Thu, 19 March 2020
We are going to try to bring you updates regarding COVID-19 on a regular basis. These podcasts will likely be out of date in a few days, so check back for updates. This episode features:
Recorded 3.18.20 Thanks for listening, Lauren Westafer and Jeremy Faust |
Sun, 8 March 2020
We review the evaluation and management of Community-Acquired Pneumonia (CAP) as well as the Infectious Disease Society of America (IDSA) / American Thoracic Society (ATS) 2019 guidelines for CAP. Shownotes and references at FOAMcast.org Thanks for listening!
Direct download: FOAMcast_community_acquired_pna_-_3_8_20_6.48_PM.mp3
Category:general -- posted at: 4:39pm EDT |
Fri, 31 January 2020
We cover some top articles of 2019, including the following: Roc vs Sux: Guihard B et al. Effect of rocuronium vs succinylcholine on endotracheal intubation success rate among patients undergoing out-of-hospital rapid sequence intubation: A randomized clinical trial. JAMA 2019 Dec 17; 322:2303. (https://doi.org/10.1001/jama.2019.18254) Targeted Temperature Management after Cardiac Arrest: Lascarrou JB, Merdji H, Le gouge A, et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm. N Engl J Med. 2019. Pulmonary Embolism - a new D-dimer cut off Kearon C, De wit K, Parpia S, et al. Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability. N Engl J Med. 2019;381(22):2125-2134. Pulmonary Embolism in Pregnancy: Van der pol LM, Tromeur C, Bistervels IM, et al. Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism. N Engl J Med. 2019;380(12):1139-1149. TXA in head injury The CRASH-3 Trial Collaborators. Effects of Tranexamic Acid on Death, Disability, Vascular Occlusive Events and Other Morbidities in Patients with Acute Traumatic Brain Injury (CRASH-3): A Randomised, Placebo-Controlled Trial. Lancet 2019
|
Fri, 17 January 2020
The VITAMINS trial by Fujii et al has been published in JAMA and provides insight into the performance of the "metabolic cocktail" (Vitamin C + thiamine + hydrocortisone) in ICU patients with septic shock. We review this trial in the context of prior literature. Show notes and references at FOAMcast.org Thanks for listening! |
Wed, 18 December 2019
We review the American College of Emergency Physicians (ACEP) clinical policy on headache from June 2019, most of which revolves around the diagnosis of subarachnoid hemorrhage. Show notes and references at FOAMcast.org Thanks for listening! |
Tue, 29 October 2019
We are at ACEP 2019 in Denver and do a deep dive on a topic introduced by Bryan Hayes (@PharmERToxGuy) in a talk on black boxed medications used in the ED. We review the data underlying the FDA warning for olanzapine and benzodiazepines. Thanks for listening!
Direct download: FOAMcast_ACEP19_Day_2_Olanzapine_and_Benzos_-_10_28_19_11.10_PM.mp3
Category:general -- posted at: 7:10am EDT |
Mon, 28 October 2019
In this episode covering the American College of Emergency Physicians (ACEP) 2019, we cover common black box warnings including
Thanks for listening! Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_ACEP19_Day_2_Black_Box_Warnings_-_10_28_19_5.46_PM.mp3
Category:general -- posted at: 10:49pm EDT |
Sun, 27 October 2019
We are at ACEP 2019 in Denver and cover pearls from interesting lectures. Today, that included concussion and VP shunts.
Direct download: FOAMcast_ACEP19_Day_1_Concussion_and_VP_shunts_-_10_27_19_6.04_PM.mp3
Category:general -- posted at: 7:36pm EDT |
Fri, 11 October 2019
Vaping associated lung injury (VALI) has become a frequent topic in the news in the United States (US). In this episode we review the epidemiology, presumed pathophysiology, and new recommendations from the Centers for Disease Control (CDC) in the US. Thanks for listening! References:
|
Mon, 30 September 2019
In this episode we briefly review hyperkalemia and the principles of emergent treatment. Then we explore, in-depth, the role of insulin and dextrose including the incidence of hypoglycemia and pearls to reduce this side effect. Pearls:
Thanks for listening!
