REBEL Cast

Salim R. Rezaie, MD

Welcome to REBEL Cast, and for those of you who have not checked out the main website already, REBEL EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine. The format of the show will be a critical review of current literature going through some of the pertinent results and limitations. At the end of the show we will give our clinical take home points and how and if you should apply this research to your clinical practice read less

Our Editor's Take

REBEL Cast is a podcast that reviews current medical literature and best medical practices. The podcast focuses on how these concepts can be useful in emergency room medicine. With that in mind, practicing physicians can find helpful takeaways in this podcast.

It should not be surprising that REBEL Cast's host is a doctor. Salim Rezaie is an emergency room doctor who practices in San Antonio, Texas. He is a specialist in Emergency Medicine and Internal Medicine. He received a "45 Under 45" award from the Emergency Medicine Residents Association. Dr. Rezale is the director of clinical education at Greater San Antonio Emergency Physicians.

Dr. Rezaie discusses various topics within the REBEL Cast podcast. Some of them focus on literature that has recently become available. He offers his insight and analysis on whether this information is helpful or not. Other times, he will use the show as an opportunity to recount cases that he himself has handled in the ER. He will often explain how they helped the patient. He will also go into what he and his team could have done better.

Understanding what sometimes goes wrong in a medical case is important. It ensures that if a mistake happens, it won't happen again. Dr. Rezaie is very honest and upfront in his approach to the podcast. He speaks in a concise and fact-based manner. These episodes run under ten minutes long. He does not get bogged down or go off-topic during the show.

Episodes of REBEL Cast premiere on an infrequent schedule. Listeners can subscribe for updates to this podcast.

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Health & FitnessHealth & Fitness

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REBEL Cast Ep126: Should We Not Be Recommending Small Adult BVMs in OHCA?

REBEL Cast Ep126: Should We Not Be Recommending Small Adult BVMs in OHCA?

Episode description not available.

Episodes

REBEL Cast Ep126: Should We Not Be Recommending Small Adult BVMs in OHCA?

REBEL Cast Ep126: Should We Not Be Recommending Small Adult BVMs in OHCA?

Episode description not available.

REBEL Core Cast 121.0 - Acute Sinusitis

REBEL Core Cast 121.0 - Acute Sinusitis

This week, we discuss acute sinusitis and identifying patients who will benefit from antibiotics.

REBEL Cast Ep127: From Debate to Data: Emerging Insights into RSI Induction with Ketamine vs Etomidate

REBEL Cast Ep127: From Debate to Data: Emerging Insights into RSI Induction with Ketamine vs Etomidate

Resuscitationists have debated the choice of induction agents in rapid sequence intubation (RSI) for decades. Critics of etomidate will highlight its link to adrenal suppression in critically ill patients (Albert 2011), while critics of ketamine will highlight the higher incidence of post-intubation hypotension (Mohr 2020). Amidst the debate, the Ketased Trial (Jabre 2009), a large multicenter prospective, single-blind randomized clinical trial (RCT), reported no significant difference in SOFA scores or 28-day mortality between the two induction agents. However, the EvK trial (Matchett 2022) identified a statistically significant difference in 7-day mortality but not 28-day mortality in favor of ketamine. However, methodological concerns from the EvK Trial warrant a cautious interpretation of the data. In light of these and several other recent high-quality clinical trials comparing ketamine and etomidate, this meta-analysis aims to provide a point estimate of the mortality rate. https://rebelem.com/from-debate-to-data-emerging-insights-into-rsi-induction-with-ketamine-vs-etomidate/

REBEL Book Club - MicroSkills

REBEL Book Club - MicroSkills

Swami sits down with Emergency Physicians and the authors of the soon to be released book MicroSkills Drs. Adaira Landy and Resa Lewiss.

REBEL Cast - EMTALA + Reproductive Health

REBEL Cast - EMTALA + Reproductive Health

Swami sits down with Drs. Dara Kass and Monica Saxena to discuss the EMTALA law and current challenges in the area of reproductive health.

REBEL Cast 125: 1st 48 Hours of PE Management - How Good is Unfractionated Heparin?

REBEL Cast 125: 1st 48 Hours of PE Management - How Good is Unfractionated Heparin?

Episode description not available.

REBEL Core Cast 120.0 - Salicylate Toxicity

REBEL Core Cast 120.0 - Salicylate Toxicity

Episode description not available.

