FOAMed has changed emergency medicine by accelerating knowledge translation. But there’s a downside: when learning is driven mostly by what’s new—or what’s popular—you can develop uneven foundational knowledge.
That’s why we created REBEL Core. While REBEL EM will continue to critically appraise new research, REBEL Core is dedicated to the core concepts that support great bedside care across the entire spectrum of emergency medicine and critical care—not just the headline areas like ECGs, ultrasound, resuscitation, and procedures.
Our goal is to help you build a strong, complete foundation—so you can apply both classic principles and new evidence with confidence.
Take Home Points Frostbite is a severe, localized cold-induced injury due to freezing and thawing of tissue. We usually see these injuries affecting the ears, nose, cheeks, chin, fingers, and toes. Patients will complain of cold, numb or stiff sensations ...
As EM physicians, we are taught how to manage and treat many serious and life threatening conditions, most of them we know like the back of our hands, and some we look up on shift. The most important things to ...
Case: A 51-year-old woman, with no pertinent past medical history, presented to the Emergency Department (ED) complaining of right hand pain after a large fragment from a wooden cooking spoon penetrated her right palm approximately 1 week ago. She reported immediately ...
Take Home Points Nausea and Vomiting has an exceedingly large differential – don’t just anchor on GI presentations H&P important – Duration, frequency, content, and associated symptoms Alcohol swab -> If no line and want quick treatment give swab Ondansetron ...
Take Home Points This is a resuscitative hysterotomy – focus is on saving the mother first. Delivering the fetus can improve venous return thus increasing chance to save mom Don’t focus on gestational age to make the decision – if ...
Take Home Points Be sure to consider mesenteric ischemia in any elderly patient with abdominal pain or lower gastrointestinal (GI) complaints. Remember, the presentation can be tricky to find and they may have a reassuring abdominal exam. Ask about artherosclerotic ...
Take Home Points Watch for continued bleeding in excess of 500 ml or bleeding that is “more than normal.” Call it postpartum hemorrhage and start resuscitation Call your obstetric and/or surgical consultants early as operative intervention is often required Replace ...
Babesiosis Epidemiology Incidence: Overall annual incidence rose from 0.6 to 0.9 cases per 100,000 in the United States between 2012 and 2015 (Gray 2019) Annual incidence is highest in those between 60-69 years of age (Gray 2019) Age: Median age ...
Rocky Mountain Spotted Fever (RMSF) Epidemiology Incidence: Overall annual incidence rose from 1.7 to 7 cases per million in the United States between 2000 and 2007 (Openshaw 2010) Annual incidence is highest in children aged 5-9 years of age (Amsden ...
Ehrlichiosis Epidemiology Incidence: Overall annual incidence noted to be 3.2 cases per million in the United States between 2008 and 2012 (Biggs 2016) Highest incidence occurs in those 60-69 years of age (Biggs 2016) Age: Median age is 55 years ...
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