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For those who haven’t checked out the site already R.E.B.E.L. EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine. The blog was launched in October 2013, and continues to grow every month, and with that growth we are excited to give you REBEL Cast. This podcast will review evidence based literature and end with a clinical take home point for your clinical practice.

For those who haven’t checked out the site already R.E.B.E.L. EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine. The blog was launched in October 2013, and continues to grow every month, and with that growth we are excited to give you REBEL Cast. This podcast will review evidence based literature and end with a clinical take home point for your clinical practice.
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Location:

United States

Description:

For those who haven’t checked out the site already R.E.B.E.L. EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine. The blog was launched in October 2013, and continues to grow every month, and with that growth we are excited to give you REBEL Cast. This podcast will review evidence based literature and end with a clinical take home point for your clinical practice.

Twitter:

@srrezaie

Language:

English

Contact:

2106323133


Episodes

REBEL Core Cast 3.0 – Asthma, COPD + PNA

1/23/2019
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Take Home Points Single dose oral dexamethasone is an excellent choice for asthma exacerbations. It takes away the compliance issue for patients who have trouble getting medications or filling medications once they leave the ED. Antibiotics aren’t always indicated in COPD exacerbations, but are used much more frequently than in asthma exacerbations because the structural […] The post REBEL Core Cast 3.0 – Asthma, COPD + PNA appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:14:05

REBEL Core Cast 2.0 – Cardiotoxic Drugs

1/9/2019
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Take Homes Calcium Channel Blocker (CCB) toxicity usually present with bradycardia and hypotension, but with preserved mental status. This can help differential from Beta Blocker (BB) toxicity, where the patients often have altered mental status. Hyperglycemia is the other hallmark of CCB toxicity, which can help you differentiate from BB. This hyperglycemia may be a […] The post REBEL Core Cast 2.0 – Cardiotoxic Drugs appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:08:19

REBEL Cast Ep 61: Diagnostic Questions in Urinary Tract Infections in the Elderly

1/3/2019
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Introduction: Beyond the Data The evolution from eminence-based to evidence-based care has come to define bedside emergency medicine, with rigorous skepticism and scholarly consideration accelerated by the power of global connectivity. Where anecdote and opinion once drove therapy, clinicians now approach clinical conundrums with deliberate reflection, expecting—and at times demanding–ever-higher proof of perfection prior to […] The post REBEL Cast Ep 61: Diagnostic Questions in Urinary...

Duration:00:18:08

REBEL Core Cast 1.0 – The Intro

12/26/2018
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REBEL EM-ers: Salim, Jenny and I would like to announce the launch of a new REBEL EM project. Beginning in 2019, we’ll be adding a core content section to the website. This will include core content blog posts and a core content podcast with a dedicated place on the parent site. Instead of creating a […] The post REBEL Core Cast 1.0 – The Intro appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:02:52

REBEL Cast Ep60: COMBAT and PAMPer – Prehospital Plasma in Trauma

11/5/2018
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Background: Care of trauma patients with severe bleeding has advanced in recent years with a focus on damage control resuscitation which includes permissive hypotension, hemostatic resuscitation (blood component resuscitation), and hemorrhage control. Minimizing crystalloids in favor of blood component-based resuscitation in the prehospital setting has the potential to reduce downstream complications by intervening closer to the […] The post REBEL Cast Ep60: COMBAT and PAMPer – Prehospital...

Duration:00:21:40

REBEL Cast Ep 59: AIRWAYS-2 – Supraglottic vs Tracheal Intubation in OHCA

9/27/2018
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Background:There is a lack of high quality RCTs investigating optimal airway management in patients with out-of-hospital cardiac arrest (OHCA). The majority of evidence comes from observational studies and expert opinion. The observational trials have consistently favored basic airway management (i.e. BVM) over tracheal intubation [3]. Supraglottic airway(SGA) devices offer an alternative advanced airway management technique to endotracheal […] The post REBEL Cast Ep 59: AIRWAYS-2 –...

Duration:00:30:26

REBEL Cast Ep58 – Would you be SHoC-ED if POCUS did not Improve Clinical Outcomes in Patients with Undifferentiated Shock?

8/6/2018
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Background: POCUS has been touted as the stethoscope 2.0, a true game changer in patient care. There is no patient population that this statement should hold more true for, than in patients with undifferentiated shock (SBP <100mmHg or SI > 1). Everyone has a story about how ultrasound changed their management or even saved a patient’s life. Unfortunately, […] The post REBEL Cast Ep58 – Would you be SHoC-ED if POCUS did not Improve Clinical Outcomes in Patients with Undifferentiated Shock?...

Duration:00:25:31

REBEL Cast Ep57 – Cardiac Arrest Sonographic Assessment (CASA) with Lead Author Kevin Gardner, MD

7/25/2018
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Background: In the ED, POCUS has become one of the most important tools in discovering both the diagnosis and in the management of critically ill patients. cardiac arrest, is ultimately as sick as a person can get in the spectrum of critical illness. I mean how can someone be deader than dead, right? There has been […] The post REBEL Cast Ep57 – Cardiac Arrest Sonographic Assessment (CASA) with Lead Author Kevin Gardner, MD appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:17:19

REBEL Cast Ep56 – PARAMEDIC-2: Time to Abandon Epinephrine in OHCA?

7/20/2018
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Background: Epinephrine(adrenaline) has been used in advanced life support in cardiac arrest since the early 1960s. Despite the routine recommendation for its use, evidence to support administration is less than ideal. Although it is clear from multiple observational studies that epinephrine improves return of spontaneous circulation (ROSC) and short-term survival, most evidence suggests an absence of […] The post REBEL Cast Ep56 – PARAMEDIC-2: Time to Abandon Epinephrine in OHCA? appeared...

