🚨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

🦠 Tamiflu: Worth It? 📉 Reduces flu symptoms by <1 day 🤢 Nausea, vomiting, headaches common 🚫 No reduction in death or hospitalization in mild cases So… treat everyone? Maybe not. 📖 Read more: https://wp.me/pdrP8b-5sK 👥 @emswami @marco_propersi @mramzydo #FOAMed

🫁 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

🥂New Year, New Partnerships! We've got something amazing coming down the pipeline & we're so excited to share it with you! Stay tuned for a new way to elevate your performance at work, at home and everywhere in between! @MRamzyDO @marco_propersi @Arena_labs @EMSwami @cbrianferguson @joshua_blair_

💡 New REBEL Core Cast Drop Demystifying Non-Invasive Ventilation & HiFlow 🫁 CPAP: Best for hypoxemia ⚖️ BiPAP: Go-to for hypercapnia 🌬️ HFNC: Comfy + effective NIV ≠ cure NIV = bridge 📲 Listen now: https://wp.me/pdrP8b-5ru 🧠 Written by: Drs. Frank Lodeserto & Eric Acker #FOAMed

🚨 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

❄️ Winter is coming… and so are the pneumonia admits. CURB-65, PSI/PORT, SMART-COP — they’re not answering the same question. One guides admit vs discharge, another predicts mortality, and one spots who’s about to crash. New on @REBEL_EM 👉 https://loom.ly/pUrda8w

🧠 RSI Trial: Ketamine vs Etomidate ✅ 28-day mortality: no statistically significant difference (≈1% absolute diff favoring ketamine) ⚠️ Ketamine: more cardiovascular collapse, mainly pressor escalation #FOAMed

🚨Our 1st REBEL MIND Post is out on the Dunning-Kruger Effect! 🧠MIND = Mastering Internal Negativity During Difficulty 🏁How accurately can we assess our own performance? 🎙️Listen to the episode & check out the post here: https://loom.ly/93Gd3_Y #FOAMed #MedEd @MRamzyDO @marco_propersi @EMSwami

🚨 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

🆕 New REBEL EM Post Can #POCUS improve outcomes in shock resuscitation? ✅ ↓ Mortality ✅ ↓ Vasoactive days ✅ ↑ Lactate clearance 💥 Bedside ultrasound isn’t just diagnostic—it’s therapeutic. 🔗 https://loom.ly/083PigU#POCUS🧠 By Christopher Karnicki #FOAMed

🚨 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

🎧 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

🧪 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

🧠 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

🆕 Rib fracture in older patients? Don’t rely on fracture count alone. The combo of RibScore (CT/anatomy) + SCARF (bedside physiology) catches the sickest patients before they spiral. 💡 >95% sensitivity for pulmonary complications 📚 Post by Eric Steinberg 🔗 https://wp.me/pdrP8b-5to #FOAMed

🚨 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

🫀 Is Abelacimab the future of AFib anticoagulation? 🧬 Novel Factor XI inhibitor 📉 >60% less bleeding vs rivaroxaban ❓Stroke protection still uncertain 🔄 Needs Phase 3 trials vs apixaban 📖 Read more: https://wp.me/pdrP8b-5se #FOAMed

🦠 Tamiflu: Worth It? 📉 Reduces flu symptoms by <1 day 🤢 Nausea, vomiting, headaches common 🚫 No reduction in death or hospitalization in mild cases So… treat everyone? Maybe not. 📖 Read more: https://wp.me/pdrP8b-5sK 👥 @emswami @marco_propersi @mramzydo #FOAMed

🎙️ 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

🫁 New Core Cast: The Tachypneic Patient Short + shallow = BIG problem ⚠️ 👁 Watch chest rise ✋ Palpate abdomen 👂 Listen 🧠 Synthesize 🎧 Full episode: [https://wp.me/pdrP8b-5ng] #FOAMed #EmergencyMedicine #PulmPearls #Tachypnea #MedEd

❄️ Winter is coming… and so are the pneumonia admits. CURB-65, PSI/PORT, SMART-COP — they’re not answering the same question. One guides admit vs discharge, another predicts mortality, and one spots who’s about to crash. New on @REBEL_EM 👉 https://loom.ly/pUrda8w

