🚨 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 Post: The TASC Trial: Therapeutic vs Prophylactic Anticoagulation for Acute Chest Syndrome 🫁First phase 3 RCT to demonstrate that a pharmacologic intervention can shorten the duration of acute chest syndrome in sickle cell disease #FOAMed #EmergencyMedicine #CriticalCare #SickleCell

🫀 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

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

🧠Whats holding you back? Do you have a fixed or growth mindset? 💭Reframe your view of the word "yet" and see how it can change your perspective 🎧Listen to our latest MIND Episode on reframing how you approach challenges: https://loom.ly/QlV61NU #FOAMed @MRamzyDO @Marco_Propersi @EMSwami

⚡Do alternative defibrillation strategies like Double Defibrillation or vector change reduce the amount of time patient's are in RVF?! 🔥DSED shows greatest reduction in time spent in VF 🔁If another defibrillator isnt available, using vector change is just as good! #FOAMed

🧠New REBEL MIND Post on Mastery Learning 🦺 Psychological Safety allows open feedback w/o fear or shame, enhancing growth. Embrace the productive struggle! 🎙️Listen to the full episode here: https://loom.ly/BRJSgOQ by Drs. Kim Bambach and Jennifer Yee from The Ohio State University! #FOAMed

🚨 PEERLESS Trial: intermediate-risk PE (selected for catheter therapy) — FlowTriever LBMT vs CDT. LBMT “wins” the 5-part win ratio mainly via ICU use; remove ICU metrics and it’s NS. Mortality/ICH/bleeding similar. #FOAMed 🔗 https://wp.me/pdrP8b-5tG

POCUS diastology in the ED = 1 question: Is LAP elevated now? Measure E/e’ (mitral inflow E ÷ annular e’). ≥14 suggests elevated LAP/cardiogenic edema; ≤8 argues against; 8–14 indeterminate. https://loom.ly/DbZddQc #FOAMed

🧠Check out our latest REBEL MIND Episode on Human Factors w/Drs. Chris Hicks & Andrew Petrosoniak 🧩Unseen behaviors and considerations critical in the ED & ICU 🎯 System Design impacts team performance that facilitate decision-making Listen to our episode here: https://loom.ly/Xtt69Ss #FOAMed

🚨New Post: Roc vs Sux for RSI: Awareness, Paralysis and Post-Intubation Sedation 🧠 The real concern is awareness during paralysis 👀Check out the full post by Dr. Amil Badoolah from NYU, New York, NY Here: https://loom.ly/X0aQBuw #FOAMed #EmergencyMedicine #CriticalCare #RSI #Anesthesia

🧮MDCalc Wars: ABC vs TASH for Massive Transfusion in Trauma 🚨 The ABC Score is a rapid, bedside tool for immediate massive transfusion decisions — before labs are back; TASH provides a more precise probability estimate once labs and imaging are available #FOAMed #Trauma #EmergencyMedicine

When would you use a sub-dissociative dose of Ketamine? For acute pain! Here's a REBEL REVIEW discussing the studies by @PainfreeED from @Maimonides_EM Also @srrezaie goes into further detail here: https://loom.ly/vXK6v0Q #FOAMed @EMSwami @MRamzyDO @Marco_propersi

🚨 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

🤔How smooth is the transition from junior to senior in your emergency department? 🔍Effective leadership requires zooming in on specific tasks & zooming out to manage the big picture 🗣️Talk the Talk with clear, structured communication 👀Check out the blog post here: https://loom.ly/lz9YUQU

🚺What Is the Role of TXA in Dysfunctional Uterine Bleeding? ♀️We explore this in our latest clinical conundrum post by @EMSwami 💉Tranexamic acid (TXA) is a safe and effective treatment for dysfunctional uterine bleeding. 👀Read more about it here: https://loom.ly/iKgOlDQ #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

🧪 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

🥇What does performance under pressure in medicine look like? 🏃🏽‍♂️‍➡️What if we had the same tools as professional sports teams and elite athletes? 🧠 We've partnered with Arena Labs for data driven insights! 👀https://loom.ly/YvLC3F8 @Arena_Labs @MRamzyDO @Marco_propersi @EMSwami

🚨EVERDAC Trial Post is out! 🚨 💉Is non-invasive BP an acceptable alternative to arterial lines in critically ill patients? 🟰 NIBP monitoring is noninferior to a-line when comparing 28 day mortality rates. #FOAMed

🚨 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

⁉️Does continuous suctioning during RSI lead to rapid deoxygenation? 🙅🏽‍♂️NOPE - it did not cause more rapid deoxygenation when compared to a PRN approach 👀Check out the full blog post by @EMSwami here: https://loom.ly/aND5tTw #FOAMed #Meded @MRamzyDO @marco_propersi @srrezaie

🤔Ever wondered what the safety & efficacy are of different oxygenation strategies for critically ill patients needing intubation?! 👀Check out this Meta-Analysis Post here: https://loom.ly/hbrW8XY 🗝️NIPPV and/or HFNC should be routinely used as preoxygenation strategies for critically ill

🎧 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

🫀Norepi or Epi after Cardiac Arrest? 🤔Was there a lower rate of recurrent cardiac arrest when using one over the other? 📚This meta-analysis & systematic review sought to answer that! 👀Check out the full post by Drs. Elizabeth Smith & Dorian Alexander from UTHealth Houston (@uthoustonemres)

✌🏽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

🚨 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

🚨NEW REBEL EM POST: HI-PEITHO Trial 🚨 🏆 First RCT showing catheter-directed fibrinolysis plus anticoagulation reduces short-term hemodynamic decompensation vs anticoagulation alone in intermediate-high risk PE 🚑 Identify Early, Anti-coagulate First 💉 Is the Catheter Even Necessary? #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