Duration:00:27:09

REBEL Cast Ep 55 – Hyperoxia in the Critically Ill

7/9/2018
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Background: Critically ill patients come to the ED all the time and it is almost reflexive to liberally administer oxygen in these acutely ill patients. Many providers may consider supplemental oxygen a harmless and potentially beneficial therapy in these patients, irrespective of the presence or absence of hypoxemia (i.e. hyperoxia). There have been several trials (Stroke […] The post REBEL Cast Ep 55 – Hyperoxia in the Critically Ill appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:12:53

REBEL Cast Ep53 – GeriKet – Ketamine Analgesia in Older Adults

6/13/2018
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Background: The provision of safe and judicious analgesia is an important task for the emergency physician. Recent literature has demonstrated the effectiveness of sub-dissociative ketamine (SDK) in the emergency department (ED) setting (Motov 2015), however concerns regarding increased rates of hemodynamic and psychoperceptual adverse effects have limited application of this analgesic strategy in older populations. […] The post REBEL Cast Ep53 – GeriKet – Ketamine Analgesia in Older Adults...

Duration:00:14:01

REBEL Cast Ep 52: A Nightmare Airway with Rob Bryant

6/11/2018
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In terms of airway management, cricothyrotomy is one of the most advanced airway procedures an ED physician will perform. It is a last resort procedure when a patient is not able to be ventilated/oxygenated and/or intubated. Typically, this procedure requires the identification of certain landmarks such as the cricothyroid membrane, but what if you can’t […] The post REBEL Cast Ep 52: A Nightmare Airway with Rob Bryant appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:37:18

REBEL Cast Ep 51: The ABC’s of Palliative Care in the Emergency Department with Mari Siegel

6/6/2018
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Many of us have heard the saying that emergency medicine is the best 15 minutes of every other specialty. This, is in part, due to the wide breadth of disease and knowledge one must have to take care of patients. In emergency medicine we typically focus on acute disease specific problems and life sustaining treatments, […] The post REBEL Cast Ep 51: The ABC’s of Palliative Care in the Emergency Department with Mari Siegel appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:35:59

REBEL Cast Episode 50 – Intoxicated Patients can Equal Badness

5/7/2018
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Background: Visits to the ED for alcohol intoxication can create quite the clinical conundrum both for acute medical and traumatic reasons. Acutely intoxicated patients, just like young kids, don’t always have the ability to communicate due to sedation, agitation, or some other critical medical/traumatic process that is ongoing. This makes getting a complete history or […] The post REBEL Cast Episode 50 – Intoxicated Patients can Equal Badness appeared first on REBEL EM - Emergency Medicine...

Duration:00:22:22

REBEL Cast Episode 49: Pediatric Pain Management Pearls with Sebrina Perkins

4/26/2018
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Background: There has been lots of research published in past years on how to minimize pain and anxiety in children brought to the ED. Unfortunately, as we all know there is often a lag time from research publication to clinical application. It has been my experience that health care professionals tend to provide inconsistent and […] The post REBEL Cast Episode 49: Pediatric Pain Management Pearls with Sebrina Perkins appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:25:44

REBEL Cast Ep 48: Octreotide and Somatostatin for Undifferentiated Upper Gastrointestinal Bleed

4/13/2018
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Recently I was asked to speak at the Texas College of Emergency Physicians (TCEP) conference April 2018. The particulars of this session were, five, 10 minute lectures on new indications for old drugs. My topic was the use of octreotide and somatostatin for undifferentiated upper gastrointestinal bleeding. This is a particular topic I have been […] The post REBEL Cast Ep 48: Octreotide and Somatostatin for Undifferentiated Upper Gastrointestinal Bleed appeared first on REBEL EM - Emergency...

Duration:00:06:55

REBEL Cast Ep 47: Blood Transfusions, Lidocaine for Kidney Stones, and Stop Using So Much Oxygen

3/26/2018
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Background: Welcome back to REBEL Cast episode 47. In this issue we are going to talk about some recent trials published in the past year that have gotten some love in the FOAMed world. We have been meaning to discuss these trials, but just simply didn’t have the time until now. What trials are we […] The post REBEL Cast Ep 47: Blood Transfusions, Lidocaine for Kidney Stones, and Stop Using So Much Oxygen appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:27:46

REBEL Cast Ep 46b: Vent Management in the Crashing Patient with Haney Mallemat

3/12/2018
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In Episode 46a we discussed respiratory failure and NIV. In episode 46b we are going move on to the patient where you have tried NIV and your patient just doesn’t seem to be improving. You decide to intubate your patient and connect them to the ventilator. Now the ventilator starts beeping and your patient begins […] The post REBEL Cast Ep 46b: Vent Management in the Crashing Patient with Haney Mallemat appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:18:03

REBEL Cast Ep 46a – Respiratory Failure and NIV with Haney Mallemat

2/26/2018
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Imagine you have a patient in respiratory failure sitting right in front of you. The patient has an increased work of breathing and obviously in distress. Monitors are beeping, nurses are asking you what you want to do, and if you don’t do something, the patient is going to arrest and potentially die. What is […] The post REBEL Cast Ep 46a – Respiratory Failure and NIV with Haney Mallemat appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:19:25

REBEL Cast Ep 45: How to Build a Great Presentation

2/5/2018
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What’s Wrong With Lectures/Presentations Now? Lecturing style has remained stagnant despite the fact that our understanding of how people learn has changed. Most presentations make the supportive media (i.e. slides) the focus of the presentation without thought about the story or the delivery. Lectures are too focused on the educator instead of focusing on the […] The post REBEL Cast Ep 45: How to Build a Great Presentation appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:35:00