REBEL EM

@REBEL__EM

📚 Rational, Evidence-Based Evaluation of Literature in Emergency Medicine | 🚑 All things REBEL EM | 🌍 #FOAMed 🔥 #FOAMcc | 🗣️ Tweets = opinion

Joined April 2021

196Following

4KFollowers

REBEL EM@REBEL__EM · 9 h

🚨 NEW POST: MDCalc Wars 🛑💥 Are you using PERC and Wells correctly? ✅ Start with Wells to guide next steps 🚫 Don’t use PERC in moderate/high-risk 🧪 Use high-sensitivity D-dimer! 👉 Read now: wp.me/pdrP8b-5oN #REBELEM #FOAMed #EM #VTE #PERC #Wells #Medtwitter

REBEL__EM's tweet image. 🚨 NEW POST: MDCalc Wars 🛑💥
Are you using PERC and Wells correctly?

✅ Start with Wells to guide next steps
🚫 Don’t use PERC in moderate/high-risk
🧪 Use high-sensitivity D-dimer!

👉 Read now: wp.me/pdrP8b-5oN
#REBELEM #FOAMed #EM #VTE #PERC #Wells #Medtwitter

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REBEL EM@REBEL__EM · Jul 27

🚨 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 & wear your passion! loom.ly/voSxpiI #REBELEM #FOAMed #EmergencyMedicine #MedED

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REBEL EM@REBEL__EM · Jul 26

💥 The DuCanto Catheter—It Sucks! 🧪 Dominates Yankauer in lab testing 🛠️ Designed for SALAD & bougie-assisted intubation 💡 ~$4 per unit, but might be your next airway MVP 📖 loom.ly/mqNhNW8 👥 @srrezaie @emswami @mramzydo @Marco_Propersi #FOAMed #medtwitter

REBEL__EM's tweet image. 💥 The DuCanto Catheter—It Sucks!
🧪 Dominates Yankauer in lab testing
🛠️ Designed for SALAD &amp; bougie-assisted intubation
💡 ~$4 per unit, but might be your next airway MVP
📖 loom.ly/mqNhNW8
👥 @srrezaie @emswami @mramzydo @Marco_Propersi
#FOAMed #medtwitter

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REBEL EM@REBEL__EM · Jul 24

🫁 What’s Behind the Breath? Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation. 👁 Observe ✋ Palpate 👂 Listen 🧠 Synthesize 🔗 wp.me/pdrP8b-5ng 🎙️ Frank Lodeserto MD @marco_propersi @mramzydo #REBELEM #FOAMed #MedEd

REBEL__EM's tweet image. 🫁 What’s Behind the Breath?
Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation.
👁 Observe
✋ Palpate
👂 Listen
🧠 Synthesize
🔗 wp.me/pdrP8b-5ng
🎙️ Frank Lodeserto MD
@marco_propersi @mramzydo
#REBELEM #FOAMed #MedEd

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REBEL EM@REBEL__EM · Jul 23

🚫 Routine casting for all snuffbox tenderness? 🩹 The SUSPECT Trial says… maybe not. Bandaging was noninferior for occult scaphoid fx w/ better ROM + satisfaction. 📖 wp.me/pdrP8b-5nC @marco_propersi @EMSwami @MRamzyDO @srrezaie #FOAMed #medtwitter #MedX

REBEL__EM's tweet image. 🚫 Routine casting for all snuffbox tenderness?
🩹 The SUSPECT Trial says… maybe not.
Bandaging was noninferior for occult scaphoid fx w/ better ROM + satisfaction.
📖 wp.me/pdrP8b-5nC
@marco_propersi @EMSwami @MRamzyDO @srrezaie
#FOAMed #medtwitter #MedX

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REBEL EM@REBEL__EM · Jul 22

🍁How great is the Canadian Syncope Score? 🍁 Find out in this clinical decision tool's external validation: loom.ly/yuSj7_0 👇🏽Here's one of our REBEL REVIEWS summarizing the tool #FOAMed #Syncope #EmergencyMedicine @EMSwami @MRamzyDO @Marco_Propersi @Srrezaie

REBEL__EM's tweet image. 🍁How great is the Canadian Syncope Score? 🍁

Find out in this clinical decision tool's external validation: loom.ly/yuSj7_0

👇🏽Here's one of our REBEL REVIEWS summarizing the tool

#FOAMed #Syncope #EmergencyMedicine @EMSwami @MRamzyDO @Marco_Propersi @Srrezaie

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REBEL EM@REBEL__EM · Jul 21

🚨 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! loom.ly/voSxpiI #REBELEM #FOAMed #EmergencyMedicine #MedED

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REBEL EM@REBEL__EM · Jul 21

🫀 Sinus tachycardia = a sign, not a diagnosis. Don’t just treat the rate—find the cause. Use this 8-point checklist & skip reflexive beta blockers. 🎧 REBEL Core Cast 137: wp.me/pdrP8b-5nI #FOAMed #MedEd #MEdicine #CriticalCare @Marco_Propersi @mramzydo

REBEL__EM's tweet image. 🫀 Sinus tachycardia = a sign, not a diagnosis.
Don’t just treat the rate—find the cause.
Use this 8-point checklist &amp; skip reflexive beta blockers.

