thoracic and Respiratory

REBEL Core Cast 72.0 – Lung US

Take Home Points: Lung ultrasound is simple, quick and accurate for real time, bedside assessment of your patient with acute undifferentiated dyspnea PTX: least dependent area, shallow depth, lung sliding, lung point CHF: scan across the 4 zones of the …

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Procedures and SkillsThoracic and Respiratory

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