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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Salicylate Toxicity

Definition: Salicylate toxicity is characterized by a constellation of symptoms caused by acute or chronic overdose of salicylate containing compounds. The most common salicylate is aspirin, but the group also includes topical forms of salicylates, methyl salicylate (Oil of Wintergreen), …

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Toxicology

Wernicke Encephalopathy

Definition: Encephalopathy that occurs secondary to thiamine (vitamin B1) deficiency. While Wernicke encephalopathy is reversible with treatment, it can progress to the irreversible Korsakoff’s syndrome if left untreated.

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Toxicology

Post-Partum Hemorrhage

Definition: Blood loss > 500 ml after a delivery (or > 250 ml after an abortion). The management of post-abortion hemorrhage is similar to that of post-partum hemorrhage (PPH). Definition ADDENDUM: 03/04/2021 ACOG Updated Definition: “is defined as cumulative blood …

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Obstetrics and Gynecology

Bacterial Endocarditis

Background: Definition Infective Endocarditis (IE) = Inflammation of the endothelium of the heart, heart valves (or both) (Osman 2013) Epidemiology Annual incidence = 5-7 cases per 100,000 (Fraimow 2013) 40,000 to 50,000 new cases in the US per year. Average …

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Infectious Disease

Spontaneous Bacterial Peritonitis

Definition: Acute infection of the ascitic fluid in a patient with liver disease without another source of infection Epidemiology: (Runyon 1988, Runyon 1988, Borzio 2001) Incidence 10-25% risk of at least one episode per year 20% risk in those with ascites …

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Infectious Disease

Acute Pancreatitis

Acute Pancreatitis Background: Definition: Acute inflammatory process of the pancreas; a retroperitoneal organ with endocrine and exocrine function. Epidimiology (Rosen’s 2018) US Incidence: 5 – 40/100,000 Mortality: 4-7% Progression to severe disease: 10-15% of cases (mortality in this subset 20-50%) …

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Abdominal and Gastroinstestinal

Button Battery Ingestion

Button Batteries: Small, disc shaped battery cells which are designed for use in small electronic devices. Common sources are kids toys, watches, calculators and hearing aids. Most batteries use lithium as a power source Button Battery Ingestion Danger: Contact with …

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Pediatrics

Pacemaker Basics

Have you ever been confused by the alphabet soup of pacemakers? This post will serve as a pacemaker basics reference.

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Cardiovascular

Baclofen Withdrawal

Definition: A dysfunctional condition in which removal of baclofen, an inhibitory neurotransmitter, from the central nervous system (CNS) causes CNS excitation.

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Toxicology

Hyperthermia Syndromes

Definition: A life-threatening emergency in which there is a failure of the body’s thermoregulatory mechanisms to handle extrinsic and intrinsic heat. The failure of thermoregulation leads to multi-system organ dysfunction characterized by alteration of neurologic function. Unlike in fever, hyperthermia …

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Environmental

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