Archive

Rebel Category: REBEL Cast

REBEL Core Cast 104.0 – Subtle ECGs in Acute Coronary Occlusion

Take Home Points Provider assessment of how the patient looks is extremely important. If it looks and feels like a STEMI clinically, get serial ECGs and consult Cardiology immediately. POCUS has been a phenomenal tool in the management and early ...

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Cardiovascular

REBEL Cast Ep119: A Discussion with Scott Weingart on the CT FIRST Trial

Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC?.  This stemmed a lot of discussion in the background between Swami, myself, and Scott.  We felt it ...

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Resuscitation

REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

Background: Hemorrhage is the leading cause of mortality in trauma patients.  Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid  fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. However, mortality still ...

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Trauma

REBEL Core Cast 103.0 – Caustic Ingestions

Take Home Points Caustics are substances that injure tissue upon physical contact. Caustic potential is not purely a function of pH. The decision to admit is dependent on the history and physical. Vomiting, drooling, and stridor are concerning. Stridor alone ...

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Abdominal and GastroinstestinalToxicology

REBEL Cast Ep117: Low Dose vs Standard Dose Take-Home Buprenorphine From the ED

Background Information: Opioid overdose deaths have been increasing in the past twenty years. The national number of overdose deaths from any opioid has increased 62.5% from 2019 to 2021 (from 48,000 to 81,400 annual deaths), which includes prescription opioids (natural and ...

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Toxicology

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