When would you use a sub-dissociative dose of Ketamine? For acute pain!
Here's a REBEL REVIEW discussing the studies by @PainfreeED from @Maimonides_EM
Also @srrezaie goes into further detail here: https://loom.ly/vXK6v0Q
#FOAMed @EMSwami @MRamzyDO @Marco_propersi
🚨 Check it out on REBEL EM: Size Matters!
Are you using the right cuff?
New RCT shows the wrong cuff size skews SBP/DBP.
📉 Too Small cuff = High BP
📈 Too Large cuff = Low BP
📌 Details: https://wp.me/pdrP8b-5k6
@marco_propersi @EMSwami @srrezaie @MRamzyDO
🚨 REBEL EM Gear Available! 🚨
Show your love with our I Love EBM—REBEL EM Heart Logo collection! 🎉 T-shirts, hoodies, mugs, and stickers—perfect for the EBM community! 🫁💥
👉 Shop now and wear your passion! https://loom.ly/voSxpiI
#REBELEM #EMIMCC #FOAMed
❄️ Winter is coming… and so are the pneumonia admits.
CURB-65, PSI/PORT, SMART-COP — they’re not answering the same question. One guides admit vs discharge, another predicts mortality, and one spots who’s about to crash.
New on @REBEL_EM 👉 https://loom.ly/pUrda8w
🎧 NEW CoreCast!
🫁 Confused about hypoxia vs hypoxemia?
We’ve got a simple bedside approach‼️
🚫 Shunt ≠ Dead space
💡 Know when FiO₂ fails & PPV saves
🔗 https://loom.ly/hJFaydE
#FOAMed #MedSky #EMIMCC
🚨 REBEL EM x ResusX 🚨
Proud affiliate sponsors of ResusX—EM + Critical Care conference in Philly 🏙️⚡️ High-yield resus + practical ED/ICU pearls. Register here: https://loom.ly/f4mCyAk (supports free FOAMed)
🎟️ Use code: REBEL20
Tag a partner who’d actually go with you 👇
☕Ever heard of a Coffee Nap?! You're about to!
💤Learn Different Ways to Improve Your Sleep & Recovery
🎧Listen to how sleep is different from rest in our latest MIND episode: https://loom.ly/D7omzuc
#FOAMed @MRamzyDO @Marco_Propersi @EMSwami @AAEM #Rest #Sleep #Recovery
RENOVATE Trial: HFNC vs BPAP in ARF
📊 Did HFNC match BPAP in 5 respiratory failure subgroups?
✅ Non-inferior in 4/5
🧪 Bayesian dynamic borrowing = statistical edge
🚫 Futility in immunocompromised patients
Read more 👉 https://wp.me/pdrP8b-5sU
#FOAMed
🚨 PEERLESS Trial: intermediate-risk PE (selected for catheter therapy) — FlowTriever LBMT vs CDT. LBMT “wins” the 5-part win ratio mainly via ICU use; remove ICU metrics and it’s NS. Mortality/ICH/bleeding similar.
#FOAMed
🔗 https://wp.me/pdrP8b-5tG
🧪 ICARUS-ED: Early albumin in sepsis?
📉 Minor gains in numbers, no real outcome benefit
💰 30x the cost vs crystalloids
⚠️ Outcomes > optics
🔍 Full breakdown: https://wp.me/pdrP8b-5oc
❤️ Like 🔁 Repost 🔔 Follow for more
#FOAMed #MedX #MedTwitter #MedEd
🧠💥 1 month of intractable headache.
Tried NSAIDs, antiemetics, steroids, nerve blocks, Topamax, ubrogepant—nothing worked.
Then 💉 2.5 mg IV Haldol = near-total relief.
Old drug, new role?
🔗 https://loom.ly/ic39bnw
#FOAMed #EMIMCC #MedSky
🚨 Vasopressor Extravasation?
Act fast.
💉 Phentolamine
🧴 Nitro ointment
💨 SC Terbutaline
Quick-reference REBEL REVIEW 👇
📸 PMID: 28890646
#FOAMed #EM #CriticalCare #PharmTips
📣 A new REBEL Crit dives into the Ket-Mid RCT. Ketamine + midazolam significantly outperformed midazolam alone in pediatric status epilepticus.
✅ More seizure cessation
✅ Fewer intubations
✅ No increased harms
👀 Promising? Yes.
📊 Practice changing? Not yet.
🔗 https://wp.me/pdrP8b-5qZ
🚫 Routine casting for all snuffbox tenderness?
🩹 The SUSPECT Trial says… maybe not.
Bandaging was noninferior for occult scaphoid fx w/ better ROM + satisfaction.
🧠 Re-think your reflexes.
📖 https://wp.me/pdrP8b-5nC
#FOAMed #EmergencyMedicine
🚨 New on REBEL EM!
💨💉 Nebulized TXA for Hemoptysis
⚡ 72% stopped bleeding in 30 min (vs 51% w IV)
📉 Fewer procedures: 25% vs 48% BAE
🌬️ Easy, cheap, non-invasive
✅ Bottom Line: Neb TXA is safe, accessible & effective—but needs more validation.
