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 Cast 46.0 – Resuscitative Hysterotomy

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 …

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Obstetrics and Gynecology

REBEL Core Cast 45.0 – Mesenteric Ischemia

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 …

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Abdominal and Gastroinstestinal

REBEL Core Cast 44.0 – Postpartum Hemorrhage

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 …

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Obstetrics and Gynecology

Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 5 Babesiosis

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 …

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Infectious Disease

Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 4 RMSF

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 …

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Infectious Disease

Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 3 Ehrlichiosis

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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Infectious Disease

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

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