FOAMcast - Emergency Medicine Core Content (general)

We review select articles from 2017 that are important or that got people talking including:

Sadeghirad B et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ. 2017;358:j3887.

Barniol et al.Levocetirizine and Prednisone Are Not Superior to Levocetirizine Alone for the Treatment of Acute Urticaria: A Randomized Double-Blind Clinical Trial. Ann Emerg Med. 2018;71(1):125-131.e1

Wilson SS, Kwiatkowski GM, Millis SR, Purakal JD, Mahajan AP, Levy PD. Use of nitroglycerin by bolus prevents intensive care unit admission in patients with acute hypertensive heart failure. Am J Emerg Med. 2017;35(1):126-131.

Hu et al  Variability in Interpretation of Cardiac Standstill Among Physician Sonographers. Ann Emerg Med. 2017 Sep 1. S0196-0644(17)31376-8

Clattenburg et al Point-of-care ultrasound use in patients with cardiac arrest is associated prolonged cardiopulmonary resuscitation pauses: A prospective cohort study. Resuscitation. 2018;122:65-68.

Hinson JS et al. Risk of Acute Kidney Injury After Intravenous Contrast Media Administration. Ann Emerg Med. 2017

Healey CD et al. Asymptomatic cervical spine fractures: Current guidelines can fail older patients. J Trauma Acute Care Surg. 2017;83(1):119-125.

Crowell et al. Accuracy of Computed Tomography Imaging Criteria in the Diagnosis of Adult Open Globe Injuries by Neuroradiology and Ophthalmology. Acad Emerg Med. 2017;24(9):1072-1079.

Talan et al. Subgroup Analysis of Antibiotic Treatment for Skin Abscesses. Ann Emerg Med. 2018;71(1):21-30.


Direct download: FOAMcast_2017_lit_review.mp3
Category:general -- posted at: 6:36pm EDT

We tackle some free open access medical education from the CDC on the flu vaccine, including:

  • Recommendations that individuals with any severity of egg allergy (including anaphylaxis) receive the flu vaccine. The only modification that needs to occur is patients with a history of true anaphylaxis to eggs should be given the flu shot in a setting where they can be monitored by a healthcare professional if needed (i.e. a doctor's office).
  • It is very unlikely that the flu vaccine causes Guillan-Barre Syndrome (GBS). If there is any increase as a result of the flu shot, it is 1-2 in 1,000,000.

We then dive into CDC recommendations on oseltamivir as well as contradictory data from the most recent Cochrane review.

Thanks for listening!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_influenza_2nd_bounce.mp3
Category:general -- posted at: 3:58am EDT

Over at the Pulmcrit blog, Dr. Josh Farkas has proposed the use of phenobarbital monotherapy for the treatment of ethanol withdrawal and we cover this protocol.

We then dive into core content alcohol withdrawal using Rosen’s Emergency Medicine (9th ed) Chapter 142 , Tintinalli’s Emergency Medicine (8th ed) Chapter 292, and Goldfrank's Toxicologic Emergencies (10th ed) Chapter 81  as guides.

Thanks for listening,

Lauren Westafer and Jeremy Faust

Direct download: FOAMcast_Alcohol_withdrawal_.mp3
Category:general -- posted at: 8:28am EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT

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