FOAMcast - Emergency Medicine Core Content (general)

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

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 EDT

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 EDT

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 EDT

We are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference.  Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn't wait.

We cover...

One of the major themes of #dasSMACC has been - we are more overconfident in our knowledge, skills, ability, and good behavior than we actually demonstrate. We cover the Dunning-Kruger effect and how to help combat the notion that "this happens to other people, not me." 

Drs. Jacob Avila and Ben Smith on Airway Ultrasound

Dr. James Rippey on Point of Care Ultrasound Incidental Findings

Dr. Jack Iwashyna on Critical Care Prognosis

Thanks for listening!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_DasSMACC_Day_3._Ultrasound_incidentalomas_ICU_prognostics_.mp3
Category:general -- posted at: 1:42pm EDT

We are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference.  Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn't wait.

We cover...

Dr. Leanne Harnett on Pulmonary Embolism with Right Heart Thrombus (PE with RHT)

Dr. Michele Domico on Pediatric Cardiology Emergencies

Dr. Haney Mallemat (@CriticalCareNow) on Transesophageal Echocardiography (TEE) during Cardiac Arrest

 

Thanks for listening!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_DasSMACC_Day_2._TEE_in_codes_PE_with_RH_thrombus_SCAPE.mp3
Category:general -- posted at: 1:11pm EDT

We deliver pearls from the first day of #dasSMACC in Berlin.

We cover talks by Dr. Brian Burns on trauma, Dr. David Carr on endocarditis, Dr. Paul Young on statistics, and Dr. Jess Mason on sickle cell vaso-occlusive crisis.

Check out foamcast.org for show notes and pictographic summaries.

Thanks for listening and for the Rosh Review for sending us!

Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_DasSMACC_Day_1._Endocarditis.mp3
Category:general -- posted at: 2:14pm EDT

We interrupt our normal core content for this update:

Texting amongst medical professionals is ubiquitous; however, given patient privacy laws, many wonder, what is permissible?

We discuss a recent article in JAMA by Brian Drolet on this very topic as well as some basic professionalism pearls.

Show notes at FOAMcast.org

Thanks for listening,

Lauren Westafer and Jeremy Faust

Direct download: FOAMcast_texting_and_patient_privacy_VERSION_2.mp3
Category:general -- posted at: 8:56am EDT

We cover FOAM on the WOMAN trial of tranexamic acid (TXA) in post-partum hemorrhage including BroomeDocsEMlitofnote, and The Bottom Line

Then we delve into core content on non-pregnant vaginal bleeding using Rosen's and Tintinalli's as a guide.

Show notes are available at FOAMcast.org

Thanks for listening!
Lauren Westafer & Jeremy Faust

Direct download: Foamcast_WOMAN_and_dysfunctinoal_uterine_bleeding.mp3
Category:general -- posted at: 5:24pm EDT

We cover Free Open Access Medical Education (FOAM) from a recent Emergency Medicine Cases podcast and First10inEM blog post by Dr. Justin Morganstern regarding urinary tract infections (UTIs).   This podcast and blog tackle common issues in UTI diagnosis and treatment, including the following points:

  • UTI is a clinical diagnosis, a dirty urine does not mean the patient has a UTI
  • Urinalyses are more complicated to interpret than we probably understand

Then we cover core content from Rosen’s Emergency Medicine (8th ed), Chapter 99; Tintialli's Emergency Medicine (8th ed), Chapter 91; IDSA Guidelines for Treatment and Asymptomatic Bacteriuria

Thanks for listening!

Jeremy Faust and Lauren Westafer

Direct download: Foamcast_episode_68_UTI_.mp3
Category:general -- posted at: 11:42am EDT

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