FOAMcast - Emergency Medicine Core Content

This week we review Dr. Josh Farkas's PulmCrit blog posts, Renal microvascular hemodynamics in sepsis: a new paradigm and Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications in which he posits that renal protection in sepsis may prove beneficial for patients.  

Then, we delve into core content pearls on acute kidney injury using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) as a guide.  

As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_Episode_21._Acute_Renal_Failure.mp3
Category:general -- posted at: 10:24pm EDT

This week we review Dr. Rory Spiegel's EMNerd blog post, A Case of Identity Part Two, on dual antiplatelet therapy for ACS and MI. 

  • Dual antiplatelet therapy, often aspirin + P2Y12 inhibitors, although commonly used, do not affect mortality and have questionable benefit but are associated with risks of bleeding.

Then, we delve into core content pearls on anticoagulation including aspirin, ibuprofen, and novel oral anticoagulants using Rosenalli  (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) and Goldrank (10th ed) Chapter 60 and EMPractice October 2013 as a guide.  

As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer


This week we review the Tox Talk podcast, Episode 23, Mushrooms. Key pearls 

Clitocybe, Inocybe - contain muscarine which stimulates muscarinic receptors (acetylcholine/parasympathetic), causing a cholinergic toxidrome. 

  • Memory aid: these mushrooms end in -yBE, akin to the "killer B's" that make cholinergic toxicity deadly - bradycardia, bronchorrhea, bronchospasm.

Gyromitra - (false morel)

  • Memory aid: gyromitra named because they look like the gyri of the brain and, conveniently, make the brain seize through depletion of GABA. 

Amanita phalloides - the mushroom equivalent of acetaminophen toxicity.

Then, we delve into core content pearls on accidental hypothermia using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  

As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer


This week we review Dr.Ken Milne's podcast, the Skeptics Guide to Emergency Medicine new feature - Hot off the Press. It's all about geriatric falls, y'all.

Then, we delve into core content pearls on the geriatrics using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We review polypharmacy, abdominal pain, and other key pearls.

As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_18_Falls_and_Geriatrics.mp3
Category:general -- posted at: 12:28am EDT

FOAMcast will be back shortly with regular core content-cutting edge mash ups; however, we wanted to take a moment to focus on a conference that inadvertently created FOAMcast...and is coming to Chicago in June 2015.

 SMACC - Chicago (#smaccUS) June 23-26, 2015. Registration begins Nov 5, 2014

There are too many core content lectures to choose from and they're available on iTunes.

Our favorites are listed on FOAMcast.org and here we review:

Dr. Haney Mallemat - The Art and Science of Fluid Responsiveness

Dr. Scott Weingart - Sepsis in New York: Our First 15,000 Patients

Dr. Cliff Reid - Resuscitation Dogmalysis

Dr. Rob Mac Sweeney - ARDS: An Evidence Based Update

Timing, Tribes, and STEMIs

 

Direct download: FOAMcastini_-_SMACC.mp3
Category:conferences, FOAM, smacc -- posted at: 9:23pm EDT

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  

Today's Pearls:

ACEP is revisiting the TPA policy - Dr. David Newman, Dr. Edward Sloan, and Dr. Seaberg

Evidence based approach to Intracerebral Hemorrhage by Dr. Jon Edlow

Drs. Jerome Hoffman and Richard Bukata delivered key literature pearls.

For updates, follow #ACEP14

 

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcastini_ACEP14_Wednesday.mp3
Category:general -- posted at: 8:03pm EDT

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  

Today's Pearls:

HIV patients are at risk for ACS and thrombotic complications

Resuscitation pearls from Weingart:  Don't trust "normal" vital signs, ACLS is not for emergency physicians, REBOA and ECMO are coming

Palliative care in the Emergendy Department - important and often not well done

ACEP has 5 more "Chosing Wisely" Pearls

For updates, follow #ACEP14

 

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcastini_ACEP14_Tuesday_.mp3
Category:general -- posted at: 5:47pm EDT

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  

Today's Pearls:

Emergency Physicians are like economists (We're more probalisticians than diagnosticians).

Cardiology pearls from Dr. Slovis - TTM to 36 Celsius post-arrest should be standard. Many people probably could benefit from caths after arrest, we're not sure exactly who at this point.

Patients returning from West Africa with fever probably have a regular virus, maybe malaria, but probably not ebola.

There's really not much use for glucagon in calcium channel blocker toxicity. Think supportive care, insulin-dextrose.

ETCO2 - it doesn't equal PaCO2 and it depends on cardiac output and alveolar ventilation  

For updates, follow #ACEP14

 

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcastini_ACEP14_Monday_.mp3
Category:general -- posted at: 6:59pm EDT

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  However, Jeremy and I both worked overnights so we got into town a little late.  Our friends and ACEP luminaries, Drs. Justin Hensley, Howie Mell, and Todd Slesinger.

For updates, follow #ACEP14

 

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcastini_ACEP14_Sunday_Day_1.mp3
Category:general -- posted at: 10:21pm EDT

This week we review Dr. Scott Weingart's EMcrit episode, The First Prehospital REBOA

Then, we delve into core content pearls on the spleen using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover splenic trauma and lacerations, post-splenectomy sepsis, and splenic sequestration.

Key Texts: Rosen's Chapter 46, 134 and Tintinalli Chapter 260.

As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_17a._Reboa_and_SPLEEN_fix.mp3
Category:trauma, spleen -- posted at: 10:06am EDT