Direct download: Procalcitonin_UTI.mp3
Category:general -- posted at: 2:25pm CDT

Take Home Points

  1. Single dose oral dexamethasone is an excellent choice for asthma exacerbations. It takes away the compliance issue for patients who have trouble getting medications or filling medications once they leave the ED.
  2. Antibiotics aren’t always indicated in COPD exacerbations, but are used much more frequently than in asthma exacerbations because the structural changes in the patient’s lung lead to increased bacterial colonization. In general, if the patient has increased cough or sputum production, they probably would benefit from a course of antibiotics
  3. In general, azithro alone is no longer a good choice as solo covereage for community acquired pneumonia.  Adding either amoxicillin or cefdinir to you amoxicillin should get you good coverage of both strep pneumo and atypicals.
Direct download: REBEL_Core_Cast_3.0.mp3
Category:general -- posted at: 12:16pm CDT

Take Home Points

  1. Bed Up Head Elevated (BUHE) position is a simple intervention that can reduce the rate of intubation-related complications.
  2. The bougie should be considered standard practice in all intubations and has an NNT = 11 for 1st pass success.
  3. Consider using Suction Assisted Laryngoscopy for Airway Decontamination (SALAD) for all intubations to avoid the failed airway due to contamination.
Direct download: REBEL_Core_Cast_4.0.mp3
Category:general -- posted at: 12:39pm CDT

Take Homes

  1. Calcium Channel Blocker (CCB) toxicity usually present with bradycardia and hypotension, but with preserved mental status. This can help differential from Beta Blocker (BB) toxicity, where the patients often have altered mental status.
  2. Hyperglycemia is the other hallmark of CCB toxicity, which can help you differentiate from BB. This hyperglycemia may be a harbinger of impending circulatory collapse, so be on guard in a pt with CCB overdose, normal vitals and hyperglycemia
  3. Don’t be afraid to use and infuse hyperinsulinemia-euglycemia therapy for BB and CCB toxicity. Have a frank and open conversation with your team about how it works to get everyone on board before your start.
  4. TCA overdoses present with a a number of signs and symptoms including anticholinergic symptoms, AMS, hypotension and seizures. Once you identify the TCA toxicity, you’re going to start with fluids and pressors and then move on the antidote which is sodium bicarbonate 1-2 mEq/kg as a bolus followed by a drip. You want to keep pushing sodium bicarb until you see the QRS narrow
Direct download: REBEL_Core_Cast_2.0.mp3
Category:general -- posted at: 12:30pm CDT

A short podcast to announce the launch of a new project under the REBEL EM banner!

Direct download: REBEL_Core_Cast_1.0.mp3
Category:general -- posted at: 4:50pm CDT

Direct download: REBEL_Cast_Ep60_-_Plasma_1st_in_Trauma.mp3
Category:general -- posted at: 11:26am CDT

Direct download: FINAL_REBEL_Cast_Ep59_-_AIRWAYS-2_with_Ashley_Liebig.mp3
Category:general -- posted at: 7:23pm CDT

Direct download: FINAL_PARAMEDIC-2.mp3
Category:general -- posted at: 1:27pm CDT

Direct download: FINAL_REBEL_Cast_Ep36_-_The_CASA_Exam_with_Lead_Author_Kevin_Gardner_MD.mp3
Category:general -- posted at: 11:35pm CDT

Direct download: FINAL_GeriKet.mp3
Category:general -- posted at: 3:47pm CDT

Direct download: FINAL_REBEL_Cast_Ep53_-_POCUS_Predicts_ROSC_in_PEA_Cardiac_Arrest-.mp3
Category:general -- posted at: 5:03pm CDT

Direct download: FINAL_REBEL_Cast_Ep54_-_Hyperoxia_in_the_Critically_Ill.mp3
Category:general -- posted at: 3:04pm CDT

Direct download: Edited_REBEL_Cast_Ep52_-_A_Nightmare_Airway_with_Rob_Bryant.mp3
Category:general -- posted at: 1:36pm CDT

Direct download: REBEL_Cast_Ep50_-_Drunk__Confused.mp3
Category:general -- posted at: 10:14am CDT

Direct download: FINAL_REBEL_Cast_Ep_49_-_Pediatric_Pain_Management.mp3
Category:general -- posted at: 7:43pm CDT

Direct download: REBEL_Cast_Ep_47_-_Blood_Kidney_Stones_and_Stop_Using_So_Much_Oxygen.mp3
Category:general -- posted at: 3:46pm CDT

Direct download: Octreotide_and_Somatostatin_in_Undifferentiated_Upper_GIB.mp3
Category:general -- posted at: 10:00am CDT

Direct download: REBEL_Cast_Ep_46a_-_Respiratory_Failure_and_NIV_with_Haney_Mallemat.mp3
Category:general -- posted at: 11:26am CDT

Direct download: REBEL_EM_-_How_to_Build_a_Great_Presentation.m4a
Category:general -- posted at: 6:56pm CDT

Direct download: FINAL_REBEL_Cast_Ep_44_-_IV_vs_IO_in_OHCA.mp3
Category:general -- posted at: 7:03pm CDT