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 72.0 – Lung US
Take Home Points: Lung ultrasound is simple, quick and accurate for real time, bedside assessment of your patient with acute undifferentiated dyspnea PTX: least dependent area, shallow depth, lung sliding, lung point CHF: scan across the 4 zones of the chest, look for B lines Bringing this to the bedside can give you diagnostic closure ... Read more
REBEL Core Cast 73.0 – Basic Asthma Management
Take Home Points: First line treatment for asthma exacerbations is inhaled beta agonists, inhaled anticholinergics and systemic corticosteroids. The majority of patients presenting to the ED with asthma exacerbations should be started on short-burst corticosteroids to control inflammation and prevent admission and relapse. Diagnostic testing is not required for the majority of patients with asthma ... Read more
REBEL Crit Cast Ep6.0 – Mastering Mechanical Ventilation Part 1
Mechanical Ventilation is a modality commonly used in the critically ill, but many providers, may not have a strong understanding of the basics. Emergency Medicine and Critical Care Physicians need to have a firm grasp of the basic concepts of mechanical ventilation because without it, we can do serious harm to our patients. Airway management ... Read more
REBEL Core Cast 74.0 – Cauda Equina Syndrome
Take Home Points: Cauda equina syndrome is a rare emergency with devastating consequences Early recognition is paramount as the presence of bladder dysfunction portends bad functional outcomes The presence of bilateral lower extremity weakness or sensory changes should alert clinicians to the diagnosis. Saddle anesthesia (or change in sensation) and any bladder/bowel changes in function ... Read more
REBEL Cast Ep107: The BOUGIE Trial – Bougie First in All Emergency Intubations?
Background: Emergency endotracheal intubation is a potentially life-saving procedure in the management of critically-ill patients. The inherent risks associated with the procedure challenge us to refine our skills and adopt new techniques that can improve our performance. The bougie is an inexpensive device that has gained considerable traction in the last ten years. In 2018, ... Read more
REBEL Core Cast 75.0 – Femoral Lines
Take Home Points: Newer data suggests that the infection and DVT rates for femoral lines are similar to that for internal jugular central lines. In a resuscitation situation, there are likely faster ways to obtain access than a femoral line (ie IO, Peripheral IV). If you are going to place a femoral line, use ultrasound ... Read more
Setting a Standard
Salim and the rest of the REBEL EM team are very knowledgeable; setting a standard for EM podcasts. Their content is evidence-based and delivered via a quality production. 5-stars!
HFNC - Frank nailed it!
Franks recent podcast on HFNC was extremely informative. Really appreciate the pneumonic and I took away some new information from it.
LOVE the podcast
So informative! As a ER FNP, the insights given by the presenters have improved my clinical practice greatly. Thank you so much for all y’all do!
Damon spears, FNP-C
PS: it would be great to be able to listen to ALL the podcasts back to 2013 on the iPhone