FOAMcast - Emergency Medicine Core Content

We discuss ultrasound diagnosis of pneumoperitoneum using a podcast from 5MinSono.

Then we delve into core content on gastritis, PUD, and helicobacter pylori using Rosen's Ch 78 and Tintinalli's Ch 79 as guides.

Thank for listening!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_pneumoperitoneum_.mp3
Category:general -- posted at: 9:21am EST

We cover Free Open Access Medical Education (FOAM) on mass casualty incidents, an unfortunate reality in the current United States climate (and elsewhere).  There is a must read (truly, emergency providers really should read this) in EP Monthly by Dr.Kevin Menes, “How One Las Vegas ED Saved Hundreds of Lives After the Worst Mass Shooting in U.S. History”. He details his process in running the Emergency Department that evening.

We cover pearls from other great resources include a post on the St. Emlyn's blog, "Mass Casualty Incidents: Lessons from the AAST" and a free EBMedicine article on ballistic injuries

Core Content: Chapter 192 Rosen's, Chapter 5 Tintinalli - Mass Casualty Incident Triage

Thanks for listening!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_MCIs_.mp3
Category:general -- posted at: 1:56am EST

We bring you pearls from the American College of Emergency Physicians (ACEP) 2017 Scientific Assembly.

We cover in-flight emergencies, need for contrast enhanced CT scans, bronchiolitis and sucrose for infants

Thanks for listening!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_ACEP_17_day_3_.mp3
Category:general -- posted at: 1:48pm EST

We bring you pearls from the American College of Emergency Physicians (ACEP) 2017 Scientific Assembly.

Pearls on H. Pylori from: It's Alimentary - Poo-Pourri of Conditions From the Mouth to Rectum - Dr. Adebayo, Dr. Batra, Dr. Bavokek

Emerging Infections: Zika and Its Friends - Dr. Joan Noelker

High Yield Toxicology - Dr Erickson, Dr Traub, Dr. Perrone

 

Direct download: FOAMcast_ACEP_17_day_2.mp3
Category:general -- posted at: 6:02pm EST

We cover top pearl from the American College of Emergency Physicians (ACEP) Scientific Assembly 2017.

Dr. Michael Winters - Critical Care Updates

Dr. Tim Horeczko - Pediatric Pitfalls

Thanks for listening!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_ACEP_17_day_1.mp3
Category:general -- posted at: 10:37pm EST

We cover some high yield, important, or frequently discussed recent articles.

Antibiotics and abscesses - Daum et al

FAST in hemodynamically stable patients -  Holmes et al

Haloperidol in gastroparesis - Roldan et al and Ramirez et al

Ignoring PERC - Buchanan et al

Steroids in non-asthma/COPD lower respiratory tract infections - Hay et al

Gender pay gap persists in academic EM (and it's not due to hours, rank, or roles) - Madsen et al

Direct download: FOAMcast_Lit_review_fall_2017_.mp3
Category:general -- posted at: 4:45pm EST

We review this blog post by Bryan Hayes, an ED pharmacist (@PharmERToxGuy), on the use of physostigmine in anticholinergic toxicity.

We then review anticholinergic toxidrome using Rosen's, Tintinalli's, and Goldfrank's as a guide.


Thanks for listening!

Lauren Westafer and Jeremy Faust

Direct download: FOAMcast_anticholinergics_and_physostigmine.mp3
Category:general -- posted at: 3:24pm EST

We review gastroparesis treatment with haloperidol including a recent study by Ramirez and colleagues. This study had significant methodologic limitations but provides some interesting insight into a practice that many providers have adopted - using haloperidol for gastroparesis. A tiny RCT by Roldan and colleagues also looked at this practice and found promising results, although the study was very small.  Haloperidol has also been used in cannabinoid hyperemesis but literature on this is limited to case reports/series.

We also cover core content on biliary pathology using Tintinalli and Rosen's as guides.

Thanks for listening!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_gastroparesis_and_cholecystitis.mp3
Category:general -- posted at: 8:52pm EST

We review recent discussions on the accuracy of cuff blood pressures including a meta-analysis Picone et al published in the Journal of the American College of Cardiology discussing the accuracy of cuff blood pressures.

We cover core content on hypertensive emergencies and asymptomatic markedly elevated blood pressure using the ACEP clinical policy on hypertension, Rosen's (9th ed) Chapter 74 "Hypertension," and Tintinalli (8th ed),  Chapter  57 “Systemic Hypertension” Chapter 59 “Aortic Dissection and Related Aortic Syndromes” as guides

Show notes on FOAMcast.org

Thanks for listening!
Jeremy Faust and Lauren WEstafer

Direct download: FOAMcast_Hypertension.mp3
Category:general -- posted at: 5:57am EST

We cover Free Open Access Medical Education on opioids.

  • The Poison Review podcast reviews papers on the opioid epidemic, including a paper by Rudd et al demonstrating an increase in opioid-related deaths over the past five years as well as the following paper by Shah and colleagues.
  • The Dantastic Mr. Tox and Howard, a new podcast on the scene, also covers multiple topics on opioids, including common misconceptions of tramadol.

Then we cover core content on opioid overdose and withdrawal using Rosen's Emergency Medicine (9th ed) Chapter 156 and Tintinalli's Emergency Medicine (8th ed), Chapter 186 as a guide.

 

Thanks for listening!
Jeremy Faust and Lauren Westafer

Direct download: foamcast_opioids__.mp3
Category:general -- posted at: 12:12pm EST