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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.

Language:

English


Episodes

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 54: What the Heck is Pseudo-PEA?

6/27/2018
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Background: Pulseless electrical activity (PEA) is an organized electrical activity without a palpable pulse. 1/3 of cardiac arrest cases will be pulseless electrical activity and the overall prognosis of these patients is worse than patients who have shockable rhythms (ventricular fibrillation or pulseless ventricular tachycardia). It can be a challenge to decide when to terminate or […] The post REBEL Cast Ep 54: What the Heck is Pseudo-PEA? appeared first on REBEL EM - Emergency Medicine...

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

REBEL Cast Ep 44: IO vs IV in Out-of-Hospital Cardiac Arrest (OHCA)

1/25/2018
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Background: Placement of vascular access for administration of resuscitation drugs and fluids is a common procedure in the management of out of hospital cardiac arrest (OHCA). While intravenous (IV) placement has been the standard approach for decades, intraosseous (IO) access is rapid and safe and may be the preferred approach due to fact that the bone […] The post REBEL Cast Ep 44: IO vs IV in Out-of-Hospital Cardiac Arrest (OHCA) appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:15:10

REBEL Cast Ep 43: Pain Control and Opioid Sparing Options in the ED

1/8/2018
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Background: In the United States we are not only seeing an opioid epidemic but also a shortage of IV opioid agents. For both reasons, it is important to find non-opioid options for common pain complaints seen in the ED. Changing prescribing practices is difficult but an important step in minimizing opioid usage. Current research suggests […] The post REBEL Cast Ep 43: Pain Control and Opioid Sparing Options in the ED appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:25:00

REBEL Cast Episode 42: Research From the Past Year – In the Pipeline

11/13/2017
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Welcome back to Episode 42 of REBEL Cast. In this episode, we will be discussing some studies from the past year that had some interesting results and a couple of papers that are potentially going to change our practice in the near future (In the Pipeline). Again, this 3 part series will be dedicated to […] The post REBEL Cast Episode 42: Research From the Past Year – In the Pipeline appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:24:52

REBEL Cast Episode 41: Research From the Past Year – Resuscitation

10/26/2017
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Welcome back to Episode 41 of REBEL Cast. In this episode, we will be discussing some studies from the past year that caught our attention in the area of resuscitation. Again, this 3 part series will be dedicated to discussing current literature and how it can be applied to your clinical practice. Episode 41 – […] The post REBEL Cast Episode 41: Research From the Past Year – Resuscitation appeared first on REBEL EM - Emergency Medicine Blog.

Duration:00:18:24