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.
REBEL Core Cast 78.0 – Herpes Zoster
Take Home Points Classically, herpes zoster will present with rash and pain in a dermatomal distribution Immunocompromised patients are at greater risk for significant complications of zoster, including visceral dissemination and zoster ophthalmicus Appropriate therapy includes antiviral therapy within 72 hours of onset of symptoms and analgesia for acute neuritis Disseminated zoster and zoster ophthalmicus ... Read more
REBEL Cast Book Club Episode 3 — An Astronaut’s Guide To Life on Earth
In this episode of the REBEL Cast Book Club, Swami, Marco, Steve, and Brandon discuss how the lessons learned from Col. Chris Hadfield’s “An Astronaut’s Guide to Life on Earth” might apply to emergency medicine. REBEL Reflections Episode 3: An Astronaut’s Guide To Life on Earth Click here for Direct Download of the Podcast Post ... Read more
REBEL Core Cast 79.0 – Orthostatics in Volume Loss
Bottom Line: Based on the limited available evidence, it’s unlikely orthostatic vital sign measurement can be used to determine which patients have volume loss and which do not. The baseline prevalence of orthostatic vital signs is common and patients will not always develop orthostatic vital signs in response to volume loss. Therefore, there will both ... Read more
REBEL Core Cast 80.0 – Compartment Syndrome
Take Home Points Compartment syndrome is a life and limb threatening emergency that requires early recognition, prompt diagnosis and immediate management with fasciotomy While clinical evaluation is flawed, pain out of proportion to injury and pain with passive stretch of muscles within the compartment are the best screening tools. Do not wait for the development ... Read more
REBEL Cast Ep109: The RePHILL Trial
Background: Currently, trauma resuscitation focuses on immediate hemorrhage control, resuscitation with blood products (i.e. PRBCs, plasma) and early administration of tranexamic acid. The evidence for the use of blood-based resuscitation in the pre-hospital system has been mixed (PAMPer and COMBAT trials). While early administration of blood products makes physiologic sense, proof of benefit is important ... Read more
REBEL Core Cast 81.0 – Priapism
Take Home Points Priapism is compartment syndrome of the penis. Ischemia and infarction can occur with prolonged priapism and rapid treatment and detumescence is critical Provide adequate analgesia early to facilitate necessary interventions. Dorsal block of the penis is the most effective analgesic approach Do not delay aspiration and irrigation if more conservative measures fail ... Read more
Great little podcast
I'm a medical student on my emergency medicine placement at the moment and this podcast is very useful. The episode on comparing amiodarone vs procainamide in management of VT was insightful and the discussion high-quality. Many of the episodes are short (> 20 min) which lend to easy listening while having lunch.