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 71.0 – Troubleshooting the Vent
Take Home Points: DOPES is not just a memory tool. It give you a structured approach to taking care of vented patients with vital sign changes. Check for dislodgement of the tube, obstruction of the tube, pneumothorax, equipment failure, breath stacking and dyssynchrony. Don’t forget that the patient can have more than one issue; always ... Read more
REBEL Cast Ep 105: Thrombolysis Before Endovascular Therapy for LVO Acute Ischemic Stroke
In this episode of REBEL Cast, Anand Swaminathan and I sit down to discuss the utility of thrombolysis prior to Endovascular therapy for LVO acute ischemic stroke. The discussion is broken up into two potential scenarios: Not all facilities are comprehensive stroke centers In comprehensive stroke center, time from door to groin puncture will be ... Read more
REBEL Cast Ep106: The COCA Trial – Calcium in Cardiac Arrest
Background: The utility of pharmacological interventions for patients with OHCA are rather limited with no robust evidence that they improve outcomes. Calcium, one of the pharmacological options has both inotropic and vasopressor effects. Additionally, calcium plays an important role in the management of hyperkalemia which is a significant cause of cardiac arrest. There have been ... Read more
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
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