REBEL Cast

Take-Home Points: The conditions needed to achieve flow are: Clear goals Immediate feedback Balance between challenge and skill We can use the flow state to supercharge our productivity. Establish clear goals Preform deep work Reflect on shortcomings REBEL MedEd Cast Ep1.0: – Autotelics and Flow Click Here for Direct Download of the Podcast Definition of ... Read more

Take Home Points There is no strict golden hour for wound closure. Location, contamination and patient factors all should be taken into account Dog bites can be closed primarily. Bites on the hand and foot are higher risk for infection. If you close, strongly consider adding antibiotic prophylaxis Sterile water is unnecessary for wound decontamination ... Read more

Background: It has long been thought that intravenous contrast can lead to acute kidney injury. Recent data, however, has called this dogmatic teaching into question.  Unfortunately, the data arguing against the association of contrast with AKI comes from observational trials and, thus, carry with it numerous biases.  One potential bias is baseline differences in the ... Read more

Take Home Points FBs are a very common complication of wounds. X-ray is poor at detecting foreign bodies US is a tremendous tool and be used dynamically at the bedside to assist w FB extraction Prophylactic antibiotics are not routinely recommended REBEL Core Cast 54.0 – Wound Care I – Foreign Bodies Click here for ... Read more

REBEL Cast Book Club Episode 1: The Coddling of the American Mind Click here for Direct Download of Podcast Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Take Home Points Altered mental status has numerous possible etiologies. Splitting it into vital sign issues, toxic/metabolic, infectious processes, CNS issues (bleed, mass) and psych/dementia is a good way to organize your thoughts Hypertensive encephalopathy is a diagnosis of exclusion – make sure you’re not dealing with another process like meningitis or an intracranial hemorrhage ... Read more

Procrastination is simply put, a voluntary delay of tasks that we intend to do. In this REBEL Core Cast, Anand Swaminathan, MD and Marco Propersi, DO sit down and talk about why we procrastinate and steps we can each take to overcome it. REBEL Core Cast 52.0 – Procrastination Click here for Direct Download of ... Read more

REBEL Core Cast 51.0 – Conference Pearls Click here for Direct Download of Podcast Read More REBEL EM: Epidural Abscess REBEL EM: Pacemaker Basics Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% (Gifford 2008, Pallin 2005). Standard anterior epistaxis treatment consists of holding pressure, use of local vasoconstrictors, topical application of silver nitrate and placement of an anterior nasal pack. ED patients with epistaxis often fail ... Read more

Background: Opioid-related emergency department visits have been increasing over the past two decades in correlation with increasing rates of heroin use in the United States. Naloxone, which is used to reverse heroin overdose, has a half-life of approximately 60 to 90 minutes (2). A 4 to 6 hour observation period after naloxone reversal has typically ... Read more