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REBEL Cast

by Salim R. Rezaie, MD | Mark Ramzy, DO | Marco Propersi, DO

REBEL EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine.REBEL Cast brings REBEL EM posts to life in audio form. We open with a clinical scenario and a focused clinical question, then critically appraise the study—key results, strengths, limitations, and what it means at the bedside. Every episode ends with actionable take-home points.Explore more at rebelem.comHave a paper we should review? Email [email protected].

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Episodes

  1. REBEL MIND Ep13– The One Minute Preceptor

  2. REBEL MIND Ep12– The Nature Reset

  3. REBEL MIND Ep11 - Teaching Towards Expertise with Gamification

    🔑 Key Points 🎮Gamification in medical education can deeply engage learners and improve clinical skills. 🕹️Rapid Sequence alternates between game blocks, where learners act in clinical scenarios, and teaching blocks, where insights are shared. 📈True expertise is about developing effective...

  4. REBEL MIND Ep10– Mastery Learning and Deliberate Practice

    📌 Key Points 🧠 Mastery Learning: A unique educational framework focusing on achieving high competence with minimal variability among learners. 🔍 Deliberate Practice: Involves learner-driven improvement, guided by expert feedback and breaking skills down into micro steps. 🦺 Psychological…

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  5. REBEL Core Cast—Nitrous Oxide Toxicity: Neurologic Complications of Whippet Abuse

    What Is Nitrous Oxide? Nitrous Oxide (N2O) is a colorless, odorless inhaled anesthetic that has been used for centuries, particularly in the surgical world. Mechanistically, it can induce euphoria, anxiolysis, and intoxication via NMDA receptor antagonism. During the late twentieth century…

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  6. REBEL MIND Ep9 – Human Factors: The Hidden Architecture of Emergency & Critical Care Medicine

    🔑 Key Points 🧩 Human Factors: The unseen behaviors, distractions and considerations critical in emergency medicine and the ICU, influencing patient care beyond just medical knowledge. 🎯 System Design: Effective system design directly impacts team performance by creating environments that...

  7. REBEL MIND Ep8 – The Mental Jump: Moving from Junior to Senior Leadership in Emergency Care

    📌Key Points 🧠Parallel Tasking: Transitioning from junior to senior roles in medicine involves both personal growth and the development of leadership skills, often simultaneously. 🚀Psychological safety: Creating this within teams is critical for fostering an environment where all members feel...

  8. REBEL MIND Ep7 - Growth vs Fixed Mindset in Medicine

    🔑Key Points 🌱 Growth mindset transforms learning – Residents and students who believe skills can be developed are more open to feedback, more resilient after failure, and more engaged in practice. 🧠 Language matters in feedback – Simple reframes such as "You're developing procedural skills"...

  9. REBEL MIND Ep6 – How to Sleep When the World Says You Can't

    🔑Key Points ☕ Try the coffee nap! Where you combine caffeine and a 30-minute nap to then have that boost energy and alertness by the time it kicks in. 💤 Sleep isn't optional—it's crucial for memory, mood regulation, and physical recovery. It is fundamentally different from rest ❌ Replacing…

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  10. REBEL MIND Ep5 - Applying Performance Science In and Out of the Emergency Department

    📌 Key Points 🔍 Understanding the Why: The significance of understanding underlying causes, beyond initial diagnoses, in both sports and emergency medicine is explored. ⏱️ Recovery Focus: Emphasizing the importance of recovery time and small daily choices in optimizing performance for both...

  11. REBEL Core Cast 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback

    In this episode of Rebel Core Content, Swami breaks down one of the most important (and most underrated) skills in emergency medicine: how to give a clean, effective consult—and what to do when you get pushback. Learn a simple 4-step framework to structure every consult (introduce yourself, lead...

  12. REBEL CAST: The RSI Trial – Ketamine vs Etomidate in Rapid Sequence Intubation

    REBEL Cast: The RSI Trial — Ketamine vs Etomidate in Critically Ill Adults In this episode, we break down the 2025 NEJM RSI trial comparing ketamine and etomidate for tracheal intubation in critically ill adults (Casey et al., PMID: 41369227). This multicenter randomized trial enrolled 2,365...

