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 54.0 Wound Care I – Foreign Bodies

Take Home Points FBs are a very common complication of wounds. X-ray is poor at detecting foreign bodies US is a tremendous tool and be used dynamically at the bedside to assist w FB extraction Prophylactic antibiotics are not routinely …

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Trauma

REBEL Core Cast 53.0 – Hypertensive Encephalopathy

Take Home Points Altered mental status has numerous possible etiologies. Splitting it into vital sign issues, toxic/metabolic, infectious processes, CNS issues (bleed, mass) and psych/dementia is a good way to organize your thoughts Hypertensive encephalopathy is a diagnosis of exclusion …

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Cardiovascular

REBEL Core Cast 52.0 – Procrastination

Procrastination is simply put, a voluntary delay of tasks that we intend to do. In this REBEL Core Cast, Anand Swaminathan, MD and Marco Propersi, DO sit down and talk about why we procrastinate and steps we can each take …

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REBEL Core Cast 51.0 – Conference Pearls

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CardiovascularInfectious Disease

REBEL Core Cast 50.0 – Superficial Venous Thrombosis

Take Home Points SVT >5cm or <3 cm from the SFJ should be treated with anti-coagulation.  The rate of concurrent DVT and PE in patients with SVT is 25% and 5%, respectively.

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Hematology and Oncology

REBEL Core Cast 49.0 – Abdominal Aortic Aneurysm (AAA)

Take Home Points Consider ruptured AAA in patients (especially those > 50 years of age) with unexplained hypotension, back or abdominal pain All ruptured AAAs should be considered unstable regardless of vital signs as rapid deterioration is common A ruptured …

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Cardiovascular

REBEL Core Cast 48.0 Frostbite

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 …

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Environmental

Hemophilia: For the Love of Bleeding

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 …

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Hematology and Oncology

POCUS and Soft Tissue Foreign Bodies

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 …

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Procedures and Skills

REBEL Core Cast 47.0 Nausea and Vomiting

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 …

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Abdominal and Gastroinstestinal

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