🚨 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

🚨 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

Status epilepticus: what’s the move after midaz? 🚑 Data suggest ketamine ↑ seizure cessation (esp in adults) without more arrests/intubations ⚠️ not ready to rewrite protocols. Benzos first. Ketamine for true refractory cases. 🔗 https://loom.ly/Fv09Jgk #FOAMed #EMS #Neuro

🧪 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

🎧 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

❄️ Winter is coming… and so are the pneumonia admits. CURB-65, PSI/PORT, SMART-COP — they’re not answering the same question. One guides admit vs discharge, another predicts mortality, and one spots who’s about to crash. New on @REBEL_EM 👉 https://loom.ly/pUrda8w

🧠 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

🫁 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

🚨@IncrEMentuMconf Speaker Spotlight: Drs. Tarlan Hedayati, Jess Mason and Simon Carley (@stemlyns): 🫀Treating the underlying cause of A-Fib ♀️Performing a Resuscitative Hysterotomy 🧠Controlling BP in TBI patients https://loom.ly/WBAn97s #FOAMed @EMManchester @EMSwami @MRamzyDO @Marco_propersi

📉 Does trending biomarkers help stop antibiotics sooner safely in sepsis? 👀 More here: https://wp.me/pdrP8b-5mL #FOAMed #EMIMCC #MedSky

🚨 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

🦠 Sepsis antibiotics: Is 7 days enough? The BALANCE Trial says yes ⚠️ But watch for spectrum & selection bias 💡 7d may work for most, but not all 📖Read full post here: https://loom.ly/rnrHxg8 #FOAMed #MedSky #EMIMCC

💧How much fluid should be giving in Pancreatits? 🌊Check out the WATERFALL Trial: https://loom.ly/dBJbgl8 by @emswami.bsky.social #FOAMed @marco-propersi.bsky.social @mramzydo.bsky.social

🚨 New Post Alert! 🔥 Pancreatitis Severity Made Simple: Ranson’s Criteria vs BISAP Score — which predicts mortality better? 🩸 Compare the classic 48-hr model with the bedside-friendly BISAP. ➡️ https://wp.me/pdrP8b-5rG #MedSky #FOAMed #EMIMCC

🚨 Vasopressor Extravasation? Act fast. 💉 Phentolamine 🧴 Nitro ointment 💨 SC Terbutaline Quick-reference REBEL REVIEW 👇 📸 PMID: 28890646 #FOAMed #EM #CriticalCare #PharmTips

🚨 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

🎙️ 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

🚨@IncrEMentuMconf Speaker Spolight: Dr. George Willis @DocWillisMD 🎙️There's SO MUCH in this podcast: https://loom.ly/1C5V0mY 🫀Aortic Dissection Management 💧IVF Composition & HyperK ✈️Register: https://loom.ly/D-CvVl4 #FOAMed @EMSwami @srrezaie @Marco_propersi @cliffreid @TheSGEM @docib

✌🏽Part 2 of DKA: Covering the SCOPE DKA Trial 💧Do different fluids affect how quickly DKA resolves?! 🎙️Drs. Frank Lodeserto & Mark Ramzy (@MRamzyDO) discuss that & more here: https://loom.ly/ZcL5VTc 🌊Check out our fluid composition REBEL REVIEW Below #FOAMed @EMSwami @Srrezaie @Marco_propersi

💨 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

🚨NEW BLOG POST🚨 ⁉️Does a restrictive vs liberal O2 strategy in trauma patients reduce mortality and/or major respiratory complications? 👀Find out here: https://loom.ly/fDJK4vw by @nyulangoneEM Drs. Ali and Aiad (@Maureen_NYUdoc) #FOAMed @EMSwami @MRamzyDO @Marco_propersi @Srrezaie

🚨 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

🚨 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

🫁 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

🫀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

🚨 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

🎧 REBEL Cast: Acetaminophen Toxicity 🧪 When to start NAC 📈 Use the Rumack-Matthew Nomogram 🧠 King's College Criteria 💊 Fomepizole—future role? 🎙️ By @emswami 🎧 listen: https://wp.me/pdrP8b-5lZ #FOAMed #Toxicology #EmergencyMedicine #MedSky #MedEd

🚨 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