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🎧 REBEL Cast: Acetaminophen Toxicity 🧪 When to start NAC 📈 Use the Rumack-Matthew Nomogram 🧠 King's College Criteria 💊 Fomepizole—future role? 🎙️ By @emswami 🎧 listen: wp.me/pdrP8b-5lZ Marco E. Propersi, DO @mramzydo Salim R. Rezaie, MD #FOAMed #Toxicology #EmergencyMedicine

🫁 What’s Behind the Breath? Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation. 👁 Observe ✋ Palpate 👂 Listen 🧠 Synthesize 🔗 wp.me/pdrP8b-5ng 🎙️ Frank Lodeserto MD Marco E. Propersi, DO @mramzydo #REBELEM #FOAMed #MedEd

🚨 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: wp.me/pdrP8b-5k6 Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Salim R. Rezaie, MD Mark Ramzy, DO, EMT-P #MedTwitter

🚑 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. 🔗 loom.ly/_WUCTws #FOAMed

🧠 TNK vs tPA? TNK is non-inferior, single bolus, fewer logistics. 📊 72.7% vs 70.3% excellent outcome ⚠️ Spectrum bias alert: 40% had mild strokes 🧪 Read more 👉 loom.ly/1t0WxoM Salim R. Rezaie, MD @emswami @mramzydo Marco E. Propersi, DO ❤️ Like 🔁 Repost 🔔 Follow

🚫 Routine casting for all snuffbox tenderness? 🩹 The SUSPECT Trial says… maybe not. Bandaging was noninferior for occult scaphoid fx w/ better ROM + satisfaction. 📖 wp.me/pdrP8b-5nC Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Mark Ramzy, DO, EMT-P Salim R. Rezaie, MD #FOAMed #medtwitter #MedX

🚨MDCalc Wars: HEART Score vs. EDACS! Both safely ID low-risk ACS pts when paired w/ hs-trop. HEART = simple, EDACS = broader. Which do you use? 📖 loom.ly/Y2lFIpw 🎙️ @Marco_Propersi Mark Ramzy, DO, EMT-P Salim R. Rezaie, MD @emswami #FOAMed #Cardiology #EM

🚨 Vasopressor Extravasation? Act fast. 💉 Phentolamine 🧴 Nitro ointment 💨 SC Terbutaline Quick-reference REBEL REVIEW 👇 📸 PMID: 28890646 #FOAMed #EM #CriticalCare #PharmTips Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Mark Ramzy, DO, EMT-P @Marco_propersi @Srrezaie

🧠💥 1 month of intractable headache. Tried NSAIDs, antiemetics, steroids, nerve blocks, Topamax, ubrogepant—nothing worked. Then 💉 2.5 mg IV Haldol = near-total relief. Old drug, new role? 🔗 loom.ly/ic39bnw #FOAMed Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Mark Ramzy, DO, EMT-P @Marco_propersi @Srrezaie

🚨 Are you using the wrong IVC index? 🫁 Spontaneous = Collapsibility Index (>42%) 💨 Ventilated = Distensibility Index (≥18%) 🔗 loom.ly/ShTQZuA #EmergencyMedicine 🚑 #CriticalCare 🏥 #POCUS 🔍 #MedEd 📚 Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Salim R. Rezaie, MD Mark Ramzy, DO, EMT-P

🚨 New on REBEL EM: Can AI outplay STEMI criteria? 🫀 The Queen of Hearts 🧠 detects subtle OMI on ECG with 80.6% sensitivity vs STEMI’s 32.5%! 🤯 Is this the future of ACS triage? 🔗 loom.ly/r2YY11w #FOAMed #MedTwitter #MedEd Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Salim R. Rezaie, MD Mark Ramzy, DO, EMT-P

🫀 Sinus tachycardia = a sign, not a diagnosis. Don’t just treat the rate—find the cause. Use this 8-point checklist & skip reflexive beta blockers. 🎧 REBEL Core Cast 137: wp.me/pdrP8b-5nI #FOAMed #MedEd #MEdicine #CriticalCare @Marco_Propersi @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! loom.ly/voSxpiI #REBELEM #FOAMed #EmergencyMedicine #MedED

🍁How great is the Canadian Syncope Score? 🍁 Find out in this clinical decision tool's external validation: loom.ly/yuSj7_0 👇🏽Here's one of our REBEL REVIEWS summarizing the tool #FOAMed #Syncope #EmergencyMedicine Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Mark Ramzy, DO, EMT-P @Marco_Propersi @Srrezaie

🚫 Routine casting for all snuffbox tenderness? 🩹 The SUSPECT Trial says… maybe not. Bandaging was noninferior for occult scaphoid fx w/ better ROM + satisfaction. 📖 wp.me/pdrP8b-5nC Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Mark Ramzy, DO, EMT-P Salim R. Rezaie, MD #FOAMed #medtwitter #MedX

🫁 What’s Behind the Breath? Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation. 👁 Observe ✋ Palpate 👂 Listen 🧠 Synthesize 🔗 wp.me/pdrP8b-5ng 🎙️ Frank Lodeserto MD Marco E. Propersi, DO @mramzydo #REBELEM #FOAMed #MedEd