๐Ÿ“š Rational, Evidence-Based Evaluation of Literature in Emergency Medicine | ๐Ÿš‘ All things REBEL EM | ๐ŸŒ #FOAMed ๐Ÿ”ฅ #FOAMcc | ๐Ÿ—ฃ๏ธ Tweets = opinion

Joined April 2021
646 Photos and videos
๐ŸšจMDCalc 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? ๐Ÿ“– loom.ly/Y2lFIpw ๐ŸŽ™๏ธ @Marco_Propersi @MRamzyDO @srrezaie @emswami #FOAMed #Cardiology #EM
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๐Ÿšจ@IncrEMentuMconf Speaker Spotlight: Drs. Sara Crager & Ryan Ernst Highlight: ๐ŸŽฎRapid Sequence & Gamification: loom.ly/ldLbPWE ๐ŸŒณThe Arboretum Teaching Collective: loom.ly/vI00tvw ๐ŸŽงListen: loom.ly/ywPpHFU #FOAMed @EMSwami @MRamzyDO @Marco_propersi
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๐Ÿ…Check out what Performance Coaching in Medicine looks like! ๐ŸŽงListen to our latest REBEL MIND Episode w/@ArenaLabs: loom.ly/XzrpnT8 ๐ŸฅผSIGN Up to join the 8 week performance cohort here: loom.ly/3UxsS2k @Arena_Labs @MRamzyDO @Marco_propersi @EMSwami
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๐Ÿšจ New Post Alert! Syncope is common in the EDโ€”but which decision rule do you trust? โšก San Francisco Syncope Rule = fast but fallible ๐Ÿงฉ Canadian Syncope Risk Score = comprehensive but complex ๐Ÿฉบ Neither replaces clinical judgment ๐Ÿ‘‰ Read here: wp.me/pdrP8b-5pF #FOAMed
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Quick rule for EtOH withdrawal scoring: ๐Ÿ—ฃ๏ธ Talking reliable โ†’ CIWA-Ar ๐Ÿฅ ICU / delirious / intubated โ†’ mMINDS mMINDS helps when CIWA-Ar isnโ€™t feasible. Trend scores watch mimics (pain, sepsis, hypoxia). ๐Ÿ”— wp.me/pdrP8b-5uj #MedED #CritCare #FOAMed
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๐Ÿšจ REBEL EM Gear Available! Show your love with our I Love EBMโ€”REBEL EM Heart Logo collection! ๐ŸŽ‰ T-shirts, hoodies, mugs, and stickersโ€”perfect for the EBM community! ๐Ÿซ๐Ÿ’ฅ ๐Ÿ‘‰ Shop now and wear your passion! loom.ly/voSxpiI #REBELEM #FOAMed #EmergencyMedicine #MedED
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๐ŸŽ™๏ธ New Podcast! ๐Ÿ’‰ IO lines: Power & Pitfalls in the ED โšก Fast, reliable access in arrest & shock ๐Ÿงญ Site matters: Sternum > Humerus > Tibia โš ๏ธ Labs unreliable, dislodgement common ๐Ÿ‘‰ Listen now: wp.me/pdrP8b-5ph cc: @srrezaie @emswami @mramzydo @Marco_Propersi
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๐Ÿšจ๐Ÿงช The Ket-Mid RCT showed faster seizure cessation, โฌ‡๏ธ intubations, and no added harm with ketamine midazolam. ๐Ÿ“‰ But one trial at a single site isn't enoughโ€”yet ๐Ÿ”— wp.me/pdrP8b-5qZ By: Brendan Freeman DO & Katherine Zabinski MD #FOAMed
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๐Ÿฅ‡What does performance under pressure in medicine look like? ๐Ÿƒ๐Ÿฝโ€โ™‚๏ธโ€โžก๏ธWhat if we had the same tools as professional sports teams and elite athletes? ๐Ÿง  We've partnered with Arena Labs for data driven insights! ๐Ÿ‘€loom.ly/YvLC3F8 @Arena_Labs @MRamzyDO @Marco_propersi @EMSwami
