REBEL Cast

Take Home Points Constantly evolving disease with various presentations Identify those that are hypoxic are deliver appropriate oxygen therapy Give steroids to those that are hypoxic Educate patients about the course of the disease and what to look out for the requires hospitalization Encourage vaccination! REBEL Core Cast – Basics of EM – COVID-19 Click ... Read more

Take Home Points Be aware of the red flags – fever, HIV, hemoptysis, TB risk factors Is the onset acute or chronic Characterize sputum production – spoon full, cup full, bucket full- Hemoptysis – most can have streaking and thats normal with bronchitis Always fall back on your H&P – your dx will be in ... Read more

Take Home Points Look for the red flags – fever, drooling, neck stiffness, toxic ingestion, uvula deviation, voice changes Steroids help with swelling Obtain CT soft tissue neck for concerning presentations Don’t be a cowboy/cowgirl – get consultants involved early – ENT/Anes/OMFS Make sure you repeat vital signs prior to discharge – if patient remains ... Read more

Take Home Message Do not ignore abnormal vital signs – they can be the harbinger of badness Watch out for developing withdrawal, treat early and aggressively These patients are a major fall risk – keep rails up, place on safety observation Obtain a CT Head for anyone with external signs of trauma EtOH level not ... Read more

Take Home Points Walk in – decide sick/not sick Do I need help now? If so, call in the troops Stable – start asking questions – A LOT OF THEM Investigate – reach out to family, bystanders, EMS, PMD, pharmacy Perform a head to toe exam – check the jiblets and scan the bladder for ... Read more

Take Home Points Always check the vital signs of the eye – visual acuities, field of vision, ocular pressure Go in thinking whether you have to call Optho or not Get the story – was there trauma or did it just appear? Do the exam – Is it red or painful, are there changes in ... Read more

Take Home Points Patients >65 or suspected of intoxication are at high risk for bleeds – scan them!! Epidural has a lucent period – be wary of decompensation and perform frequent re-evals. Anti-coagulated patients must be reversed. FFP takes hours to work, PCC takes minutes. Nasal fractures – examine septum for hematoma – need to ... Read more

Take Home Points Hypertension rarely causes headache, it’s usually the other way around. Patients with headaches are in pain, and in turn, may have elevated blood pressures. Treat the underlying issue and you’ll treat the HTN at the same time. Get a pregnancy test on all female patients – you don’t want to miss a ... Read more

REBEL Core Cast – Basics of Emergency Medicine Podcast Welcome to the EMRA Basics of Emergency Medicine Podcast. I am your host EJ Wright, and the following series is an all encompassing approach to the most common chief complaints in the ED based on the well known EMRA Basics of Emergency Medicine, A Chief Complaint-Based ... Read more

Take Home Points Priapism is compartment syndrome of the penis. Ischemia and infarction can occur with prolonged priapism and rapid treatment and detumescence is critical Provide adequate analgesia early to facilitate necessary interventions. Dorsal block of the penis is the most effective analgesic approach Do not delay aspiration and irrigation if more conservative measures fail ... Read more