REBEL Reflections Episode 5: Thinking in Bets

REBEL Reflections Episode 5: Thinking in Bets

Annie Duke, a former World Series of Poker champion, details some of the psychology of decision making in the high-risk gambling in her book, Thinking in Bets. In poker, important decisions must be made quickly in the midst of extreme uncertainty and repeated in rapid succession with each new hand. To learn and improve in this environment, these players learn to embrace uncertainty, tease the luck out of their outcomes and avoid common biases when reviewing their prior performance. As doctors working in Emergency Medicine we often have do the same thing and the wrong decision could potentially be fatal. In this episode of Rebel Reflections, four Emergency Medicine Physicians, Jacob White, Marco Propersi, Dan Wolf and Will Smith, discuss how thinking in bets while dealing with levels of uncertainty can benefit our performance and learning in the Emergency Department. How does “resulting” or the tendency to equate a decision’s quality with its outcome affect learning in and after residency?How does thinking on the spectrum of more or less right impact our utilization of new research or of implementing a consultant’s recommendations?How do you avoid decision fatigue during a long shift? We will discuss these topics and many more on this episode of REBEL Reflections! Thinking in Bets on Amazon.com

REBEL Core Cast 119.0 - Sleep Hygiene

REBEL Core Cast 119.0 - Sleep Hygiene

Swami chats with Brendan Freeman, Emergency doc and medical education fellow at Staten Island University Hospital about improving our sleep hygiene.

REBEL Cast Ep125: Short vs Standard Abx in Pedi UTIs (The SCOUT Trial)

REBEL Cast Ep125: Short vs Standard Abx in Pedi UTIs (The SCOUT Trial)

There is a shifting paradigm towards shorter durations of antibiotics in pediatric infections. Conflicting international guidelines recommend treatment of urinary tract infection (UTI) with antibiotic courses ranging from just 3 days to 7–14 days. Antimicrobial resistance is a global health crisis, underscoring the importance of antibiotic stewardship. Investigators in the SCOUT Trial examine the impact of short-course (5 day) antibiotic therapy in UTI, with potentially far reaching implications. https://rebelem.com/pediatric-utis-short-course-vs-standard-course-antibiotics-is-it-time-for-a-change/

REBEL Cast Ep126: Corticosteroids in Severe Community Acquired Pneumonia (The CAPE COD Trial)

REBEL Cast Ep126: Corticosteroids in Severe Community Acquired Pneumonia (The CAPE COD Trial)

Community-acquired pneumonia (CAP) can lead to pulmonary and systemic inflammation, resulting in impaired gas exchange, sepsis, organ failure, and an increased risk of death. Corticosteroids have excellent anti-inflammatory and immunomodulatory effects that could mitigate some of the inflammation caused by pneumonia. There have been several randomized trials that have shown glucocorticoids have positive effects in patients with CAP. However, except for one trial, none showed a between-group difference regarding mortality. We now have the Community-Acquired Pneumonia: Evaluation of Corticosteroids (CAPE COD) Trial. https://rebelem.com/corticosteroids-in-severe-community-acquired-pneumonia-could-cape-cod-catalyze-a-change-in-critical-care-management/

REBEL Cast Ep124: Nitrates in Right Sided MIs?

REBEL Cast Ep124: Nitrates in Right Sided MIs?

Episode description not available.

REBEL Core Cast 118.0 - IM vs PO NSAIDs

REBEL Core Cast 118.0 - IM vs PO NSAIDs

Should we give oral ibuprofen or intramuscular ketorolac in the ED in patients who can take PO?

REBEL Core Cast 117.0 - Infections of Pregnancy

REBEL Core Cast 117.0 - Infections of Pregnancy

This week we discuss some of the serious infectious processes of pregnancy.

REBEL Core Cast 116.0 - Achilles Tendon Rupture

REBEL Core Cast 116.0 - Achilles Tendon Rupture

This week we discuss the diagnosis and management of Achilles tendon ruptures.

REBEL Cast Ep123: Quarter Dose Alteplase in Massive PE?

REBEL Cast Ep123: Quarter Dose Alteplase in Massive PE?

Episode description not available.

REBEL Core Cast 115.0 - Cardiogenic Shock

REBEL Core Cast 115.0 - Cardiogenic Shock

This week we once again borrow audio from the Only in Staten Podcast and feature a discussion on cardiogenic shock with the director of the CCU at SIUH, Dr. Martin Amor.

REBEL Core Cast 114.0 - Carbon Monoxide Toxicity

REBEL Core Cast 114.0 - Carbon Monoxide Toxicity

We've got toxicologist Dr. Sanjay Mohan back on to chat about carbon monoxide toxicity in the ED.

REBEL Core Cast 113.0 - ACS Therapies + Management

REBEL Core Cast 113.0 - ACS Therapies + Management

This week, Swami sits down with director of the Staten Island University Hospital cardiac catheterization lab, Dr. Ruben Kandov, to discuss ACS management.

REBEL Core Cast 112.0 - Awareness During Paralysis

REBEL Core Cast 112.0 - Awareness During Paralysis

This week we chat with Dr. Danielle Langan, MedEd Fellow and Attending at Staten Island University Hospital, about awareness during paralysis post-RSI.