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.

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Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 2 Anaplasmosis

Anaplasmosis Epidemiology Incidence: Overall annual incidence rose from 1.4 to 6.1 cases per million in the United States between 2000 and 2010 (Ismail 2017) In endemic areas, the incidence rate is suggested to be more than 50 cases per 100,000 ...

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Infectious Disease

Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 1

Tick Borne Illness Tick-borne disease surveillance studies have shown increasing prevalence, transmission, and disease burden over the last decade. Tick-borne illnesses remain a public health threat and the true incidence remains unknown and is thought to be underrepresented. Although Lyme ...

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Infectious Disease

REBEL Core Cast 43.0 – Measles + Antivax

Take Home Points Measles is highly infective: One infected person can infect approximately 10-20 unvaccinated people 2 doses of MMR is 97% protective Unvaccinated people can acquire measles from travel to endemic areas with low vaccination rates There is a ...

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Infectious Disease

Spontaneous Coronary Artery Dissection (SCAD)

Background: Spontaneous coronary artery dissection (SCAD), once thought of as a rare “zebra” diagnosis that was universally fatal, is now being increasingly recognized as a cause of acute coronary syndrome (ACS), particularly in women due to increased vigilance, greater utilization ...

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Cardiovascular

REBEL Core Cast 42.0 – Orbital Compartment Syndrome

Take Home Points Trauma resulting in a retrobulbar hemorrhage can lead to orbital compartment syndrome which is a vision threatening injury Diagnosis is made clinically based on the presence of an afferent pupillary defect, vision loss and an intraocular pressure ...

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Head, Eye, Ear, Nose, and Throat

REBEL Core Cast 41.0 – Acute Chest Syndrome

Take Home Points 100k people in US have sickle cell, the majority will at some point develop acute chest syndrome (ACS) The mortality rate per episode is 3-9%, similar to those of STEMI ACS is a syndrome – CXR infiltrate ...

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CardiovascularHematology and Oncology

REBEL Core Cast 40.0 – Wernicke Encephalopathy

Take Home Points Wernicke encephalopathy is characterized by ataxia, altered mental status and ophthalmoplegia but patients are unlikely to have all these components Suspect Wernicke encephalopathy in any patient that is at risk of malnutrition or malabsorption and has any ...

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Toxicology

Slipped Capital Femoral Epiphysis (SCFE)

Definition: Medial or posterior slippage of the femoral capital epiphysis relative to the metaphysis Epidemiology: Classic patient group: overweight adolescent boys Over 80% of SCFE involves children with a BMI > 95th percentile (Manoff 2005). Average age of onset: 12 ...

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OrthopedicsPediatrics

REBEL Core Cast 39.0 – Upper GI Bleed

Take Home Points Focus on resuscitating well by focusing on the basics Recognize Massive GIB (MGIB) with a thorough exam of the patient and vital signs (Shock index >0.7 is ABNORMAL and signals impending shock) Obtain large bore PIV access ...

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Abdominal and Gastrointestinal

REBEL Core Cast 38.0 – Productivity

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