Archive

Rebel Category: REBEL Core

REBEL Core Cast 110.0 – On Shift Learning Pearls

Take Home Points: Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < …

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REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

Take Home Points: In the context of poisoning, a “wide QRS” is anything greater than 100 milliseconds. A newly “wide QRS”, especially with hemodynamic instability, should prompt consideration of sodium channel blockade and not ventricular tachycardia. Treatment is guided by …

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Toxicology

REBEL Core Cast 108.0 – Angioedema

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management. Urticaria and pruritus …

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Allergy and Immunology

REBEL Core Cast 107.0 – Vertebral Osteomyelitis

Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. Baseline labs should not guide diagnosis, but may assist in later management. MRI is key to diagnosis, obtain this imaging in …

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Infectious DiseaseOrthopedics

Back in the Game: The Effects of Activity on Youth Concussion Recovery

Background: Sports-related concussions are among the most common injuries in children and adolescents, affecting millions of youth athletes annually.1 Given their prevalence in this population, providers must be up to date on diagnosis and management. Historical practice recommends rest to …

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Pediatrics

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