  13. REBEL CAST - RENOVATE Trial: HFNC vs BPAP in Acute Respiratory Failure

    📌 Key Points 💨 HFNC met criteria for non-inferiority to BPAP for preventing intubation or death within 7 days in four of the five ARF subgroups. 🧪 Bayesian dynamic borrowing increased power across subgroups but created variable certainty, especially in smaller groups such as COPD. 🫁 The...

  14. REBEL MIND Ep4 – Rest Is Not Sleep: The Seven Dimensions of True Recovery

    🗝️Key Points Rest isn't a luxury; it's a necessity and differs significantly from sleep in terms of mental and physical recovery needs. Uncovering the seven types of rest can highlight diverse needs: physical, mental, sensory, creative, emotional, social, and spiritual. Rest from high-stress...

  15. REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia

    🗝️ Key Points 💉 Hydrocortisone Saves Lives: The 2023 Cape Cod Trial (NEJM) showed a clear mortality benefit and reduced need for intubation in severe CAP patients treated with hydrocortisone. 📊 Guidelines Are Catching Up: The SCCM (2024) and ERS now recommend steroids for severe CAP, while...

  16. REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst

    📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the...

  17. REBEL MIND Ep3 - Performance Coaching in Medicine

    📌 Key Points 💪 Building Resilience: Rebel MIND, in partnership with Arena Labs, introduces a science-based performance coaching platform specifically tailored for healthcare professionals, focusing on stress management and burnout prevention. 🤝 Personal Insights: Jackie Penn shares her journey...

  18. REBEL MIND Ep2: Performance Under Pressure - What Medicine Can Learn from Elite Teams

    🗝️Key Points 🎯Partnership Focus: New collaboration with Arena Labs aimed at enhancing healthcare worker wellness. 🏃🏽‍♂️‍➡️Personalized Coaching: Tools and coaching programs designed for stress management and performance improvement. 📊Data-Driven Insights: Utilizing wearable sensor data to...

  19. REBEL Core Cast 148.0–Demystifying Non-Invasive Ventilation & HiFlow

    🗝️ Key Points 💨 NIV = Support without a tube: CPAP, BiPAP, and HFNC improve oxygenation and reduce the work of breathing. 🫁 CPAP = Continuous pressure: Best for hypoxemic patients (e.g., pulmonary edema, OSA). ⚖️ BiPAP = Two pressures (IPAP/EPAP): Great for hypercapnic failure (e.g., COPD,...

  20. REBEL MIND: The Dunning Kruger Effect - Why Looking Inward Improves Patient Care

    Welcome to REBEL MIND—Mastering Internal Negativity during Difficulty. In this series, we turn the same critical lens REBEL EM uses for literature inward—into mindset, leadership, and psychological safety—so we can deliver better care outward to patients and teams. In this episode and blog post,...

  21. REBEL Core Cast 147.0–Ventilators Part 5: Key Mechanical Ventilator Pressures & Definitions Made Simple

    📝 Introduction Learn how to interpret PIP, Pplat, PEEP, and driving pressure on the ventilator. Understand lung compliance, VILI prevention, and ARDS ventilation strategies. 🗝️ Key Points 💨 Peak vs. Plateau Pressures: PIP reflects total airway resistance and compliance, while Pplat isolates...

  22. REBEL Core Cast 146.0–Ventilators Part 4: Setting up the Ventilator

    Ventilator management can feel overwhelming—there are so many knobs to turn, numbers to watch, and changes to make. But before adjusting any settings, it's crucial to understand why the patient is in distress in the first place, because the right strategy depends on the underlying cause. In this...

  23. REBEL Core Cast: Pediatric Respiratory Emergencies: Beyond Viral Season

    Key Tips for Managing Pediatric Respiratory Cases In this episode of the Rebel Core Content Podcast, host Swami and PEM specialist Dr. Elise Perlman dive into critical insights for managing respiratory cases in infants, babies, and toddlers during the viral season. They discuss important pearls...

  24. REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Tarlan Hedayati, Jess Mason and Simon Carley

    📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the...

  25. REBEL Core Cast 145: Understanding QTc Prolongation: Causes, Risks, and Management

    The QT interval is a vital part of ECG interpretation, reflecting the heart's electrical recovery after each beat. When prolonged, it can set the stage for torsades de pointes. Understanding how to measure and correct the QT interval, identify high-risk medications, and act quickly when TdP…

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  26. REBEL Core Cast 144: Tourniquet Tips

    Introduction In this episode of the Rebel Core Content podcast, Swami provides crucial tips on using tourniquets. Highlighting the significance of these life and limb-saving devices, the discussion focuses on the optimal placement of tourniquets, emphasizing placing them 2-3 inches (5-6 cm) above...