Direct download: FOAMcast_hyperkalemia_and_insulin_-_9_29_19_1.52_PM.mp3
Category:general -- posted at: 9:08am EDT |
Sun, 1 September 2019
We discuss the US Food & Drug Administration's black box warning for droperidol and the evidence behind this warning. We then discuss the use of butyrophenones such as droperidol and haloperidol for the treatment of agitation, headaches, nausea and vomiting, and gastroparesis/cannabinoid hyperemesis.
Thanks for listening! |
Wed, 31 July 2019
We discuss the coagulation test thromboelastography (TEG) / Rotational Thromboelastometry (ROTEM), reviewing the evidence behind the use of the tests as well as the clinical implications. Show notes and graphics FOAMcast.org Thanks for listening! |
Tue, 9 July 2019
In this episode, we discuss important and "hot" articles thus far in 2019. These articles include:
Thanks for listening! Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_2019_mid_yera_literature_review.mp3
Category:general -- posted at: 11:02am EDT |
Fri, 24 May 2019
We review the entity formally known as pseudoseizures and psychogenic non-epileptic seizures (PNES), now referred to as psychogenic non-epileptic attacks (PNEA). We discuss the history of PNEA as well as relevant literature on the diagnosis and treatment of this entity. Thanks for listening! |
Tue, 30 April 2019
We review myths and reality in the management of patients with Sickle Cell Disease (SCD)
We also review common emergencies in sickle cell disease that include
Thanks for listening! |
Fri, 29 March 2019
We are at #SMACC in Sydney, Australia, thanks to the Rosh Review, delivering updates from the conference to your earbuds. Advocacy in Emergency Medicine - Esther Choo and Hugh Montgomery Mechanical CPR vs Manual CPR - Ken Milne vs Salim Rezaie Super sick massive GI bleeds and balloon tamponade - Sara Gray Thanks for listening! |
Thu, 28 March 2019
We are at SMACC in Sydney, Australia, thanks to the Rosh Review, delivering updates from the conference to your earbuds. Today we cover resuscitation pearls. Bougie vs Standard Stylet in emergency department (ED) rapid sequence intubation (RSI) - Brian Driver vs Rich Levitan Rocuronium vs Succinylcholine Debate - Billy Mallon and Reuben Strayer The Crashing Asthmatic - Haney Mallemat Thanks for listening! Lauren Westafer and Jeremy Faust |
Wed, 27 March 2019
We are at #smacc in Australia thanks to the Rosh Review! The opening session this morning was amazing and we can't do it justice on the podcast. Gill Hicks (@MadForPeace), a victim in the July 7, 2005 bombing attack on a London train spoke on how impactful everyone in the healthcare delivery system can be (from medics to detectives to nurses to physical therapists to physicians). Dr. Dara Kass delivered a powerful talk on vulnerability, responsibility, and lack of knowledge even in a super health care literate individual.....what it means to be a provider and a patient (and a mom and a medical home for the family and a wife) in her story of donating part of her liver to her son. David Carr on anti-NMDA receptor encephalitis Anti-NMDA receptor encephalitis is the most common cause of encephalitis in young people (<30 years old), with an average age of ~20. We review the presentation, diagnosis, and treatment of this disease Thanks for listening! |
Wed, 27 March 2019
We co-hosted (with John Vassiliadis) the SMACC EM Updates half-day conference. We had amazing speakers. Salim Rezaie spoke on TXA for Everything, Ken Milne spoke on hot papers from 2018, and we learned about when ultrasound may be helpful in pediatric lumbar punctures. In addition, Jeremy spoke on what is usual care in sepsis and Lauren spoke on pulmonary embolism: the next generation. In this short podcast we highlight some of our other talks. Aidan Baron (@Aidan_Baron) on Prehospital Updates in Cardiac Arrest This talk focused on focusing on things that are most likely to make a difference in OHCA (bystander CPR and defibrillation) rather than on fun interventions like intubation and adrenaline (epinephrine). Aidan suggests that the future debates and questions in OHCA will be largely philosophical - what outcomes do we care about: neuro intact survival or ROSC or survival?