👉 https://wp.me/pdrP8b-5om
#EMIMCC #FOAMed #MedSky
GCS is standard—until sedation/intubation makes it unreliable.
⚡SMS for speed
🧠🫁FOUR for intubated + brainstem/resp trending
🔗 Link: https://wp.me/pdrP8b-5vW
New MDCalc Wars post on REBEL EM. #EmergencyMedicine
🫀VTach Treatment starts w/identifying underlying cause
4️⃣Here's a REBEL REVIEW describing 4 ways to manage this life-threatening arrythmia!
👀More at https://loom.ly/LNw6HwY
#FOAMed @emswami.bsky.social @mramzydo.bsky.social
💉How effective is haloperidol for delirium in the ICU? Find out here with the AID-ICU Trial: https://loom.ly/WJ487I8
🌀Check out the CAM-ICU Algorithm below!
#FOAMed @mramzydo.bsky.social @marco-propersi.bsky.social
🤔Is Tamsulosin Effective in Increasing Spontaneous Passage Rate of Ureteral Stones?
💊In large ureteral calculi 5mm or greater, Tamsulosin is recommended for facilitating stone expulsion and decreasing associated pain
👀Check out the clinical conundrum on REBEL: https://loom.ly/4fmvJLw
#FOAMed
🤔How can we apply performance science in the ED & ICU?
🔍Starts w/understanding why
⏱️ Recovery focus
📊 Data-Driven insights
📚Personalized performance solutions
🎙️Listen to full episode w/Allyn Abadie: https://loom.ly/8DNmPCA
🥼SIGN Up to Join the cohort: https://loom.ly/3UxsS2k
🚨The HOPE Trial out now on REBEL EM:
🧠 Late-window benefit: Alteplase improved outcomes in pts treated 4.5–24 hrs after stroke onset depending on imaging
🕒Supports a “tissue over time” approach
⚠️ Benefit–risk tradeoff
👀Check out the full post here: https://loom.ly/yNSrnJg
#FOAMed
🫁 New Core Cast: The Tachypneic Patient
Short + shallow = BIG problem ⚠️
👁 Watch chest rise
✋ Palpate abdomen
👂 Listen
🧠 Synthesize
🎧 Full episode: [https://wp.me/pdrP8b-5ng]
#FOAMed #EmergencyMedicine #PulmPearls #Tachypnea #MedEd
🧠 RSI Trial: Ketamine vs Etomidate
✅ 28-day mortality: no statistically significant difference (≈1% absolute diff favoring ketamine)
⚠️ Ketamine: more cardiovascular collapse, mainly pressor escalation
#FOAMed
🫀 Is Abelacimab the future of AFib anticoagulation?
🧬 Novel Factor XI inhibitor
📉 >60% less bleeding vs rivaroxaban
❓Stroke protection still uncertain
🔄 Needs Phase 3 trials vs apixaban
📖 Read more: https://wp.me/pdrP8b-5se
#FOAMed
📞The 4 Steps of an ED Consult:
👋 Introduce yourself and your role
🎯 Lead with the outcome (the ask)
🧾 Give a focused case summary (why it’s theirs + what you’ve done)
🔁 Close the loop
🎙️Listen here: https://loom.ly/qCEyHGg
#FOAMed @EMSwami @MRamzyDO @Marco_propersi
🦠 Tamiflu: Worth It?
📉 Reduces flu symptoms by <1 day
🤢 Nausea, vomiting, headaches common
🚫 No reduction in death or hospitalization in mild cases
So… treat everyone? Maybe not.
📖 Read more: https://wp.me/pdrP8b-5sK
👥 @emswami @marco_propersi @mramzydo
#FOAMed
How great is the Canadian Syncope Score?
Find out in this clinical decision tool's external validation: https://loom.ly/yuSj7_0
Here's one of our REBEL REVIEWS summarizing the tool
#FOAMed #EMIMCC #MedSky #Medicine #Syncope
⁉️Does continuous suctioning during RSI lead to rapid deoxygenation?
🙅🏽♂️NOPE - it did not cause more rapid deoxygenation when compared to a PRN approach
👀Check out the full blog post by @EMSwami here: https://loom.ly/aND5tTw
#FOAMed #Meded @MRamzyDO @marco_propersi @srrezaie
🚨 REBEL EM Gear Available! 🚨
Show your love with our I Love EBM—REBEL EM Heart Logo collection! 🎉 T-shirts, hoodies, mugs, and stickers—perfect for the EBM community! 🫁💥
👉 Shop now and wear your passion! https://loom.ly/voSxpiI
#REBELEM #EMIMCC #FOAMed
❄️ Winter is coming… and so are the pneumonia admits.
CURB-65, PSI/PORT, SMART-COP — they’re not answering the same question. One guides admit vs discharge, another predicts mortality, and one spots who’s about to crash.
New on @REBEL_EM 👉 https://loom.ly/pUrda8w
