REBEL Cast

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

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

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

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

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

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

REBEL Core Cast 58.0 – Wound Care IV Click here for Direct Download of Podcast Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

REBEL Core Cast 58.0 – Crush Your Rotation Click here for Direct Download of Podcast EMRA Basics of EM Referenced in Podcast For Purchasing this book Link is HERE Read More EMRA: Making the Most of Patient Presentations Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Background: It’s no surprise that unplanned, emergency intubations are significantly different from intubations in the operating room (OR). Unplanned intubations on the floors and in the ED and ICU settings are highly unlikely to be “physiologically optimized:” they have underlying shock, respiratory failure, metabolic acidosis, as well as other pathophysiological changes that can substantially increase ... Read more

Take Home Points If youre concerned about a retained foreign body make sure to get imaging There is a higher risk of wound infection associated with age, diabetes, wound size, contamination, and a location not on the head or neck. Other conditions that impair wound healing include renal failure, obesity, malnutrition, immunocompromised status.  Prophylactic antibiotics ... Read more