REBEL Cast

Take Home Points: Carbon monoxide is a colorless, odorless, and tasteless gas that results from incomplete combustion of any carbon containing product. Exposure often occur unintentionally from indoor use of gas powered generators, camp stoves, or faulty home heaters. The symptoms of mild, acute exposure are non-specific and can be confused with a variety of ... Read more The post REBEL Core Cast 114.0 – Carbon Monoxide Toxicity appeared first on REBEL EM - Emergency Medicine Blog.

Take Home Points: All STEMIs should be loaded with dual antiplatelet therapy. Prasugrel (Effient) is avoided as there is an increase in bleeding complications if the patient requires a CABG. NSTEMI cases can be challenging to manage. Consult Cardiology early and use all available data. The appropriate medical treatment for ACS patients is as important ... Read more The post REBEL Core Cast 113.0 – ACS Therapies and Management appeared first on REBEL EM - Emergency Medicine Blog.

Take Home Points: Dose your RSI meds correctly.  Reach for post-intubation sedation at the same time you are asking for your induction agent and paralytic.   Propofol is a great choice for post-intubation sedation, and if your patient becomes hypotensive do not be afraid of adding on a pressor!  REBEL Core Cast 112.0 – Awareness During ... Read more The post REBEL Core Cast 112.0 – Awareness During Paralysis appeared first on REBEL EM - Emergency Medicine Blog.

Explore the benefits and limitations of coronary CTN geography as a cardiac test for low-risk chest pain patients. Learn about the importance of selecting appropriate tests based on symptoms and considering limitations. Understand the usefulness of CCTA and nuclear stress tests in assessing heart conditions. Trust your intuition alongside test results.

Take Home Points: Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < 12 hours. In anaphylaxis, think, “If A, B or C, give E.” If the patient ... Read more The post REBEL Core Cast 110.0 – On Shift Learning Pearls appeared first on REBEL EM - Emergency Medicine Blog.

This podcast discusses the significance of ECG in evaluating overdose patients and the connection between QRS prolongation and sodium channel blockade. It explores ECG changes seen in tricyclic antidepressant and Diphenhydramine overdoses. The importance of considering sodium channel blockade as a differential diagnosis for widened QRS intervals is highlighted. Treatment recommendations for wide, complex tachycardia caused by sodium channel blockade with sodium bicarbonate are provided.

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. REBEL Core Cast ... Read more The post REBEL Core Cast 108.0 – Angioedema appeared first on REBEL EM - Emergency Medicine Blog.

A podcast discusses vertebral osteomyelitis, a rare condition characterized by inflammation of the vertebra caused by infection. The challenges in diagnosing the condition and the importance of advanced imaging for accurate diagnosis are explored. The podcast also emphasizes the need for surgical consultation for patients with neurologic symptoms and the challenges of pathogen-directed therapy in the emergency department.

Topics in this podcast include the significance of nerve blocks for emergency medicine doctors, the use of nerve blocks for older patients, the advantages of using rupivacane for nerve blocks, effective pain blocks for rib and pelvic fractures, tips for maximizing success with nerve blocks, and the importance of learning nerve blocks for emergency clinicians.

Background: Getting a definitive airway in a critically ill trauma patient can be a stressful situation.  The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge. Traditional RSI entails preoxygenation followed by ... Read more The post REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients appeared first on REBEL EM - Emergency Medicine Blog.