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REBEL EM @rebel-em.bsky.social · 1d

🎧 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

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REBEL EM @rebel-em.bsky.social · 4d

🚨 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

REBEL EM @rebel-em.bsky.social · 5d

🧪 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

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REBEL EM @rebel-em.bsky.social · 7d

🚫 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

5

REBEL EM @rebel-em.bsky.social · 15d

🚨 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: https://wp.me/pdrP8b-5oN
#FOAMed #EMIMCC #MEDSky

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Reposted by REBEL EM

Ken Milne MD @thesgem.bsky.social · 18d

Will you be prepared or will you be unprepared?

IncrEMentuM 2026
thesgem.com/2025/09/sgem...
#MedSky

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REBEL EM @rebel-em.bsky.social · 19d

🚨 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

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REBEL EM @rebel-em.bsky.social · 20d

🚨 New Podcast! 🚨
We’re spotlighting Incrementum 2026, a game-changing EM conference in Spain 🇪🇸
Hear from founders Dr. Paco Campillo Palma & Dr. Carmen Cano on their journey
🎧 Listen: https://loom.ly/4nWB9kQ
📍 Register: https://loom.ly/KICvOSk
#MedEd #EMIMCC #MedSky

REBEL EM @rebel-em.bsky.social · 21d

🚨 New Post Alert!
Syncope is common in the ED—but which decision rule do you trust?
⚡ San Francisco Syncope Rule = fast but fallible
🧩 Canadian Syncope Risk Score = comprehensive but complex
🩺 Neither replaces clinical judgment
👉 Read here: https://wp.me/pdrP8b-5pF
#FOAMed #EMIMCC #MedSky

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REBEL EM @rebel-em.bsky.social · 22d

🧪 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

3

REBEL EM @rebel-em.bsky.social · 23d

💨 Simplify the vent!
Before you dive into complex modes, master the basics:
✔️ 3 types of breaths
✔️ Volume vs. Pressure delivery
✔️ Lung compliance
🎧 Listen to REBEL Core Cast Ep. 141 now: https://wp.me/pdrP8b-5pq
#FOAMed #EMIMCC #MedSky

6

REBEL EM @rebel-em.bsky.social · 27d

🫀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

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REBEL EM @rebel-em.bsky.social · 29d

🚨 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

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REBEL EM @rebel-em.bsky.social · 29d

🚑 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.

🔗 https://loom.ly/_WUCTws
#FOAMed

2

REBEL EM @rebel-em.bsky.social · Sep 8

🚨 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

1 3

REBEL EM @rebel-em.bsky.social · Sep 7

🚨 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

REBEL EM @rebel-em.bsky.social · Sep 5

🎙️ New Podcast!
💉 IO lines: Power & Pitfalls in the ED
⚡ Fast, reliable access in arrest & shock
🧭 Site matters: Sternum > Humerus > Tibia
⚠️ Labs unreliable, dislodgement common
👉 Listen now: https://wp.me/pdrP8b-5ph
#EMIMCC #FOAMed #MedSky

1

REBEL EM @rebel-em.bsky.social · Sep 4

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

3

REBEL EM @rebel-em.bsky.social · Sep 3

🚨 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: https://wp.me/pdrP8b-5oN
#FOAMed #EMIMCC #MEDSky

1 3

REBEL EM @rebel-em.bsky.social · Sep 2

🎧 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

2 4

REBEL EM @rebel-em.bsky.social · Sep 1

🎙️ New Podcast!
💉 IO lines: Power & Pitfalls in the ED
⚡ Fast, reliable access in arrest & shock
🧭 Site matters: Sternum > Humerus > Tibia
⚠️ Labs unreliable, dislodgement common
👉 Listen now: https://wp.me/pdrP8b-5ph
#EMIMCC #FOAMed #MedSky

1 2

REBEL EM @rebel-em.bsky.social · Aug 31

🚨 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

REBEL EM @rebel-em.bsky.social · Aug 30

🧠 HEART vs. EDACS: Which chest pain decision rule do YOU trust more?
Both work w/ hs-trop & ID low-risk patients—but one’s broader, one’s simpler.
🫀 Dive into the MDCalc Wars
🎙️ By Eric Steinberg DO
📖 https://loom.ly/Y2lFIpw
#FOAMED

REBEL EM @rebel-em.bsky.social · Aug 29

🚨 New Post Alert!
Syncope is common in the ED—but which decision rule do you trust?
⚡ San Francisco Syncope Rule = fast but fallible
🧩 Canadian Syncope Risk Score = comprehensive but complex
🩺 Neither replaces clinical judgment
👉 Read here: https://wp.me/pdrP8b-5pF
#FOAMed #EMIMCC #MedSky

4

REBEL EM @rebel-em.bsky.social · Aug 28

🚫 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

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