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REBEL Core Cast – Basics of EM – Mega Summary – Part 2
by Marco Torres
Jun 01, 2022
Take Home Points
Emergency medicine revolves around the differential diagnosis
History and physical exam should significantly narrow your differen...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Mega Summary – Part 1
Take Home Points
Emergency medicine revolves around the differential diagnosis
History and physical exam should significantly narrow your differen...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Syncope
Take Home Points
Break the differentials down into bad & painless, bad & painful, and other causes – WOMAN-PE
Cardiac causes – mechanical ...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Weakness
Take Home Points
Be prepared to do everything with these cases, if they can’t provide information, dive into their medication list, history, conta...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Dizziness
Take Home Points
Key point is to discern between central and peripheral causes – become familiar with the nuances of one and concentrate on that
A...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Rash
Take Home Points
Examine all parts of the body, even inside the mouth – this can be the difference between benign and life threatening rashes
Trul...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Fever
Take Home Points
Look for the red flags – hypotension, environmental exposures, medications (SS, NMS), SIRS/qSOFA criteria
Be on the lookout for n...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Ankle and Foot Injuries
Take Home Points
Sprains need more support than just an ace wrap – place them in an aircast or a splint
Perform a thorough physical exam – take of...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Leg Pain
Take Home Points
Approach leg pain with the seconds, minutes, hours mindset – think about acute limb ischemia, compartment syndrome, and necrotizi...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Lacerations
Take Home Points
Don’t make bite width to small – look at the curvature of the needle – start the bite at half the curvature of the needle
Don’t p...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Back Pain
Take Home Points
Ask about the red flags: cancer, fever, IVDA, FND, point tenderness, saddle/perianal anesthesia, trauma, urinary retention, bowel...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Vaginal Bleeding
Take Home Points
Get a upreg on any childbearing age female with vaginal bleeding – this is an ectopic pregnancy until proven otherwise
Confirm va...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Lower Abdominal Pain
Take Home Points
Get a upreg on every female patient of child bearing age with lower abdominal pain – this is an ectopic pregnancy until proven ot...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Diffuse and Flank Abdominal Pain
Take Home Points
Diffuse abdominal pain can be anything – keep a broad differential and work from there
Old patient and flank pain = aortic catast...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Epigastric Pain
Take Home Points
Patients don’t necessarily know what’s important – ask lots of questions, find out if they’ve been taking a ton of NSAID’s or Tyl...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Introduction to Abdominal Pain
Take Home Points
Go in thinking sick vs not sick – this can take time to develop and that’s ok, this skill will come as you see more patients
If y...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Vomiting
Take Home Points
Think about causes – is it the head, the belly, or something else leading to the vomiting
Get a upreg on all females of childbear...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Chest Pain
Take Home Points
Take chest pain seriously – ACS and PE patients don’t always appear ill – look for the silent killer cases
Remember 4-2-1 approac...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Asthma
Take Home Points
Wheezing can be absent when severe – be wary of the silent chest = impending respiratory failure
Not everything that wheezes is a...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Shortness of Breath
Take Home Points
Keep a wide differential
Think of the airway, lungs, heart, blood, kidneys, acid/base, brain
Use Wells & PERC consecutively t...
Tactical Medicine News
REBEL Core Cast – Basics of EM – COVID-19
Take Home Points
Constantly evolving disease with various presentations
Identify those that are hypoxic are deliver appropriate oxygen therapy
Giv...
Tactical Medicine News
REBEL Cast – Basics of EM – Cough
Take Home Points
Be aware of the red flags – fever, HIV, hemoptysis, TB risk factors
Is the onset acute or chronic
Characterize sputum production ...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Sore Throat
Take Home Points
Look for the red flags – fever, drooling, neck stiffness, toxic ingestion, uvula deviation, voice changes
Steroids help with swel...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Intoxication
Take Home Message
Do not ignore abnormal vital signs – they can be the harbinger of badness
Watch out for developing withdrawal, treat early and a...
Tactical Medicine News
REBEL Core Cast – Basics of EM – AMS
Take Home Points
Walk in – decide sick/not sick
Do I need help now? If so, call in the troops
Stable – start asking questions – A LOT OF THEM
Inve...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Eye Complaints
Take Home Points
Always check the vital signs of the eye – visual acuities, field of vision, ocular pressure
Go in thinking whether you have to ca...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Head Injury
Take Home Points
Patients >65 or suspected of intoxication are at high risk for bleeds – scan them!!
Epidural has a lucent period – be wary of ...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Headache
Take Home Points
Hypertension rarely causes headache, it’s usually the other way around. Patients with headaches are in pain, and in turn, may hav...
Tactical Medicine News
REBEL Core Cast – Basics of EM – Introduction
REBEL Core Cast – Basics of Emergency Medicine Podcast
Welcome to the EMRA Basics of Emergency Medicine Podcast. I am your host EJ Wright, and the ...
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