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

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)