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๐Ÿšจ Not all tachypnea is respiratory failureโ€”yet. Short shallow? Think neuromuscular, bronchospasm, or compliance issues Normal Vt? Metabolic or systemic. ๐ŸŽง Full episode: [wp.me/pdrP8b-5ng] #FOAMed #EmergencyMedicine #PulmPearls #Tachypnea #MedEd
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RENOVATE Trial: HFNC vs BPAP in ARF ๐Ÿ“Š Did HFNC match BPAP in 5 respiratory failure subgroups? โœ… Non-inferior in 4/5 ๐Ÿงช Bayesian dynamic borrowing = statistical edge ๐Ÿšซ Futility in immunocompromised patients Read more ๐Ÿ‘‰ wp.me/pdrP8b-5sU #FOAMed #MedTwitter #REBELCrit
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๐Ÿšจ REBEL EM Gear Available! ๐Ÿšจ Show your love with our I Love EBMโ€”REBEL EM Heart Logo collection! ๐ŸŽ‰ T-shirts, hoodies, mugs, and stickersโ€”perfect for the EBM community! ๐Ÿซ๐Ÿ’ฅ ๐Ÿ‘‰ Shop now and wear your passion! loom.ly/voSxpiI #REBELEM #FOAMed #EmergencyMedicine #MedED
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๐Ÿš‘ Midline tenderness one beer โ€” CT or not? You're in the ED. Which rule guides your call ๐ŸŸฆ NEXUS โ€” simple, fast, validated ๐Ÿ‡จ๐Ÿ‡ฆ CCR โ€” more nuanced, validated ๐Ÿ’ฌ Letโ€™s hear your go-to and why. ๐Ÿ”— loom.ly/_WUCTws #FOAMed
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๐Ÿšจ MDCalc Wars ๐Ÿ›‘ Are you using PERC and Wells correctly? โœ… Start with Wells to guide next steps ๐Ÿšซ Donโ€™t use PERC in moderate/high-risk ๐Ÿงช Use high-sensitivity D-dimer! ๐Ÿ‘‰ Read now: wp.me/pdrP8b-5oN #REBELEM #FOAMed #EM #VTE #PERC #Wells #Medtwitter
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๐Ÿคง Should you prescribe Tamiflu for mild flu? ๐Ÿ“‰ Oseltamivir shortens symptoms by <24h ๐Ÿคข But side effects are common ๐Ÿšซ No mortality/hospitalization benefit in healthy patients ๐Ÿ‘ฅ @emswami @marco_propersi @mramzydo #FOAMed #MedEd
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๐Ÿซ Whatโ€™s Behind the Breath? Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation ๐Ÿ‘ Observe โœ‹ Palpate ๐Ÿ‘‚ Listen ๐Ÿง  Synthesize ๐Ÿ”— wp.me/pdrP8b-5ng ๐ŸŽ™๏ธ Frank Lodeserto MD @marco_propersi @mramzydo #REBELEM #FOAMed #MedEd
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๐Ÿฅ‚New Year, New Partnerships! ๐ŸŽ‰We've got something amazing coming & we're so excited to share it w/you! Stay tuned for a new way to elevate your performance at work, at home & everywhere in between! @Arena_labs @MRamzyDO @marco_propersi @EMSwami @cbrianferguson @joshua_blair_
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๐Ÿšจ New #REBELCast Drop ๐Ÿšจ REBEL Core Cast 148.0: Demystifying Non-Invasive Ventilation & HiFlow By Drs. Frank Lodeserto & Eric Acker
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6/ ๐ŸŽฏ Bottom Line: NIV is a bridgeโ€”not the fix. Stabilize the patient and treat the root cause. Use the right tool for the right physiology.
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7/ ๐ŸŽ™๏ธ Episode by: Drs. Lodeserto & Acker ๐Ÿ‘ฅ Peer Reviewed: @Marco_Propersi @MRamzyDO #REBELCast #REBELCore #FOAMed #EmergencyMedicine #PulmCrit #HighFlow
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