Barbra Backus on the future of the HEART score Modified Heart Score (redefining the T or troponin based on newer assays) results in a NPV of 99.8% and classifies 48% of patients as low-risk. Clinically Relevant Adverse Cardiac Events (CRACE) is way less common than major adverse cardiac events (MACE). HEART score of ≤3 ? CRACE is 0.05% Hot Literature in 2019
|
Mon, 18 February 2019
We have previously podcasted on tachyarrythmias (Episode 34 Tachyarrhythmias), but in this episode, we focus specifically on the treatment of supraventricular tachycardia (SVT), specifically paroxysmal SVT. We discuss the treatment options of adenosine and calcium channel blockers, weighing in with the evidence, the guidelines, and some opinion. Thanks for listening!
Thanks to Figure 1 for supporting this episode. We do not make money off of this podcast, this support is just for operational costs associated with the podcast. |
Thu, 31 January 2019
The US Food and Drug Administration (FDA) recently released another warning for fluoroquinolones, this time regarding aortic dissection and aneurysm. We review the evidence behind this warning, including the following studies: Lee CC Risk of Aortic Dissection and Aortic Aneurysm in Patients Taking Oral Fluoroquinolone. JAMA Intern Med. 2015;175(11):1839-47. Lee CC Oral Fluoroquinolone and the Risk of Aortic Dissection. J Am Coll Cardiol. 2018;72(12):1369-1378. Pasternak B Fluoroquinolone use and risk of aortic aneurysm and dissection: nationwide cohort study. BMJ. 2018;360:k678. We then review the ACEP clinical policy on aortic dissection covering risk scores, d-dimers, and management of aortic dissection Thanks for listening! Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_Fluoroquinilons_and_the_aorta_v2.mp3
Category:general -- posted at: 6:59am EDT |
Thu, 27 December 2018
We cover the clinical policy from the American College of Emergency Physicians - Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes In adult patients without evidence of ST-elevation acute coronary syndrome, can initial risk stratification be used to predict a low rate of 30-day major adverse cardiac events?
In adult patients with suspected acute non–ST-elevation acute coronary syndromes, can troponin testing within 3 hours of emergency department presentation be used to predict a low rate of 30-day major adverse cardiac events?
In adult patients with suspected acute non–ST-elevation acute coronary syndromes in whom acute myocardial infarction has been excluded, does further diagnostic testing (eg, provocative, stress test, computed tomography [CT] angiography) for acute coronary syndrome prior to discharge reduce 30-day major adverse cardiac events?
Should adult patients with acute non–ST-elevation myocardial infarction receive immediate antiplatelet therapy in addition to aspirin to reduce 30-day major adverse cardiac events?
Thanks for listening!
Direct download: FOAMcast_ACS_ACEP_guideline_with_definition_fix.mp3
Category:general -- posted at: 2:12pm EDT |
Tue, 20 November 2018
We discuss Medicated Assisted Treatment (MAT) for opioid use disorder (OUD) including buprenorphine initiated from the emergency department. This show was sponsored by Figure 1, a free open access application for providers using images and cases Thanks for listening! Jeremy Faust and Lauren Westafer References:
|
Mon, 22 October 2018
The Free Open Access Medical Education (FOAM) world is often obsessed with magnesium. In this show we address the use of magnesium for various applications. Magnesium for Acute Atrial Fibrillation with Rapid Ventricular Response (RVR)
Magnesium for Migraine
Magnesium for Acute Asthma Exacerbation Griffiths B, Kew KM. Intravenous magnesium sulfate for treating children with acute asthma in the emergency department. Cochrane Database Syst Rev. 2016;4:CD011050.
