REBEL Cast

Salim R. Rezaie, MD
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Sep 18, 2024 • 9min

REBEL Core Cast 127.0 – Penetrating Neck Injuries

Take Home Points Anticipate anatomically challenging airways and consider early intubation prior to loss of airway anatomy. Skip the zones of the neck and focus on hard signs of vascular (Shock w/o another source, Pulsatile bleeding, Expanding hematoma, Audible bruit, Signs of stroke) or aerodigestive (Airway compromise, Bubbling wound, Extensive SubQ air, Stridor, Significant hemoptysis/hematemesis). ... Read more The post REBEL Core Cast 127.0 – Penetrating Neck Injuries appeared first on REBEL EM - Emergency Medicine Blog.
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Jul 22, 2024 • 45min

A Winning Hand in Cardiology: Queen of Hearts AI Model Enhances OMI Detection

Background: Cath lab activation based on ST-elevation myocardial infarction (STEMI) criteria is founded on aging data and requires evolution. In the “Occlusive Myocardial Infarction (OMI) Manifesto,” emergency physicians Dr. Steve Smith, Dr. Pendell Meyers, and Dr. Scott Weingart introduced a new paradigm —OMI vs. non-occlusive myocardial infarction (NOMI). The OMI/NOMI paradigm focuses on the presence ... Read more The post A Winning Hand in Cardiology: Queen of Hearts AI Model Enhances OMI Detection appeared first on REBEL EM - Emergency Medicine Blog.
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14 snips
Jul 10, 2024 • 25min

REBEL Core Cast 126.0 – Peds Hem Onc Emergencies

Joanna Piero, a pediatric hematologist oncologist at Staten Island University Hospital, shares her expertise in managing critical pediatric hematology and oncology emergencies. She emphasizes the life-saving importance of administering antibiotics within an hour for patients with fever and neutropenia. Joanna stresses that fever in sickle cell patients is always an emergency, requiring immediate cultures and treatment. She also discusses crucial red flags in pediatric headaches that may suggest a brain tumor, highlighting the need for swift specialist consultations.
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6 snips
Jun 26, 2024 • 8min

REBEL Core Cast 125.0 – Hyperkalemia

Explore the critical steps for managing hyperkalemia in emergency care. Learn why an EKG is essential upon patient presentation, especially for those with renal issues. Discover the common causes, including medications and massive cell death, that lead to elevated potassium levels. Hear about the alarming cardiac effects and neuromuscular symptoms that can arise. The discussion emphasizes timely interventions like administering calcium salts for unstable patients, showcasing the urgency in tackling this common electrolyte disorder.
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Jun 12, 2024 • 15min

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy

Take Home Points Management of severe beta-blocker and calcium-channel blocker toxicity should occur in a stepwise fashion: potential gastric decontamination, multiple lines of access, judicious fluids, calcium, glucagon, and vasopressors as needed. Initiation of high dose insulin therapy requires a tremendous amount of logistical and cognitive resources as it requires cross-disciplinary collaboration and is prone ... Read more The post REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy appeared first on REBEL EM - Emergency Medicine Blog.
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May 29, 2024 • 7min

REBEL Core Cast 123.0 – Posterior Epistaxis

Take Home Points: Posterior epistaxis is a rare, life-threatning presentation. The key is in identifying and rapidly gaining control with a posterior pack or foley catheter. These patients often require surgical intervention so get ENT to the bedside and admit to a place with a higher level of monitoring. REBEL Core Cast 123.0 – Posterior ... Read more The post REBEL Core Cast 123.0 – Posterior Epistaxis appeared first on REBEL EM - Emergency Medicine Blog.
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May 23, 2024 • 0sec

ANNEXA-1: Andexanet Alfa Associated with Harm in DOAC Reversal

Background: In May of 2018, Andexanet alfa gained accelerated approval by the FDA for the reversal direct oral anticoagulants (DOACs) despite a lack of robust evidence for use. The 2022 AHA/ASA guidelines give the drug a level 2A recommendation and recommend it over the use of 4F-PCC (Greenberg 2022). FDA approval alongside guideline endorsement has ... Read more The post ANNEXA-1: Andexanet Alfa Associated with Harm in DOAC Reversal appeared first on REBEL EM - Emergency Medicine Blog.
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9 snips
May 15, 2024 • 8min

REBEL Core Cast 122.0 – Neutropenic Fever

Neutropenic fever poses serious risks, especially for chemotherapy patients. The podcast discusses its causes, emphasizing that the body's own flora can be the biggest threat. Quick administration of broad-spectrum antibiotics is crucial in reducing mortality. Additionally, management strategies such as initial resuscitation and collaboration with infection specialists are highlighted. The shift in infection prevalence from gram-negative to gram-positive is another important point, making vigilant monitoring essential.
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May 13, 2024 • 13min

REBEL Cast Ep126: Should We Not Be Recommending Small Adult BVMs in OHCA?

Background: The holy grail of outcomes in OHCA is survival with good neurologic outcome.  The only interventions proven to increase this outcome are high quality CPR and defibrillation in shockable rhythms.  Ventilation is also an important component of resuscitation in OHCA.  Excess minute ventilation can adversely affect hemodynamics due to increased intrathoracic pressure (i.e. decreased ... Read more The post REBEL Cast Ep126: Should We Not Be Recommending Small Adult BVMs in OHCA? appeared first on REBEL EM - Emergency Medicine Blog.
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May 1, 2024 • 5min

REBEL Core Cast 121.0 – Acute Sinusitis

Take Home Points Acute rhinosinusitis is a clinical diagnosis The vast majority of acute rhinosinusitis cases are viral in nature and do not require antibiotics Consider the use of antibiotics in select groups with severe disease or worsening symptoms after initial improvement. REBEL Core Cast 121.0 – Acute Sinusitis Click here for Direct Download of ... Read more The post REBEL Core Cast 121.0 – Acute Sinusitis appeared first on REBEL EM - Emergency Medicine Blog.

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