  27. REBEL CAST – IncrEMentuM26 Speaker Spotlight : George Willis and Mark Ramzy

    📝Introduction: In this exciting episode of REBEL Cast, host Dr. Mark Ramzy joins forces with renowned educator and speaker, Dr. George Willis. Broadcasting straight from the ACEP 25 in Salt Lake City, the duo talk about bringing together the international emergency medicine community, as they...

  28. REBEL Cast - DKA Part 2: Beyond the Basics - The SCOPE-DKA Trial

    🗝️Key Points 💧 Fluid Choice Matters: Plasma-Lyte, a balanced crystalloid, corrected acidosis faster than normal saline in severe DKA patients, with no increase in adverse events. 🧪 Chloride Load Concerns: Normal saline's high chloride content can worsen acidosis, potentially slowing bicarb...

  29. REBEL Cast - DKA Part 1: Beyond the Basics - The SQuID Protocol

    🔑 Key Points 🛏️ Fewer ICU Admissions Only 5 patients in the SQuID group required ICU care vs 99 in the traditional insulin drip group. ⏱️ Shorter ED Stays ED length of stay dropped by ~3 hours in the SQuID group—an operational win in crowded departments. 💉 No Drop in Nursing Workload Despite...

  30. REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator

    🗝️ Key Points ❌ Don't chase perfect numbers: Adequate and safe is often better than "perfect but harmful." 💨 Oxygenation levers: Start with FiO₂ and PEEP, but remember MAP is the true driver. 🫁 Ventilation levers: Adjust RR and TV, tailored to underlying physiology. 🚫 Watch your obstructive...

  31. REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes

    🗝️ Key Points 💨 Start with Breath Types: Controlled, assisted, and supported breaths are the foundation of all modes. 🛌 Comfort Over "Best Mode": No mode improves mortality — focus on patient synchrony and comfort. ✅ Know the Big 5 Modes: AC: All controlled or assisted (volume or pressure).…

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  32. Incrementum Conference 2026: Revolutionizing Emergency Medicine in Spain

    ⏰ Highlights 00:00 Introduction to Rebel Cast 00:10 Highlighting the Incrementum Conference 2026 00:34 Meet the Founders of Incrementum 01:21 The Journey to Incrementum 04:27 The Recognition of Emergency Medicine in Spain 06:04 What is Incrementum? 08:14 Bringing Together Top Emergency Medicine...

  33. REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes

    Key Points: 💨 Master the 3 Types of Breaths Control, Assist, and Spontaneous — know the difference before tackling ventilator modes. 📦 Breath Delivery: Volume vs. Pressure Volume-Targeted = fixed volume → monitor pressure 📈 Pressure-Targeted = fixed pressure → monitor volume 🫁 Lung Compliance…

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  34. REBEL Core Cast 140: The Power and Limitations of Intraosseous Lines in Emergency Medicine

    Limitations of IO access include: Placing an IO in a bone with a proximal fracture, a previous IO placement attempt or any circulatory compromise proximal to the site is contraindicated Blood work drawn from an IO are generally not accurate, so once the patient has been resuscitated with the IO,...

  35. REBEL Core Cast 139.0: Pneumothorax Decompression

    Show Notes: On this episode of the Rebel Cast, Swami takes a deep dive into pneumothorax decompression, focusing on the need for improvements beyond the classic teachings. Covering scenarios where immediate decompression is critical, particularly in tension pneumothorax, Swami discusses the...

  36. REBEL Core Cast 138.0: A Simple Bedside Approach to Shock

    In this episode, we will dive into a simple yet effective bedside approach to a patient in shock. By using quick physical exam findings and bedside vitals (particularly pulse pressure), you can form a quick assessment of the likely underlying etiology of a critically ill patient.

  37. REBEL Core Cast 137.0: A Simple Approach to Sinus Tachycardia

    Sinus tachycardia is the most prevalent cardiac dysrhythmia in critically ill patients, yet it often receives less attention than it warrants. While the rhythm itself is not inherently dangerous, it serves as a crucial indicator of underlying physiological disturbances that require prompt...

