REBEL Cast

📌 Key Points 🧠 Mastery Learning: A unique educational framework focusing on achieving high competence with minimal variability among learners.   🔍 Deliberate Practice: Involves learner-driven improvement, guided by expert feedback and breaking skills down into micro steps.   🦺 Psychological Safety: Essential in mastery learning, allowing open feedback without fear or shame, enhancing growth. E...

What Is Nitrous Oxide? Nitrous Oxide (N2O) is a colorless, odorless inhaled anesthetic that has been used for centuries, particularly in the surgical world. Mechanistically, it can induce euphoria, anxiolysis, and intoxication via NMDA receptor antagonism. During the late twentieth century, nitrous oxide was increasingly used recreationally due its accessibility and perceived benign nature. The mo...

🔑 Key Points 🧩 Human Factors: The unseen behaviors, distractions and considerations critical in emergency medicine and the ICU, influencing patient care beyond just medical knowledge. 🎯 System Design: Effective system design directly impacts team performance by creating environments that facilitate optimal decision-making. 🏥 Real-world Application: The application of human factors in healthcar...

 📌Key Points  🧠 Parallel Tasking:  Transitioning from junior to senior roles in medicine involves both personal growth and the development of leadership skills, often simultaneously.  🚀 Psychological safety:  Creating this within teams is critical for fostering an environment where all members feel empowered to speak up and share insights. 🔎  Big and Small Picture View:  Effective leadership r...

🔑Key Points 🌱  Growth mindset transforms learning  – Residents and students who believe skills can be developed are more open to feedback, more resilient after failure, and more engaged in practice. 🧠  Language matters in feedback  – Simple reframes such as "You're developing procedural skills" instead of "You're not strong at procedures" encourage persistence and normalize the learning curve....

🔑Key Points ☕ Try the coffee nap! Where you combine caffeine and a 30-minute nap to then have that boost energy and alertness by the time it kicks in. 💤 Sleep isn't optional—it's crucial for memory, mood regulation, and physical recovery. It is fundamentally different from rest ❌ Replacing sleep with caffeine isn't effective and can have negative health impacts. Make getting enough sleep a pri...

📌 Key Points 🔍 Understanding the Why:  The significance of understanding underlying causes, beyond initial diagnoses, in both sports and emergency medicine is explored. ⏱️ Recovery Focus : Emphasizing the importance of recovery time and small daily choices in optimizing performance for both athletes and emergency physicians. 📊 Data-Driven Insights:  The Arena Labs approach uses personalized dat...

In this episode of Rebel Core Content, Swami breaks down one of the most important (and most underrated) skills in emergency medicine: how to give a clean, effective consult—and what to do when you get pushback. Learn a simple 4-step framework to structure every consult (introduce yourself, lead with the ask, give a focused summary, and close the loop), plus ready-to-use scripts for common scenari...

REBEL Cast: The RSI Trial — Ketamine vs Etomidate in Critically Ill Adults In this episode, we break down the 2025 NEJM RSI trial comparing ketamine and etomidate for tracheal intubation in critically ill adults (Casey et al., PMID: 41369227). This multicenter randomized trial enrolled 2,365 patients across ED and ICU settings and asked a clinically important question: does ketamine improve 28-day...

📌 Key Points 💨  HFNC met criteria for non-inferiority  to BPAP for preventing intubation or death within 7 days in four of the five ARF subgroups. 🧪  Bayesian dynamic borrowing increased power  across subgroups but created variable certainty, especially in smaller groups such as COPD. 🫁  The immunocompromised hypoxemia subgroup  did not meet non-inferiority, leading to early trial stopping for...

🗝️Key Points  Rest isn't a luxury; it's a necessity and differs significantly from sleep in terms of mental and physical recovery needs.  Uncovering the seven types of rest can highlight diverse needs: physical, mental, sensory, creative, emotional, social, and spiritual.  Rest from high-stress environments such as the ED is crucial for reducing exhaustion, enhancing decision-making, and maintaini...

🗝️ Key Points 💉 Hydrocortisone Saves Lives: The 2023 Cape Cod Trial (NEJM) showed a clear mortality benefit and reduced need for intubation in severe CAP patients treated with hydrocortisone. 📊 Guidelines Are Catching Up: The SCCM (2024) and ERS now recommend steroids for severe CAP, while ATS/IDSA updates are still pending. 🔥 Redefining "Severe": Patients requiring high FiO₂ (>50%), noninvasiv...

📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the globe. As emergency medicine gains traction in Spain, this conference has become an essential platform f...

📌 Key Points 💪  Building Resilience: Rebel MIND, in partnership with Arena Labs, introduces a science-based performance coaching platform specifically tailored for healthcare professionals, focusing on stress management and burnout prevention. 🤝 Personal Insights: Jackie Penn shares her journey from exercise science to digital coaching, highlighting the importance of tailored coaching in high-p...

🗝️ Key Points 🎯Partnership Focus: New collaboration with Arena Labs aimed at enhancing healthcare worker wellness. 🏃🏽‍♂️‍➡️Personalized Coaching: Tools and coaching programs designed for stress management and performance improvement. 📊Data-Driven Insights: Utilizing wearable sensor data to tackle burnout effectively. 🌄Broad Impact: Offers a unique opportunity to contribute to large-scale heal...

🗝️ Key Points 💨 NIV = Support without a tube: CPAP, BiPAP, and HFNC improve oxygenation and reduce the work of breathing. 🫁 CPAP = Continuous pressure: Best for hypoxemic patients (e.g., pulmonary edema, OSA). ⚖️ BiPAP = Two pressures (IPAP/EPAP): Great for hypercapnic failure (e.g., COPD, obesity hypoventilation). 🌬️ HFNC = Heated, humidified high flow: Reduces effort, improves comfort, and enh...

Welcome to  REBEL MIND — M astering I nternal N egativity during D ifficulty. In this series, we turn the same critical lens REBEL EM uses for literature inward —into mindset, leadership, and psychological safety—so we can deliver better care outward to patients and teams. In this episode and blog post, host Mark Ramzy and co-host Kim Bambach  (Assistant Professor of Emergency Medicine, The Ohio S...

📝 Introduction Learn how to interpret PIP, Pplat, PEEP, and driving pressure on the ventilator. Understand lung compliance, VILI prevention, and ARDS ventilation strategies. 🗝️ Key Points 💨 Peak vs. Plateau Pressures: PIP reflects total airway resistance and compliance, while Pplat isolates alveolar compliance—elevations in both suggest decreased lung compliance (e.g., ARDS, pulmonary edema, pne...

Ventilator management can feel overwhelming—there are so many knobs to turn, numbers to watch, and changes to make. But before adjusting any settings, it's crucial to understand why the patient is in distress in the first place, because the right strategy depends on the underlying cause. In this episode, we'll walk through three different cases to see how the approach changes depending on the prob...

Key Tips for Managing Pediatric Respiratory Cases In this episode of the Rebel Core Content Podcast, host Swami and PEM specialist Dr. Elise Perlman dive into critical insights for managing respiratory cases in infants, babies, and toddlers during the viral season. They discuss important pearls such as assessing patients from the doorway, localizing respiratory sounds, and differentiating between...

📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the globe. As emergency medicine gains traction in Spain, this conference has become an essential platform f...

The QT interval is a vital part of ECG interpretation, reflecting the heart's electrical recovery after each beat. When prolonged, it can set the stage for torsades de pointes . Understanding how to measure and correct the QT interval, identify high-risk medications, and act quickly when TdP occurs is essential for every clinician. This guide walks you through the physiology, interpretation, commo...

Introduction In this episode of the Rebel Core Content podcast, Swami provides crucial tips on using tourniquets. Highlighting the significance of these life and limb-saving devices, the discussion focuses on the optimal placement of tourniquets, emphasizing placing them 2-3 inches (5-6 cm) above the bleeding source and avoiding joints. Swami also advises on the correct way to tighten the tourniqu...

📝Introduction: In this exciting episode of REBEL Cast, host Dr. Mark Ramzy joins forces with renowned educator and speaker, Dr. George Willis. Broadcasting straight from the ACEP 25 in Salt Lake City, the duo talk about bringing together the international emergency medicine community, as they reflect on their experiences at the Increment Conference in Murcia, Spain, and preview the upcoming event...

🗝️Key Points 💧 Fluid Choice Matters: Plasma-Lyte, a balanced crystalloid, corrected acidosis faster than normal saline in severe DKA patients, with no increase in adverse events. 🧪 Chloride Load Concerns: Normal saline's high chloride content can worsen acidosis, potentially slowing bicarb recovery even after the anion gap closes. 🔬 Study Design Strengths: The SCOPE-DKA trial was a cluster cros...