REBEL MIND Ep5 - Applying Performance Science In and Out of the Emergency Department
Release Date: 02/18/2026
REBEL MIND Ep7 - Growth vs Fixed Mindset in Medicine
REBEL Cast
🔑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” instead of “You’re not strong at procedures” encourage persistence and normalize the learning curve. 🤝 Mindset shapes team culture – Growth mindset leaders foster psychological safety, invite input, and create collaborative teams. Fixed...
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REBEL MIND Ep6 – How to Sleep When the World Says You Can’t
REBEL Cast
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REBEL MIND Ep5 - Applying Performance Science In and Out of the Emergency Department
REBEL Cast
📌 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 athletes and emergency physicians. 📊 Data-Driven Insights: The Arena Labs approach uses personalized data, leveraging wearable technology and expert coaching to tackle burnout and enhance well-being. 🤝 Personalization and Partnership: Arena Labs’ collaboration with emergency...
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REBEL Core Cast 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback
REBEL Cast
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 with the ask, give a focused summary, and close the loop), plus ready-to-use scripts for common scenarios. We also cover how to respond to refusals, keep conversations professional, and escalate appropriately when patient safety or disposition is at risk.
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REBEL CAST: The RSI Trial – Ketamine vs Etomidate in Rapid Sequence Intubation
REBEL Cast
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 patients across ED and ICU settings and asked a clinically important question: does ketamine improve 28-day mortality compared with etomidate? What we cover: Primary outcome: no statistically significant difference in 28-day mortality Secondary signal: higher “cardiovascular collapse” with...
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REBEL Cast
📌 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 immunocompromised hypoxemia subgroup did not meet non-inferiority, leading to early trial stopping for futility. ⚖️ Rescue BPAP use, subgroup-specific exclusion criteria, and non-standardized BPAP delivery are important contextual factors that influence...
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REBEL Cast
🗝️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 environments such as the ED is crucial for reducing exhaustion, enhancing decision-making, and maintaining empathy. The necessity for intentional rest: tailor your rest strategies to meet personal recharge needs effectively. Rest should be deserved, not...
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REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia
REBEL Cast
🗝️ 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 ATS/IDSA updates are still pending. 🔥 Redefining “Severe”: Patients requiring high FiO₂ (>50%), noninvasive or mechanical ventilation, or PSI >130 meet criteria for steroid therapy — even outside the ICU. 🍬 Main Risk = Hyperglycemia: Elevated glucose was the most...
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REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst
REBEL Cast
📝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 globe. As emergency medicine gains traction in Spain, this conference has become an essential platform for knowledge exchange and professional growth. Today, host Dr. Mark Ramzy shines a spotlight on two phenomenal educators: Drs. Sara Crager and Ryan Ernst who shared their expertise and...
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REBEL MIND Ep3 - Performance Coaching in Medicine
REBEL Cast
📌 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 from exercise science to digital coaching, highlighting the importance of tailored coaching in high-pressure environments like healthcare. 🎯 Clinician-Centric Approach: Understanding unique challenges faced by ER doctors, the program provides practical tools for stress and transition...
info_outline📌 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 athletes and emergency physicians.
📊 Data-Driven Insights: The Arena Labs approach uses personalized data, leveraging wearable technology and expert coaching to tackle burnout and enhance well-being.
🤝 Personalization and Partnership: Arena Labs’ collaboration with emergency clinicians sheds light on personalized performance solutions rooted in scientific evidence.
📝 Introduction
Welcome back to REBEL MIND, where MIND stands for Mastering Internal Negativity during Difficulty. Here we sharpen the person behind the practitioner by focusing on things that improve our performance, optimizing team dynamics and the human behavior that embodies the hidden curriculum of medicine. In this episode, we’re excited to continue collaboration with Arena Labs, where host Dr. Mark Ramzy interviews Allyn Abadie, Arena Labs’ Principal Scientist on how we can apply performance science in and out of the emergency department. Arena Labs is helping us measure healthcare performance through innovative programs designed to combat burnout and enhance personal wellness using data-driven strategies.
🔙Previously Covered on REBEL MIND:
🤔Cognitive Question
How can emergency department clinicians utilize techniques inspired by athletic performance to better manage stress, prevent burnout, and optimize recovery?
💭 Why This is Important
- Burnout among healthcare workers is a growing concern, especially in such high-pressure environments as emergency and intensive care units. The collaboration with Arena Labs brings forth a vital focus on using data and coaching to build resilience among medical professionals.
🏥How This Applies to the Emergency Department or ICU?
- Emergency medicine, akin to high-performance sports, demands intense energy and quick decision-making under pressure, often leading to stress and burnout. By applying principles from athletic recovery and personalized data tracking, clinicians can moderate their performance intensity, enhance their recovery even in short breaks, and prevent long-term burnout. This approach allows emergency physicians to maintain endurance and clarity, improving patient care and team dynamics.
⏩ Things You Can Do on Your Next Shift
- Measure and Reflect: Start tracking your vital health metrics like heart rate with wearable sensors. Reflect on how daily activities impact these measurements to identify stress patterns.
- Implement Quick Recovery Techniques: Use short, actionable exercises such as deep breathing or the de-stress breath method between patient encounters to moderate stress levels.
- Invest in Self-Care: Dedicate brief time slots for essential self-care activities like hydration or quick reflection journaling, aiming to enhance mental resilience throughout your shift.
- Utilize Coaching Tools: Engage with personalized coaching apps or resources that offer science-backed recovery strategies tailored to your personal and professional needs.
👀 Where to Learn More
- Intrigued by the possibilities this partnership offers? You can explore more by visiting Arena Labs’ website here. Also, check out the comprehensive coaching program available, designed specifically for healthcare providers looking to enhance their well-being and performance.
🚨 Clinical Bottom Line
In an era where burnout is pervasive, our collaboration with Arena Labs offers a beacon of hope for healthcare workers. By leveraging cutting-edge data insights and practical coaching, this partnership aims to redefine healthcare wellness, fostering a sustainable, resilient workforce that’s equipped to navigate the pressures of modern medicine.
Join us in this journey towards enhanced well-being and workforce empowerment, ensuring that those who care for us are also cared for.