  38. REBEL Core Cast 136.0: A Simple Approach to the Tachypneic Patient

    In this episode, we focus on the bedside evaluation of the tachypneic patient. Tachypnea (increased respiratory rate) can be an early indicator of serious illness, but not every tachypneic patient is on the verge of arrest. The key is honing your bedside assessment to recognize who is at risk for...

  39. REBEL Core Cast 135.0: A Simple Approach to Hypoxemia (vs. Hypoxia)

    In this episode, we break down a practical bedside approach to hypoxemia. We clarify the difference between hypoxemia (low oxygen in the blood) and hypoxia (low oxygen at the tissue level), and walk through the major causes of hypoxemia that you need to recognize quickly at the bedside.

  40. REBEL Core Cast 134.0 - Acetaminophen Toxicity

    Acetaminophen (APAP) overdose remains one of the most common causes of acute liver failure in the United States. While its therapeutic use is widespread and generally safe, unintentional overdoses and delayed presentations can lead to devastating outcomes. In this episode of REBEL Cast, Swami...

  41. REBEL Cast - Street Medicine: Compassionate Care for the Unhoused

    In this episode of Rebel Cast, host Marco Propersi, along with co-hosts Steve Hochman and Kim Baldino, delve into the practice and importance of street medicine—the direct delivery of healthcare to homeless and unsheltered individuals. Special guests Dr. Jim O'Connell, a pioneer of street…

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  42. REBEL Cast - Is Pip-Tazo Harming Sepsis Patients?

    In this episode of RebelCast, host Dr. Marco Propersi and guest Dr. Lynnsey Moss discuss the comparative study of piperacillin-tazobactam versus cefepime in the treatment of undifferentiated sepsis. They discuss a recent retrospective cohort study which examines 90-day mortality rates is sepsis...

  43. REBEL Core Cast 133.0 - TMJ Dislocation

  44. REBEL Cast - A Winning Hand in Cardiology: Queen of Hearts AI Model Enhances OMI Detection

    In this episode of Rebelcast, hosts Dr. Marco Propersi and Dr. Joe Bove discuss the Queen of Hearts, a groundbreaking AI tool changing the game in EKG interpretation for detecting occlusive myocardial infarctions. Joined by experts Dr. Pendell Meyers and Dr. Steve Smith, they delve into the…

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  45. REBEL Core Cast 132.0 - Recent Onset AFib

  46. REBEL Core Cast 131.0 - Post-Dural Puncture Headache

  47. REBEL Core Cast 130.0 - Omphalitis

  48. REBEL Core Cast 129.0 - Gastric Lavage

  49. REBEL Core Cast 128.0 - Toxic Alcohols

    We're back with our in house toxicologist Dr. Sanjay Mohan chatting about toxic alcohol ingestin.

  50. REBEL Core Cast 127.0 - Penetrating Neck Injuries

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ABOUT THIS SHOW

REBEL EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine.REBEL Cast brings REBEL EM posts to life in audio form. We open with a clinical scenario and a focused clinical question, then critically appraise the study—key results, strengths, limitations, and what it means at the bedside. Every episode ends with actionable take-home points.Explore more at rebelem.comHave a paper we should review? Email [email protected].

HOSTED BY

Salim R. Rezaie, MD | Mark Ramzy, DO | Marco Propersi, DO

Produced by Salim R. Rezaie, MD | Mark Ramzy, DO | Marco Propersi, DO | Anand Swaminathan, MD, MPH

Frequently Asked Questions

How many episodes does REBEL Cast have?

REBEL Cast currently has 100 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.

What is REBEL Cast about?

REBEL EM stands for Rational Evidence Based Evaluation of Literature in Emergency Medicine.REBEL Cast brings REBEL EM posts to life in audio form. We open with a clinical scenario and a focused clinical question, then critically appraise the study—key results, strengths, limitations, and what it...

How often does REBEL Cast release new episodes?

REBEL Cast has 100 episodes. Check the episode list to see recent publication dates and frequency.

Where can I listen to REBEL Cast?

You can listen to REBEL Cast on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.

Who hosts REBEL Cast?

REBEL Cast is created and hosted by Salim R. Rezaie, MD | Mark Ramzy, DO | Marco Propersi, DO.
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