🎧 REBEL Core Cast 137: wp.me/pdrP8b-5nI
#FOAMed #MedEd #MEdicine #CriticalCare @Marco_Propersi @mramzydo

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REBEL EM@REBEL__EM · Jul 20

🚨 New on REBEL EM: Can AI outplay STEMI criteria? 🫀 The Queen of Hearts 🧠 detects subtle OMI on ECG with 80.6% sensitivity vs STEMI’s 32.5%! 🤯 Is this the future of ACS triage? 🔗 loom.ly/r2YY11w #FOAMed #MedTwitter #MedEd @marco_propersi @EMSwami @srrezaie @MRamzyDO

REBEL__EM's tweet image. 🚨 New on REBEL EM: Can AI outplay STEMI criteria? 🫀
The Queen of Hearts 🧠 detects subtle OMI on ECG with 80.6% sensitivity vs STEMI’s 32.5%! 🤯
Is this the future of ACS triage?
🔗 loom.ly/r2YY11w
#FOAMed #MedTwitter #MedEd
@marco_propersi @EMSwami @srrezaie @MRamzyDO

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REBEL EM@REBEL__EM · Jul 19

🚨 Are you using the wrong IVC index? 🫁 Spontaneous = Collapsibility Index (>42%) 💨 Ventilated = Distensibility Index (≥18%) 🔗 loom.ly/ShTQZuA #EmergencyMedicine 🚑 #CriticalCare 🏥 #POCUS 🔍 #MedEd 📚 @marco_propersi @EMSwami @srrezaie @MRamzyDO

REBEL__EM's tweet image. 🚨 Are you using the wrong IVC index?
🫁 Spontaneous = Collapsibility Index (&gt;42%)
💨 Ventilated = Distensibility Index (≥18%)
🔗 loom.ly/ShTQZuA
#EmergencyMedicine 🚑 #CriticalCare 🏥 #POCUS 🔍 #MedEd 📚
@marco_propersi @EMSwami @srrezaie @MRamzyDO

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REBEL EM@REBEL__EM · Jul 18

🧠💥 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? 🔗 loom.ly/ic39bnw #FOAMed @EMSwami @MRamzyDO @Marco_propersi @Srrezaie

REBEL__EM's tweet image. 🧠💥 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?
🔗 loom.ly/ic39bnw
#FOAMed @EMSwami @MRamzyDO @Marco_propersi @Srrezaie

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REBEL EM@REBEL__EM · Jul 17

🚨 Vasopressor Extravasation? Act fast. 💉 Phentolamine 🧴 Nitro ointment 💨 SC Terbutaline Quick-reference REBEL REVIEW 👇 📸 PMID: 28890646 #FOAMed #EM #CriticalCare #PharmTips @EMSwami @MRamzyDO @Marco_propersi @Srrezaie

REBEL__EM's tweet image. 🚨 Vasopressor Extravasation?
Act fast.
💉 Phentolamine
🧴 Nitro ointment
💨 SC Terbutaline
Quick-reference REBEL REVIEW 👇
📸 PMID: 28890646
#FOAMed #EM #CriticalCare #PharmTips
@EMSwami @MRamzyDO @Marco_propersi @Srrezaie

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REBEL EM@REBEL__EM · Jul 16

🚨MDCalc Wars: HEART Score vs. EDACS! Both safely ID low-risk ACS pts when paired w/ hs-trop. HEART = simple, EDACS = broader. Which do you use? 📖 loom.ly/Y2lFIpw 🎙️ @Marco_Propersi @MRamzyDO @srrezaie @emswami #FOAMed #Cardiology #EM

REBEL__EM's tweet image. 🚨MDCalc Wars: HEART Score vs. EDACS!
Both safely ID low-risk ACS pts when paired w/ hs-trop.
HEART = simple, EDACS = broader.
Which do you use?
📖 loom.ly/Y2lFIpw

🎙️ @Marco_Propersi @MRamzyDO @srrezaie @emswami
#FOAMed #Cardiology #EM

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REBEL EM@REBEL__EM · Jul 14

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REBEL EM@REBEL__EM · Jul 14

🧠 TNK vs tPA? TNK is non-inferior, single bolus, fewer logistics. 📊 72.7% vs 70.3% excellent outcome ⚠️ Spectrum bias alert: 40% had mild strokes 🧪 Read more 👉 loom.ly/1t0WxoM @srrezaie @emswami @mramzydo @marco_propersi ❤️ Like 🔁 Repost 🔔 Follow

REBEL__EM's tweet image. 🧠 TNK vs tPA? TNK is non-inferior, single bolus, fewer logistics.
📊 72.7% vs 70.3% excellent outcome
⚠️ Spectrum bias alert: 40% had mild strokes
🧪 Read more 👉 loom.ly/1t0WxoM
@srrezaie @emswami @mramzydo @marco_propersi
❤️ Like 🔁 Repost 🔔 Follow

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REBEL EM@REBEL__EM · Jul 9

🚑 Midline tenderness + one beer — CT or not? You're in the ED. Which rule guides your call: 🟦 NEXUS — simple, fast, validated 🇨🇦 CCR — more nuanced, validated 💬 Let’s hear your go-to and why. 🔗 loom.ly/_WUCTws #FOAMed

REBEL__EM's tweet image. 🚑 Midline tenderness + one beer — CT or not?
You're in the ED. Which rule guides your call:
🟦 NEXUS — simple, fast, validated
🇨🇦 CCR — more nuanced, validated
💬 Let’s hear your go-to and why.

🔗 loom.ly/_WUCTws
#FOAMed

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