Thanks for listening! Jeremy Faust and Lauren Westafer |
Tue, 16 October 2018
In this episode we highlight key articles in Emergency Medicine that came out, thus far, in 2018. D'souza et al. Effects of prophylactic anticholinergic medications to decrease extrapyramidal side effects in patients taking acute antiemetic drugs: a systematic review and meta-analysis Emerg Med J. 2018;35(5):325-331. Driver et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA. 2018;319(21):2179-2189. Atkinson PR, Milne J, Diegelmann L, et al. Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators. Ann Emerg Med. 2018; In press. Perkins GD et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. N Engl J Med 2018; 379:711-721 Meltzer et al. Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial. JAMA Intern Med. 2018 Aug 1;178(8):1051-1057 Kabrhel et al Multicenter Evaluation of the YEARS Criteria in Emergency Department Patients Evaluated for Pulmonary Embolism. Acad Emerg Med. 2018;25(9):987-994
Thanks for listening! |
Wed, 3 October 2018
We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight:
Thanks for listening! |
Tue, 2 October 2018
We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight:
Thanks for listening! |
Mon, 1 October 2018
We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight:
Thanks for listening!
Direct download: FOAMCast_Pediatrics_Head_Trauma_from_ACEP18_San_Diego_Day_1_.mp3
Category:general -- posted at: 6:15pm EDT |
Mon, 24 September 2018
We cover a JAMA Clinical Reviews podcast on lyme disease, including some myth-busters. *Doxycycline can be used, safely, in kids < 8 years old *Testing for lyme is a mess because : (1) we test patients with ultra low probability of disease (2) we test patients who shouldn't be tested (i.e. have erythema migrans) (3) the tests are a pain to interpret *Lyme disease is spreading further south and west in the US, into Canada, and it's also increasingly found in Europe. We then delve into core content for Rosen's, Tintinalli, and the IDSA 2006 guidelines. Thanks for listening!
|
Mon, 27 August 2018
We review the American Urological Association guidelines on penile fracture and priapism. We supplement this with core content from Tintinalli and Rosen's Emergency Medicine.
Direct download: FOAMcast_Penile_Fracture_and_Priapism__.mp3
Category:general -- posted at: 3:31pm EDT |
Fri, 20 July 2018
We review one of the editors top picks from Annals of Emergency Medicine, which are free for 6 months from issue release. The article covered in this podcast is Waldman et al, is a study of tetracaine in corneal abrasions. We also review commonly encountered corneal emergencies: Corneal abrasions Corneal ulcers and herpes keratoconjunctivitis. Thanks for listening! |
Mon, 18 June 2018
Show notes at FOAMcast.org We cover the 2017 IDSA/SHEA guidelines on clostridium difficile (c diff). We then review core content on c diff including risk stratification and treatment using Rosen's and Tintinalli as guides. Thanks for listening! |
Wed, 16 May 2018
Workup for pulmonary embolism (PE) is common (perhaps too common) in the United States. The American College of Emergency Physicians has released a clinical policy on pulmonary embolism. We cover this policy as well as core content on PE risk stratification and "rule out" Thanks for listening, |
Mon, 30 April 2018
We cover the emergency department care of lactating patients including Medications during breastfeeding - who should "pump and dump"? (spoiler: very few people, check LactMed or InfantRisk) Mastitis & Breast Abscesses Emergency Department Support Thanks for listening! |
Sun, 1 April 2018
Show notes at FOAMcast.org We have a special April 1st show - the Faust-Westafer Central Theorem of Emergency Medicine. Listen for details Thanks for listening!
