REBEL Cast

By Salim R. Rezaie, MDMedicine Health & Fitness

REBEL Cast episodes

March 08, 2023 REBEL Core Cast 97.0 – Acute Vision Loss II
Take Home Points: Assess patients with floaters or flashers for retinal or vitreous detachment. Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download ... Read more
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8 min
March 02, 2023 REBEL Cast Ep114: High Flow O2, Suspected ACS, and Mortality?
Background: Historically, we have treated acute coronary syndrome with supplemental oxygen regardless of the patient’s oxygen saturation. This intervention was based on the belief that pushing the patient’s PaO2 to supra therapeutic levels would increase O2 delivery to ischemic myocardium and help reduce myocardial injury. More recent evidence, however, demonstrates that too much oxygen could ... Read more
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20 min
February 22, 2023 REBEL Core Cast 96.0 – Acute Vision Loss I
Take Home Points: Suspect glaucoma in any patient with an acute change in vision and get an intraocular pressure measurement First line treatment in acute angle closure glaucoma is a topical beta blocker Consider giant cell arteritis in patients with unilateral headache, jaw claudication and change in vision Don’t wait for the biopsy to start ... Read more
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10 min
February 08, 2023 REBEL Core Cast 95.0 – Herpetic Keratitis
Take Home Points: Fluorescein is an essential tool in the diagnosis of HSV keratitis Identifying the type of HSV keratitis is crucial, as it will guide treatment Update tetanus vaccination Consult ophthalmology if there is concern for HSV keratitis as these patients require close and frequent follow-up REBEL Core Cast 95.0 – Herpetic Keratitis Click ... Read more
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8 min
January 25, 2023 REBEL Core Cast 94.0 – SBO
Take Home Points SBO should be considered in all patients presenting with abdominal pain particularly if they have a prior abdominal surgical history Patients with SBO often have non-specific signs and symptoms. There is no history or physical exam feature that rules out the disease Lactate elevation is a late finding in SBO. A normal ... Read more
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13 min
January 11, 2023 REBEL Core Cast 93.0 – Lithium Toxicity
Take Home Points Lithium toxicity comes in a three flavors: acute, chronic and acute on chronic. Each form will have a different presentation as well as management. Lithium levels are often unreliable in terms of guiding management and must be taken in context with symptoms and time of ingestion (in acute overdose). IV fluids are ... Read more
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13 min
December 19, 2022 REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation
Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. At REBEL EM, we’ve done an extensive write up that details some of ... Read more
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18 min
December 14, 2022 REBEL Core Cast 92.0 – Perichondritis
Take Home Points Perichondritis is an infection of the cartilage and connective tissue of the ear Perichondritis can be recognized clinically by erythema, swelling and tenderness of the auricle. The most common organism in perichondritis is P. aeruginosa and antibiotics should be tailored to cover this organism REBEL Core Cast 92.0 – Perichondritis Click here ... Read more
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4 min
November 16, 2022 REBEL Core Cast 90.0 – Methemoglobinemia
Take Home Points Methemoglobinemia can result from exposure to a number of different medications. The most common are dapsone and topical anesthetic agents (i.e. benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ ... Read more
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6 min
November 02, 2022 REBEL Core Cast 89.0 – Spontaneous Bacterial Peritonitis
Take Home Points Spontaneous Bacterial Peritonitis (SBP) is a difficult diagnosis to make because presentations are variable. Consider a diagnostic paracentesis in all patients presenting to the ED with ascites from cirrhosis An ascites PMN count > 250 cells/mm3 is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal ... Read more
6 min