REBEL Cast podcast

REBEL Cast

Salim R. Rezaie, MD

Rational Evidence-Based Evaluation of Literature

50 Episodes

  • REBEL Cast podcast

    REBEL Core Cast 66.0 – Congenital Cardiac Issues

    27:51

    Take Home Points Once you figure out the neonate that presented to your ED is sick, run through a differential of why then can be sick so you don’t anchor. I like to use TIMOT (Trauma, Infection, Metabolic, Organs, Tox) but use whatever works for you. Use your detailed history looking for risk factors to ... Read more The post REBEL Core Cast 66.0 – Congenital Cardiac Issues appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI

    15:28

    Background: The clinical importance of immediate coronary angiography after out of hospital cardiac arrest (OHCA) without STEMI continues to be debated. A systematic review and meta-analysis published in 2016 suggested that this set of patients has a high likelihood of having a culprit lesion when getting a catheterization. However, the studies included in this review ... Read more The post REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

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  • REBEL Cast podcast

    REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension

    14:04

    REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension Click here for Direct Download of Podcast Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie) The post REBEL Core Cast 65.0 – Idiopathic Intracranial Hypertension appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Core Cast 64.0 – Acute Pancreatitis

    12:48

    Take Home Points Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipase 3x normal, CT scan) A RUQ US should be performed looking for gallstones as this finding significantly alters management The focus of management is on supportive care. IV fluids, while central ... Read more The post REBEL Core Cast 64.0 – Acute Pancreatitis appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Core Cast 63.0 – Adrenal Crisis

    8:44

    Take Home Points Adrenal insufficiency is a life-threatening emergency; recognize early and treat aggressively Hallmark is hypotension refractory to IVF/pressors Suspect in patients with unexplained hypotension and risk factors Prior glucocorticoid therapy History of autoimmune diseases Hyperpigmentation  AIDS or TB history Treat empirically with hydrocortisone 100mg IV and search for precipitating causes Less than 50% ... Read more The post REBEL Core Cast 63.0 – Adrenal Crisis appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Cast Ep100: REVVED UP – COVID-19 Vaccination in the ED

    24:51

    Background: COVID-19 is now a vaccine preventable illness but, unfortunately, many have not received the COVID-19 vaccine due to a number of reasons including access, misinformation and a lack of confidence.  In the US, the emergency department is the safety net of healthcare and could play a bigger role in increasing vaccination rates in vulnerable ... Read more The post REBEL Cast Ep100: REVVED UP – COVID-19 Vaccination in the ED appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Core Cast 62.0 – Hemophilia

    19:57

    Take Home Points Infuse factor first, investigate later Treat when bleeding is suspected, not confirmed. Have a low threshold! It is better to over treat than undertreat. Give full dose when in doubt Factor 8 = 50U/kg Factor 9 = 100 U/kg Beware of hidden bleeds (brain, retroperitoneal, deep muscles) If patient has inhibitors, or ... Read more The post REBEL Core Cast 62.0 – Hemophilia appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Core Cast 61.0 – Debriefing

    14:22

    Take Home Points 1. Debriefing is critical. Studies show numerous benefits in terms of team communication and staff ability to regroup. 2. Start by gathering your team, thanking them for their work and noting that nothing could have changed the patient’s ultimate outcome. 3. Summarize the events so everyone is on the same page and ... Read more The post REBEL Core Cast 61.0 – Debriefing appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Core Cast 60.0 – Pyomyositis

    20:23

    Take Home Points – Unexplained tachycardia (or any abnormal vital sign) warrants investigation. – Pain, induration, “woody” feel of any muscle group should raise suspicion of infection in that muscle group that has spread hematogenously especially in those with predisposing factors (e.g HIV, trauma, IVDA) – Early pyomyositis will not necessarily have abscess formation – ... Read more The post REBEL Core Cast 60.0 – Pyomyositis appeared first on REBEL EM - Emergency Medicine Blog.
  • REBEL Cast podcast

    REBEL Core Cast 59.0 – C-Spine Intubation

    11:20

    Take Home Points Neck movement (both extension and flexion) has the ability to cause cord damage. Using hyperangulated blade in video laryngoscopy improves chances for glottic visualization in patients with a c-collar in place. Ultimately, hypoxemia kills – Intubate the patient with what you have available, as there has not been shown to be a ... Read more The post REBEL Core Cast 59.0 – C-Spine Intubation appeared first on REBEL EM - Emergency Medicine Blog.

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