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.

REBEL Core Cast 62.0 – Hemophilia

by Anand Swaminathan posted July 28, 2021 No Comments

Take Home Points Infuse factor first, investigate later Treat when bleeding is suspected, not confirmed. Have a low threshold! It is better to over treat than undertreat. Give full dose when in doubt Factor 8 = 50U/kg Factor 9 = …

Hematology and Oncology

REBEL Core Cast 61.0 – Debriefing

by Anand Swaminathan posted July 14, 2021 No Comments

Take Home Points 1. Debriefing is critical. Studies show numerous benefits in terms of team communication and staff ability to regroup. 2. Start by gathering your team, thanking them for their work and noting that nothing could have changed the …

REBEL Core Cast 60.0 – Pyomyositis

by Anand Swaminathan posted June 30, 2021 1 Comment

Take Home Points – Unexplained tachycardia (or any abnormal vital sign) warrants investigation. – Pain, induration, “woody” feel of any muscle group should raise suspicion of infection in that muscle group that has spread hematogenously especially in those with predisposing …

REBEL Core Cast 59.0 – C-Spine Intubation

by Anand Swaminathan posted June 16, 2021 1 Comment

Take Home Points Neck movement (both extension and flexion) has the ability to cause cord damage. Using hyperangulated blade in video laryngoscopy improves chances for glottic visualization in patients with a c-collar in place. Ultimately, hypoxemia kills – Intubate the …

Procedures and SkillsResuscitation

REBEL Core Cast 58.0 – Wound Care IV – Future Directions

by Anand Swaminathan posted June 10, 2021 No Comments

Trauma

REBEL Core Cast 57.0 – Crush Your Rotation

by Anand Swaminathan posted June 2, 2021 2 Comments

REBEL Core Cast 56.0 – Wound Care III – Pitfalls

by Anand Swaminathan posted May 19, 2021 2 Comments

Take Home Points If youre concerned about a retained foreign body make sure to get imaging There is a higher risk of wound infection associated with age, diabetes, wound size, contamination, and a location not on the head or neck. …

Trauma

REBEL Core Cast 55.0 – Wound Care II – Dogma

by Anand Swaminathan posted May 5, 2021 No Comments

Take Home Points There is no strict golden hour for wound closure. Location, contamination and patient factors all should be taken into account Dog bites can be closed primarily. Bites on the hand and foot are higher risk for infection. …

Trauma

REBEL Core Cast 54.0 Wound Care I – Foreign Bodies

by Anand Swaminathan posted April 21, 2021 3 Comments

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 …

Trauma

REBEL Core Cast 53.0 – Hypertensive Encephalopathy

by Anand Swaminathan posted April 7, 2021 No Comments

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 …

Cardiovascular

REBEL Core

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