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 – Basics of EM – Fever

Take Home Points Look for the red flags – hypotension, environmental exposures, medications (SS, NMS), SIRS/qSOFA criteria Be on the lookout for neutropenic fever – isolate patients, administer abx early, and admit Sepsis definition is changing all the time – …

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Infectious DiseaseResuscitation

REBEL Core Cast – Basics of EM – Ankle and Foot Injuries

Take Home Points Sprains need more support than just an ace wrap – place them in an aircast or a splint Perform a thorough physical exam – take off their shoes and socks Lisfranc and Maisonneuve injuries are often missed …

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OrthopedicsTrauma

REBEL Core Cast – Basics of EM – Leg Pain

Take Home Points Approach leg pain with the seconds, minutes, hours mindset – think about acute limb ischemia, compartment syndrome, and necrotizing fasciitis Do a thorough physical exam – get their shoes and socks off – you will find crazy …

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Infectious DiseaseOrthopedicsTrauma

REBEL Core Cast – Basics of EM – Lacerations

Take Home Points Don’t make bite width to small – look at the curvature of the needle – start the bite at half the curvature of the needle Don’t pull too tight – this will pucker the skin and lead …

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DermatologyOrthopedicsProcedures and SkillsTrauma

REBEL Core Cast – Basics of EM – Back Pain

Take Home Points Ask about the red flags: cancer, fever, IVDA, FND, point tenderness, saddle/perianal anesthesia, trauma, urinary retention, bowel incontinence, weight loss Most don’t need XR’s – set this expectation and advise against bed rest Consider XR’s: h/o cancer, …

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Infectious DiseaseOrthopedicsTrauma

REBEL Core Cast – Basics of EM – Vaginal Bleeding

Take Home Points Get a upreg on any childbearing age female with vaginal bleeding – this is an ectopic pregnancy until proven otherwise Confirm vaginal vs rectal bleeding – it can be hard for patients to tell, especially the elderly …

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Obstetrics and Gynecology

REBEL Core Cast – Basics of EM – Lower Abdominal Pain

Take Home Points Get a upreg on every female patient of child bearing age with lower abdominal pain – this is an ectopic pregnancy until proven otherwise Always consider ovarian/testicular pathology for lower abdominal pain Always have a chaperone when …

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Abdominal and GastroinstestinalObstetrics and Gynecology

REBEL Core Cast – Basics of EM – Diffuse and Flank Abdominal Pain

Take Home Points Diffuse abdominal pain can be anything – keep a broad differential and work from there Old patient and flank pain = aortic catastrophe – aortic dissections and aneurysms can knock off flow to the kidneys Appendicitis and …

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Abdominal and GastroinstestinalEndocrine, Metabolic, Fluid, and ElectrolytesRenal and Genitourinary

REBEL Core Cast – Basics of EM – Epigastric Pain

Take Home Points Patients don’t necessarily know what’s important – ask lots of questions, find out if they’ve been taking a ton of NSAID’s or Tylenol for their pain and now they have an ulcer or hepatitis Keep a broad …

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Abdominal and GastroinstestinalEndocrine, Metabolic, Fluid, and ElectrolytesInfectious Disease

REBEL Core Cast – Basics of EM – Introduction to Abdominal Pain

Take Home Points Go in thinking sick vs not sick – this can take time to develop and that’s ok, this skill will come as you see more patients If you’re thinking about getting a scan or u/s – just …

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Abdominal and GastroinstestinalInfectious DiseaseResuscitation

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