Wed, 2 April 2025
In this episode of Rebel Cast, host Marco Propersi, along with co-hosts Steve Hochman and Kim Baldino, delve into the practice and importance of street medicine—the direct delivery of healthcare to homeless and unsheltered individuals. Special guests Dr. Jim O'Connell, a pioneer of street medicine, and Dr. Ed Egan, a recent street medicine fellowship graduate, share their experiences and insights on serving this vulnerable population. They discuss the origins, scope, and challenges of street medicine, the ethical dilemmas faced, and the profound impact of building trust and community with patients. The conversation underscores the necessity of integrating street medicine with mainstream healthcare systems and emphasizes that small acts of kindness and persistence can significantly improve the lives of those experiencing homelessness.
00:00 Introduction to Rebel Cast 00:18 Meet the Hosts and Guests 00:47 Understanding Street Medicine 02:22 Origins and Early Challenges 07:23 Street Medicine in Practice 20:11 Barriers to Care 22:23 Housing First Experiment 26:56 Ethical Dilemmas in Street Medicine 27:52 Challenges of Providing Care on the Streets 29:56 The Role of Street Medicine Teams 31:17 The Importance of Building Trust 33:55 Limitations and Realities of Street Medicine 37:37 The Future of Street Medicine 41:42 Integrating Street Medicine with Emergency Medicine 43:36 Personal Reflections and Lessons Learned 48:56 Advice for Aspiring Street Medicine Practitioners 53:03 Final Thoughts and Encouragement
Direct download: Street_Medicine__Compassionate_Care_for_the_Unhoused.mp3
Category:Podcast -- posted at: 7:39am CDT |
Wed, 13 March 2024
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.
We will discuss these topics and many more on this episode of REBEL Reflections! |
Sat, 22 July 2017
Direct download: Ep_39_-_Dexamethasone_for_Acute_Pharyngitis.mp3
Category:Podcast -- posted at: 5:48pm CDT |
Tue, 25 April 2017
Direct download: Episode_38_-_Do_All_Submassive_PEs_Require_Treatment_with_Thrombolysis-.mp3
Category:Podcast -- posted at: 2:55pm CDT |
Tue, 18 April 2017
Direct download: Episode_37_-_Definitions_and_Identification_of_Sepsis_-_Sepsis_2.0_vs_Sepsis_3.0.m4a
Category:Podcast -- posted at: 11:53pm CDT |
Sun, 16 April 2017
Direct download: Episode_36_-_Resuscitate_Before_You_Endoscopate.m4a
Category:Podcast -- posted at: 4:57pm CDT |
Mon, 27 March 2017
Direct download: Episode_35_-_Non_Operative_Treatment_of_Appendicitis_NOTA.m4a
Category:Podcast -- posted at: 7:00pm CDT |
Sat, 25 March 2017
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Tue, 21 March 2017
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Tue, 7 March 2017
Direct download: March_2017_REBEL_Cast_-_Triage_ECGs_-_Reducing_Interruptions_in_a_Busy_ED.m4a
Category:Podcast -- posted at: 8:15pm CDT |
Fri, 17 February 2017
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 |
Wed, 14 December 2016
1. The EXCEL Trial 2. The NOBLE Trial |
Wed, 30 November 2016
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Sat, 8 October 2016
Direct download: Oct_2016_REBELCast_-_New_2016_IDSA_PNA_Guidelines.m4a
Category:Podcast -- posted at: 8:45am CDT |
Fri, 2 September 2016
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Fri, 5 August 2016
The PROCAMIO Trial - IV Procainamide vs IV Amiodarone for the Acute Treatment of Stable Wide Complex Tachycardia |
Sat, 12 March 2016
Direct download: Is_Apneic_Oxygenation_Overhyped_with_Scott_Weingart.mp3
Category:Podcast -- posted at: 5:03pm CDT |
Fri, 11 March 2016
Direct download: Advice_to_the_Graduating_Resident_-_Victoria_Brazil.mp3
Category:Podcast -- posted at: 9:07pm CDT |
Tue, 1 March 2016
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Sat, 27 February 2016
Direct download: Advice_to_Graduating_Residents_-_Amal_Mattu.mp3
Category:Podcast -- posted at: 5:46pm CDT |
Fri, 26 February 2016
Direct download: Advice_to_the_Graduating_Resident_-_Anand_Swaminathan.mp3
Category:Podcast -- posted at: 8:34pm CDT |
Tue, 9 February 2016
Sensitivity of Early Brain CT to Exclude Aneurysmal Subarachnoid Hemorrhage |
Sat, 5 December 2015
Direct download: December_2015_All_Cardiology_REBELCast.mp3
Category:Podcast -- posted at: 4:58pm CDT |
Fri, 6 November 2015
Topic #1: Intravascular Complications of Central Venous Catheter (CVC) Access |
Tue, 20 October 2015
REBELCast Top 5 AHA 2015 Guidelines Updates for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) |
Sat, 3 October 2015
1. FAST US Examination as a Predictor of Outcomes After Resuscitative Thoracotomy 2. Blunt Trauma Thoracotomy |
Sun, 6 September 2015
Topic #1: Home Treatment of Low Risk Venous Thromboembolism with Rivaroxaban Topic #2: RV Dilation on Bedside Echo Performed by ED Physicians |
Sun, 9 August 2015
Topic #1: MET for Renal Colic |
Tue, 28 July 2015
Direct download: FINAL_Early_Cardiac_Catheterization_in_OHCA_With_Non-STEMI.mp3
Category:Podcast -- posted at: 1:03am CDT |
Sun, 28 June 2015
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 |
Sat, 9 May 2015
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Sat, 9 May 2015
Topic: Delayed Sequence Intubation (DSI) of the Hypoxic and Agitated Patient |
Mon, 27 April 2015
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Thu, 23 April 2015
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Sat, 11 April 2015
![]() 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 |
Sat, 28 March 2015
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Mon, 2 March 2015
Topic #1: Oseltamivir (Tamiflu) in the Treatment of Influenza Topic #2: Use of the HEART Score in Low Risk Chest Pain Patients |
Sun, 8 February 2015
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) |
Fri, 9 January 2015
Can we give cephalosporins to patients with a history of penicillin allergy without risking a significant allergic reaction? |
Mon, 1 September 2014
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Tue, 29 July 2014
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Wed, 2 July 2014
![]() 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 |
Wed, 2 July 2014
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. |