Direct download: FOAMcast_Faust_Westafer_Central_Theorem_of_Emergency_Medicine_.mp3
Category:general -- posted at: 12:00am EDT |
Wed, 21 March 2018
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.
|
Sat, 24 February 2018
We tackle some free open access medical education from the CDC on the flu vaccine, including:
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 |
Sun, 14 January 2018
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 |
Tue, 5 December 2017
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! |
Mon, 20 November 2017
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! |
Sat, 4 November 2017
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! |
Mon, 30 October 2017
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
|
Sun, 29 October 2017
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! |
Sun, 8 October 2017
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 |
Fri, 15 September 2017
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.
Lauren Westafer and Jeremy Faust
Direct download: FOAMcast_anticholinergics_and_physostigmine.mp3
Category:general -- posted at: 3:24pm EDT |
Thu, 31 August 2017
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!
Direct download: FOAMcast_gastroparesis_and_cholecystitis.mp3
Category:general -- posted at: 8:52pm EDT |
Fri, 18 August 2017
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! |
Mon, 31 July 2017
We cover Free Open Access Medical Education on opioids.
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! |
Thu, 29 June 2017
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 |
Wed, 28 June 2017
#dasSMACC - PE with Right Heart Thrombus, Pediatric Cardiology Emergencies, and TEE in Cardiac Arrest
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 |
Tue, 27 June 2017
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 |
Mon, 5 June 2017
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 |
Mon, 15 May 2017
We cover FOAM on the WOMAN trial of tranexamic acid (TXA) in post-partum hemorrhage including BroomeDocs, EMlitofnote, 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!
Direct download: Foamcast_WOMAN_and_dysfunctinoal_uterine_bleeding.mp3
Category:general -- posted at: 5:24pm EDT |
Sat, 6 May 2017
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:
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 |
Wed, 26 April 2017
A recent study in Academic Emergency Medicine by Hughes and colleagues, looks at the potential clinical relevance of having emergency physicians sign ECGs read "normal" by the computer software. FOAM reviews of this article can be found here: Then we review ischemia on ECGs, including STEMIs as well as a dive into ischemic T waves Check out FOAMcast.org for more show notes and images. Thanks for listening! Lauren Westafer and Jeremy Faust |
Fri, 31 March 2017
We cover an episode of The Skeptic's Guide to Emergency Medicine that covers a validation study of the Step by Step approach to pediatric fever. This approach to infants with a fever <3 months old is alluring as it does not necessitate a lumbar puncture. This algorithm had a better sensitivity and negative predictive value than the Rochester criteria. The approach did miss some infants with a serious bacterial infection and these tended to be those between 21 and 28 days old and those with fever onset <2 hours prior to arrival. We cover Chapter 116 in Tintinalli's Emergency Medicine (8th ed) and Rosen's on pediatric fever. Visit FOAMcast.org for more information and thanks for listening! -Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_Step_by_Step_and_pediatric_fevers.mp3
Category:general -- posted at: 8:40am EDT |
Sun, 12 March 2017
We cover a post from the fantastic St. Emlyn's team which breaks down a recently published article in Annals of Emergency Medicine comparing diazepam with placebo in patients with acute low back pain. We recommend you read the full text of the article by Friedman et al. We delve into core content on red flags in back pain and spinal epidural abscess using Rosen's Emergency Medicine and Tintinalli's Emergency Medicine Chapter 279 as a guide. visit FOAMcast.org for show notes and more information. Thanks for listening! |
Mon, 27 February 2017
We cover Free Open Access Medical Education (FOAM) on Contrast-Induced Nephropathy (CIN). Recent interes The American College of Radiology (ACR) Manual on Contrast Induced Nephropathy This Emergency Medicine Literature of Note post covers the AMACING trial, which looks at intravenous fluid administration (0.9% NaCl) versus usual care in patients "at risk" for CIN undergoing contrast-enhanced CT scan. The study found a difference of -0.1% (95% CI -2.25 to 2.06), which was below the non-inferiority margin. Prior literature shows similar results, with no clear-cut efficacy from prevention strategies for CIN. This post by Dr. Joel Topf (nephrologist @kidneyboy) on the Precious Bodily Fluids blog discusses a nephrologist's take on CIN. EM topics post on fluids in CIN. Core Content We then delve into core content on genitourinary trauma using Rosen’s Chapter 47 and Tintinalli’s Chapter265 as a guide. Thanks for listening! |
Sat, 18 February 2017
Ultrasound is gaining popularity in assisting lumbar punctures (LPs). We review this technique as well as Free Open Access Medical Education (FOAM) from the following sites: 5 Min Sono, Sinai EM, and PEM pearls from ALiEM. We then delve into core content on meningitis, encephalitis, and antiNMDA receptor encephalitis using Rosen's Chapter 109 and Tintinalli's Chapters 117 and 174 as a guide. Thanks for listening! Jeremy Faust and Lauren Westafer
|
Tue, 24 January 2017
We cover FOAM on transvenous pacing from Ultrasound Podcast, Dr. Jason Nomura, and Dr. Al Sachetti
Then, we delve into basics on bradycardias using Rosen's Emergency Medicine and Tintinalli's as a guide.
