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Tactical Medicine News

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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