🚨 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

Will you be prepared or will you be unprepared? IncrEMentuM 2026 thesgem.com/2025/09/sgem... #MedSky

🚨 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

🚨 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

🚨 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

🧪 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

💨 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

🫀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

🚨 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

🚑 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

🚨 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

🚨 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

🫁 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 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

🎧 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

🎙️ 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

🚨 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

🧠 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

🚨 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

🚫 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

🧪The lab differences between TTP and DIC can be confusing! 🩸Heres REBEL REVIEW highlighting the differences! #FOAMed @mramzydo.bsky.social @emswami.bsky.social @marco-propersi.bsky.social

🧪 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 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

They are not skeptics. #MedSky

🚨 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

💤Not sure HOW sedated to keep your patient? 💉The Richmond Agitation-Sedation Scale (RASS) is a good place to start! 🛌🏽Heres a REBEL Review outlining each value! #FOAMed @mramzydo.bsky.social @marco-propersi.bsky.social

🦠 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

🧪 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 Core Cast Drop! 🫁 Sudden crash after central line or in a vented patient? Think tension pneumothorax! 🖐️🔪 Skip the needle. Finger thoracostomy is faster, more reliable, and definitive. 🧠 Use POCUS if stable. Don’t delay. 🎧 Listen now: https://wp.me/pdrP8b-5oj #MedSky #EMIMCC #FOAMed

A 6-year-old boy presents to the Peds ED with an injury to their left 2nd digit. You provide ketamine for procedural sedation but the patient wakes from sedation. Should you re-sedate the patient? #medicalblog #medicaleducation #emergencymedicine https://loom.ly/MHdqX_4

🚨 TXA for Hemoptysis: We Put That $#!t on Everything (That Bleeds) Pt 2 🫁💨 Neb TXA worked faster & needed fewer procedures than IV in a small RCT PMID: 36410494 🌬️ Cheap, no IV, and maybe better ⚠️ Mostly TB patients, but results? 🔥 📖 www.rebelem.com #FOAMed #MedEd #EMIMCC #MedSky

🧪 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

🚨 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

🚑 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

🚨 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

Let’s Play Right Drug, Wrong Dose: Rocuronium Wrong: 0.6 mg/kg Right: 1.2 mg/kg Electricity in Cardioversion Wrong: start w/ 50J Right: start w/ max (200 J) Epi in Anaphylaxis Wrong: 0.3 - 0.5 mg IM Right: 0.5 mg IM - simplify decision in critical scenario youtube.com/shorts/nUTwH... #EMIMCC

🚨 New REBEL Core Cast! Ep 138: A Simple Bedside Approach to Shock💥 Start with the 4 L’s: Lucid, Limbs, Leak, Lactate Pulse pressure = your shock type cheat code 🎧 Listen now: https://loom.ly/ntey1VU #FOAMed #EMIMCC #MedSky

🚨 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

💉How effective is haloperidol for delirium in the ICU? Find out here with the AID-ICU Trial: https://loom.ly/WJ487I8 🌀Check out the CAM-ICU Algorithm below! #FOAMed @mramzydo.bsky.social @marco-propersi.bsky.social

🚨 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

🚨 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

🚨Do We Need a CT for Every Renal Colic? 🪨 🧍‍♂️ Young w/ classic sx? No CT 🧓 Older or unclear dx? CT w/ contrast. 🔍 Use POCUS to guide imaging Stop the scan-everyone approach. 👉 Read more: https://loom.ly/AMw_hY0 Written by: Dr. Abbas Husain #FOAMed #EMIMCC #MedSky

1.6 million people showed no statistical increase in 29 adverse events after mRNA covid vax jamanetwork.com/journals/jam... #MedSky

I'm working on creating a critical care drug handbook (embedded into the IBCC, for free). Working version here: emcrit.org/ibcc/drugs/ Are there other drugs that you'd like to see included? (Apologies in advance for not including drugs that are exclusively available outside the USA) #EMIMCC

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

🚫 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

🚨 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 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