REBEL Cast

🔑 Key Points 🛏️  Fewer ICU Admissions Only 5 patients in the SQuID group required ICU care vs 99 in the traditional insulin drip group. ⏱️  Shorter ED Stays ED length of stay dropped by ~3 hours in the SQuID group—an operational win in crowded departments. 💉  No Drop in Nursing Workload Despite using subQ insulin, nurses still performed hourly glucose checks and frequent injections. 🧪  Focus on...

🗝️ Key Points ❌ Don't chase perfect numbers: Adequate and safe is often better than "perfect but harmful." 💨 Oxygenation levers: Start with FiO₂ and PEEP, but remember MAP is the true driver. 🫁 Ventilation levers: Adjust RR and TV, tailored to underlying physiology. 🚫 Watch your obstructive patients: Sometimes less RR is more . 📝 Introduction When you take the airway, you take the wheel and y...

🗝️ Key Points 💨 Start with Breath Types: Controlled, assisted, and supported breaths are the foundation of all modes. 🛌 Comfort Over "Best Mode": No mode improves mortality — focus on patient synchrony and comfort. ✅ Know the Big 5 Modes: AC : All controlled or assisted (volume or pressure). PS : Fully spontaneous, great for SBTs. PRVC : Pressure-delivered, volume-targeted hybrid. SIMV : Mixed...

⏰ Highlights 00:00 Introduction to Rebel Cast 00:10 Highlighting the Incrementum Conference 2026 00:34 Meet the Founders of Incrementum 01:21 The Journey to Incrementum 04:27 The Recognition of Emergency Medicine in Spain 06:04 What is Incrementum? 08:14 Bringing Together Top Emergency Medicine Experts 11:38 Exciting Sessions to Look Forward To 15:54 Conclusion and Invitation to Increment 2026 📝...

Key Points: 💨 Master the 3 Types of Breaths Control , Assist , and Spontaneous — know the difference before tackling ventilator modes. 📦 Breath Delivery: Volume vs. Pressure Volume-Targeted = fixed volume → monitor pressure 📈 Pressure-Targeted = fixed pressure → monitor volume 🫁 Lung Compliance = Pressure-Volume Relationship Volume mode: ↑ pressure = ↓ compliance (stiff lungs) Pressure mode: ↓...

Limitations of IO access include: Placing an IO in a bone with a proximal fracture, a previous IO placement attempt or any circulatory compromise proximal to the site is contraindicated Blood work drawn from an IO are generally not accurate, so once the patient has been resuscitated with the IO, intravenous blood draws are recommended Dislodgement is common; it is best to use the stabilizer that c...

Show Notes:   On this episode of the Rebel Cast, Swami takes a deep dive into pneumothorax decompression, focusing on the need for improvements beyond the classic teachings. Covering scenarios where immediate decompression is critical, particularly in tension pneumothorax, Swami discusses the limitations of needle decompression, especially in the second intercostal space at the midclavicular line....

  In this episode, we will dive into a simple yet effective bedside approach to a patient in shock. By using quick physical exam findings and bedside vitals (particularly pulse pressure), you can form a quick assessment of the likely underlying etiology of a critically ill patient.  

Sinus tachycardia is the most prevalent cardiac dysrhythmia in critically ill patients, yet it often receives less attention than it warrants. While the rhythm itself is not inherently dangerous, it serves as a crucial indicator of underlying physiological disturbances that require prompt evaluation and management.

In this episode, we focus on the bedside evaluation of the tachypneic patient. Tachypnea (increased respiratory rate) can be an early indicator of serious illness, but not every tachypneic patient is on the verge of arrest. The key is honing your bedside assessment to recognize who is at risk for rapid deterioration and why . We break down a practical approach you can use immediately at the bedsid...

In this episode, we break down a practical bedside approach to hypoxemia. We clarify the difference between hypoxemia (low oxygen in the blood) and hypoxia (low oxygen at the tissue level), and walk through the major causes of hypoxemia that you need to recognize quickly at the bedside.

Acetaminophen (APAP) overdose remains one of the most common causes of acute liver failure in the United States. While its therapeutic use is widespread and generally safe, unintentional overdoses and delayed presentations can lead to devastating outcomes. In this episode of REBEL Cast, Swami breaks down the pathophysiology, clinical course, diagnostic approach, and evidence-based management of AP...

I n 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...

In this episode of RebelCast, host Dr. Marco Propersi and guest Dr. Lynnsey Moss discuss the comparative study of piperacillin-tazobactam versus cefepime in the treatment of undifferentiated sepsis. They discuss a recent retrospective cohort study which examines 90-day mortality rates is sepsis patients treated with these antibiotics. The researchers explore the role of anti-anaerobic coverage and...

In this episode of Rebelcast, hosts Dr. Marco Propersi and Dr. Joe Bove discuss the Queen of Hearts, a groundbreaking AI tool changing the game in EKG interpretation for detecting occlusive myocardial infarctions. Joined by experts Dr. Pendell Meyers and Dr. Steve Smith, they delve into the nuances of OMI classification and highlight the advanced capabilities of this AI model. The conversation cov...

We're back with our in house toxicologist Dr. Sanjay Mohan chatting about toxic alcohol ingestin.

This week we're featuring a cross post from the Only in Staten podcast on peds hem onc emergencies.

This week we dive into hyperkalemia management.