🚨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 @MRamzyDO @srrezaie @emswami #FOAMed #Cardiology #EM

🚨@IncrEMentuMconf Speaker Spotlight: Drs. Sara Crager & Ryan Ernst Highlight: 🎮Rapid Sequence & Gamification: loom.ly/ldLbPWE 🌳The Arboretum Teaching Collective: loom.ly/vI00tvw 🎧Listen: loom.ly/ywPpHFU #FOAMed @EMSwami @MRamzyDO @Marco_propersi

🏅Check out what Performance Coaching in Medicine looks like! 🎧Listen to our latest REBEL MIND Episode w/@ArenaLabs: loom.ly/XzrpnT8 🥼SIGN Up to join the 8 week performance cohort here: loom.ly/3UxsS2k @Arena_Labs @MRamzyDO @Marco_propersi @EMSwami

🚨 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: wp.me/pdrP8b-5pF #FOAMed

Quick rule for EtOH withdrawal scoring: 🗣️ Talking + reliable → CIWA-Ar 🏥 ICU / delirious / intubated → mMINDS mMINDS helps when CIWA-Ar isn’t feasible. Trend scores + watch mimics (pain, sepsis, hypoxia). 🔗 wp.me/pdrP8b-5uj #MedED #CritCare #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! loom.ly/voSxpiI #REBELEM #FOAMed #EmergencyMedicine #MedED

🎙️ 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: wp.me/pdrP8b-5ph cc: @srrezaie @emswami @mramzydo @Marco_Propersi

🚨🧪 The Ket-Mid RCT showed faster seizure cessation, ⬇️ intubations, and no added harm with ketamine + midazolam. 📉 But one trial at a single site isn't enough—yet 🔗 wp.me/pdrP8b-5qZ By: Brendan Freeman DO & Katherine Zabinski MD #FOAMed

🥇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! 👀loom.ly/YvLC3F8 @Arena_Labs @MRamzyDO @Marco_propersi @EMSwami

🚨 Not all tachypnea is respiratory failure—yet. Short + shallow? Think neuromuscular, bronchospasm, or compliance issues Normal Vt? Metabolic or systemic. 🎧 Full episode: [wp.me/pdrP8b-5ng] #FOAMed #EmergencyMedicine #PulmPearls #Tachypnea #MedEd

RENOVATE Trial: HFNC vs BPAP in ARF 📊 Did HFNC match BPAP in 5 respiratory failure subgroups? ✅ Non-inferior in 4/5 🧪 Bayesian dynamic borrowing = statistical edge 🚫 Futility in immunocompromised patients Read more 👉 wp.me/pdrP8b-5sU #FOAMed #MedTwitter #REBELCrit

🚨 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

🚑 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

🚨 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: wp.me/pdrP8b-5oN #REBELEM #FOAMed #EM #VTE #PERC #Wells #Medtwitter

🤧 Should you prescribe Tamiflu for mild flu? 📉 Oseltamivir shortens symptoms by <24h 🤢 But side effects are common 🚫 No mortality/hospitalization benefit in healthy patients 👥 @emswami @marco_propersi @mramzydo #FOAMed #MedEd

🫁 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_propersi @mramzydo #REBELEM #FOAMed #MedEd

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