REBEL Cast (Podcast)

Annie Duke, a former World Series of Poker champion, details some of the psychology of decision making in the high-risk gambling in her book, Thinking in Bets. In poker, important decisions must be made quickly in the midst of extreme uncertainty and repeated in rapid succession with each new hand. To learn and improve in this environment, these players learn to embrace uncertainty, tease the luck out of their outcomes and avoid common biases when reviewing their prior performance.  As doctors working in Emergency Medicine we often have do the same thing and the wrong decision could potentially be fatal.

In this episode of Rebel Reflections, four Emergency Medicine Physicians, Jacob White, Marco Propersi, Dan Wolf and Will Smith, discuss how thinking in bets while dealing with levels of uncertainty can benefit our performance and learning in the Emergency Department.

    • How does “resulting” or the tendency to equate a decision’s quality with its outcome affect learning in and after residency?
    • How does thinking on the spectrum of more or less right impact our utilization of new research or of implementing a consultant’s recommendations?
    • How do you avoid decision fatigue during a long shift?

We will discuss these topics and many more on this episode of REBEL Reflections!

Thinking in Bets on

Direct download: Rebel_Reflections_-_Thinking_in_Bets.mp3
Category:Podcast -- posted at: 6:00am CDT

Direct download: Ep_39_-_Dexamethasone_for_Acute_Pharyngitis.mp3
Category:Podcast -- posted at: 5:48pm CDT

Direct download: Episode_36_-_Resuscitate_Before_You_Endoscopate.m4a
Category:Podcast -- posted at: 4:57pm CDT

Direct download: Episode_35_-_Non_Operative_Treatment_of_Appendicitis_NOTA.m4a
Category:Podcast -- posted at: 7:00pm CDT

Direct download: Scott_Weingart_Weighs_in_on_mCPR.wav
Category:Podcast -- posted at: 10:13pm CDT

Direct download: The_Death_of_Mechanical_CPR.m4a
Category:Podcast -- posted at: 5:37pm CDT

1. The Oxygen-ICU Trial

2. The SOCCER Trial

Direct download: February_2017_REBEL_Cast_-_All_Hyperoxia_Edition.m4a
Category:Podcast -- posted at: 7:44pm CDT

1. The EXCEL Trial

2. The NOBLE Trial

Direct download: December_2016_REBEL_Cast.m4a
Category:Podcast -- posted at: 10:46pm CDT

Direct download: November_2016_REBEL_Cast.m4a
Category:Podcast -- posted at: 12:35am CDT

Direct download: Oct_2016_REBELCast_-_New_2016_IDSA_PNA_Guidelines.m4a
Category:Podcast -- posted at: 8:45am CDT

Direct download: September_2016_REBEL_Cast.m4a
Category:Podcast -- posted at: 2:34pm CDT

The PROCAMIO Trial - IV Procainamide vs IV Amiodarone for the Acute Treatment of Stable Wide Complex Tachycardia

Direct download: August_REBELCast.m4a
Category:Podcast -- posted at: 4:53am CDT

Direct download: Is_Apneic_Oxygenation_Overhyped_with_Scott_Weingart.mp3
Category:Podcast -- posted at: 5:03pm CDT

Direct download: Advice_to_the_Graduating_Resident_-_Victoria_Brazil.mp3
Category:Podcast -- posted at: 9:07pm CDT

Direct download: STE_in_aVR_with_Amal_Mattu.mp3
Category:Podcast -- posted at: 8:43pm CDT

  1. What 3 things would you tell yourself when you graduated residency
  2. What are the 3 biggest mistakes you see new EM graduates making
  3. What financial advice would you give the new EM graduate
Direct download: Advice_to_Graduating_Residents_-_Amal_Mattu.mp3
Category:Podcast -- posted at: 5:46pm CDT

  1. What 3 things would you tell yourself when you graduated residency?
  2. What are the 3 biggest mistakes you see new EM graduates make?
Direct download: Advice_to_the_Graduating_Resident_-_Anand_Swaminathan.mp3
Category:Podcast -- posted at: 8:34pm CDT

Sensitivity of Early Brain CT to Exclude Aneurysmal Subarachnoid Hemorrhage

Direct download: February_2016_REBELCast.mp3
Category:Podcast -- posted at: 10:19pm CDT

  1. Reducing D2B times <90min
  2. Continuous vs Interrupted CPR in OHCA
Direct download: December_2015_All_Cardiology_REBELCast.mp3
Category:Podcast -- posted at: 4:58pm CDT

Topic #1: Intravascular Complications of Central Venous Catheter (CVC) Access
Topic #2: US vs Landmark Technique for Peripheral IV Access

Direct download: November_2015_REBELCast.mp3
Category:Podcast -- posted at: 2:55pm CDT

REBELCast Top 5 AHA 2015 Guidelines Updates for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC)

Direct download: October_2015_REBELCast_Wee.mp3
Category:Podcast -- posted at: 9:35pm CDT

