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 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

Spontaneous Bacterial Peritonitis (SBP)

Definition: Acute infection of the ascitic fluid in a patient with liver disease without another source of infection Epidemiology: (Runyon 1988, Runyon 1988, Borzio 2001) Incidence 10-25% risk of at least one episode per year 20% risk in those with ascites …

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Abdominal and Gastroinstestinal

REBEL Core Cast 25.0 – Osteomyelitis

Take Home Points  Osteomyelitis is an infection in any part of a bone. It has a varied presentation including acute and chronic forms. Patients can present septic, or rather well appearing. Patients may present with fever, chills, musculoskeletal pain, erythema, …

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Infectious Disease

Vaping Associated Lung Injury (VALI)

Background: E-cigarettes or “vapes” are now the most popular tobacco product among US teens and are used by 20% of all high-schoolers2. Vapes are used to heat and vaporize a liquid (e-juice or vape juice) that may contain nicotine, tetrahydrocannabinol (THC), …

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Thoracic and RespiratoryToxicology

REBEL Core Cast 24.0 – Stroke Update 2019

Take Home Points Important as front line providers to know research and data behind stroke care Patients eligible for endovascular care are those with large vessel occlusion in the anterior circulation – anterior cerebral artery, middle cerebral artery, distal intracranial …

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Neurology

REBEL Core Cast 23.0 – Vaping Associated Pulmonary Injury

Take Home Points  Ask the patient if they vape! Worry about the sick looking patient and those seen recently CXR is nonspecific and CT might tell you what’s going on Start antibiotics and if you have strong suspicions of vaping …

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Thoracic and Respiratory

REBEL Core Cast 22.0 – Decompensated Liver Disease

Take Home Points    End stage liver disease patients have fragile baseline physiology. Minor insults can have profound effects Always start with the basics – large bore IV lines SBP give 3rd generation cephalosporin + albumin in severe disease Upper …

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Abdominal and Gastroinstestinal

REBEL Core Cast 21.0 – ECG in Syncope

  REBEL Core Cast 21.0 – ECG in Syncope Click here for Direct Download of Podcast

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Cardiovascular

REBEL Core Cast 20.0 – Takotsubo’s Cardiomyopathy

Take Home Points   Stress cardiomyopathy looks like ACS/STEMI, with patient presenting with chest pain, dyspnea or maybe syncope. It looks like ACS and should be treated as such until you prove to yourself it’s not. Classic patient is an older …

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Cardiovascular

REBEL Core Cast 19.0 – Acute Angle Closure Glaucoma

Take Home Points  Acute closed angle glaucoma is an ophthalmologic emergency that usually presents with sudden, painful, monocular vision loss. Physical exam will reveal conjunctival redness, corneal haziness or cloudiness due to edema and a pupil that is mid sized …

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Head, Eye, Ear, Nose, and Throat

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