1. FAST US Examination as a Predictor of Outcomes After Resuscitative Thoracotomy

2. Blunt Trauma Thoracotomy

Direct download: October_2015_REBELCast.mp3
Category:Podcast -- posted at: 11:37am CDT

Topic #1: Home Treatment of Low Risk Venous Thromboembolism with Rivaroxaban

Topic #2: RV Dilation on Bedside Echo Performed by ED Physicians

Direct download: September_2015_REBELCast.mp3
Category:Podcast -- posted at: 6:52pm CDT

Topic #1: MET for Renal Colic
Topic #2: Use of the Broselow Tape to Estimate Pediatric Weights

Direct download: August_2015_REBELCast.mp3
Category:Podcast -- posted at: 5:59pm CDT

Direct download: FINAL_Early_Cardiac_Catheterization_in_OHCA_With_Non-STEMI.mp3
Category:Podcast -- posted at: 1:03am CDT

Topic #1: The AVOID Trial - Supplemental O2 vs Room Air for STEMI

Topic #2: The FLORALI Trial - High Flow Nasal Cannula (HFNC) for Acute Hypoxemic Respiratory Failure

Direct download: July_2015_REBELCast.mp3
Category:Podcast -- posted at: 3:23pm CDT

  • Topic #1: Corticosteroids in Allergic Reactions & Anaphylaxis
  • Topic #2: Age of Packed Red Blood Cells (PRBCs) in Critically Ill Adults)
Direct download: May_2015_REBELCast.mp3
Category:Podcast -- posted at: 10:55am CDT

Topic: Delayed Sequence Intubation (DSI) of the Hypoxic and Agitated Patient

Direct download: REBELCast_Bootcamp_Edition.mp3
Category:Podcast -- posted at: 9:49am CDT

  1. What Mean Arterial Pressure (MAP) should we target in sepsis?
  2. What Hemoglobin (Hb) transfusion threshold should we target in sepsis?
  3. How good is SIRS criteria for screening in severe sepsis?
  4. What are the take home messages from the sepsis trilogy?
Direct download: REBELCast_-_Sepsis_Care_in_2015.mp3
Category:Podcast -- posted at: 6:51pm CDT

  1. Heroic medical measures in the crashing asthmatic
  2. Intubation of the crashing asthmatic
  3. Ventilator management of the crashing asthmatic
Direct download: The_Crashing_Asthmatic.mp3
Category:Podcast -- posted at: 1:17am CDT

Topic: Is active Compression Decompression CPR with Augmentation of Negative Intrathoracic Pressure for Treatment of Out-of-Hospital Cardiac Arrest superior to standard CPR?

Direct download: April_2015_22Skeptical_Edition22_REBELCast.mp3
Category:Podcast -- posted at: 11:09am CDT

  • Topic #1: Basic Life Support (BLS) vs Advanced Cardiac Life Support (ACLS) in Out of Hospital Cardiac Arrest (OHCA)
  • Topic #2: PROMISE Trial: Anatomic vs Functional Testing for CoronarymArtery Disease (CAD)
Direct download: April_2015_REBELCast.mp3
Category:Podcast -- posted at: 7:48pm CDT

Topic #1:  Oseltamivir (Tamiflu) in the Treatment of Influenza

Topic #2: Use of the HEART Score in Low Risk Chest Pain Patients

Direct download: March_2015_REBELCast.mp3
Category:Podcast -- posted at: 11:47am CDT

Topic #1: Administration of Rapid Sequence Intubation (RSI) Medications via an Intraosseous line.

Topic #2: Compressions During Charging (CDC) in Out of Hospital Cardiac Arrest (OHCA)

Direct download: February_2015_REBELCast.mp3
Category:Podcast -- posted at: 5:29pm CDT

Can we give cephalosporins to patients with a history of penicillin allergy without risking a significant allergic reaction?

Direct download: January_2015_REBELCast.mp3
Category:Podcast -- posted at: 1:54pm CDT

Direct download: FINAL_September_REBELCast.mp3
Category:Podcast -- posted at: 4:14pm CDT

Direct download: REBELCast_August_2014.m4a
Category:Podcast -- posted at: 1:37pm CDT

Welcome to REBELCast Episode 1, where Mat, Swami, and I are going to tackle a couple of scenarios to help your clinical practice. Today, we are going to specifically tackle two different topics:

Topic #1: Clinically Important Biphasic Anaphylaxis

Topic #2: Total Lymphocyte Count (TLC) as a Surrogate Marker for CD4 Counts

Direct download: July_Episode_1_REBEL_Cast.mp3
Category:Podcast -- posted at: 6:47pm CDT

For those who haven't checked out the site already R.E.B.E.L. EM stands for Rezaies's Evidence Based Evaluation of Literature in Emergency Medicine.  The blog was launched in October 2013, and continues to grow every month, and with that growth we are excited to announce the introduction of REBELCast.

Direct download: REBEL_Cast_Intro.mp3
Category:Podcast -- posted at: 6:24pm CDT