Direct download: Foamcast_transvenous_pacers_and_bradycardia.mp3
Category:general -- posted at: 5:02pm EDT |
Thu, 19 January 2017
The Surviving Sepsis Campaign Guidelines were updated, reflecting some changes carried forward from Sepsis 3.0 that was released in 2016. In this podcast we go over some of the updates, many of the recommendations that stayed the same. As a bonus we cover a new study on validation of qSOFA. Show notes at FOAMcast.org
Jeremy Faust and Lauren Westafer |
Sat, 31 December 2016
A lot of good literature came out in 2016 so we wanted to mention a couple of our favorite articles of the year. Sepsis 3.0 Singer M, Deutschman CS, Seymour CW, et al: The Sepsis Definitions Task Force The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). The quick SOFA score (qSOFA) also came out in hopes it "provides simple bedside criteria to identify adult patients with suspected infection who are likely to have poor outcomes." It is not part of the sepsis definition Back Up Head Elevated Intubation Khandelwal et al. Head-elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit. Anesthesia and Analgesia. Apr 2016. Ketorolac Dose Motov, S, Yasavolian, M, Likourezos, A, et al. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department. .Ann Emerg Med. 2016 Dec 16. Out of Hospital Cardiac Arrest Prognostication Jabre et al. Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation. Intern Med. 2016 Dec 6;165(11):770-778
Thanks for listening! Jeremy Faust and Lauren Westafer |
Tue, 20 December 2016
We review a trick of the trade from Academic Life in Emergency medicine for temporomandibular joint (TMJ) dislocation, the extra-oral reduction as well as other methods of TMJ reduction. We delve into core content on dental injuries including fractures, avulsion, luxations, pulpitis and more using Rosen’s Emergency Medicine (8th edition) Chapter 70 "Oral Emergencies" and Tintinalli’s Emergency Medicine (8th edition) Chapter 245 "Oral and Dental Emergencies" as a guide. Thanks for listening! |
Tue, 13 December 2016
We review a podcast from Dr. Tim Horeczko's Pediatric Emergency Playbook on elbow injuries including identifying normal ossification centers (CRITOE), radial head subluxation, and supracondylar fractures. Then, we delve into core content on other elbow adjacent injuries including elbow dislocations, humerus fractures, and olecranon bursitis using Rosen’s Emergency Medicine (8th edition) Chapter and Tintinalli’s Emergency Medicine (8th edition) Chapter as a guide. Thanks for listening! |
Fri, 25 November 2016
We review a talk by Dr. Sara Gray from SMACC (Social Media and Critical Care) conference in June 2016, Resuscitative hysterotomy, which is the new name for perimortem c-section [1]. In this talk she challenges the "4 minute" rule: if resuscitative efforts following maternal circulatory arrest are unsuccessful, cesarean delivery should be commenced at 4 minutes and completed by 5 minutes to optimize fetal outcome. Then we delve into core content on pregnancy emergencies using Rosen’s Emergency Medicine (8th edition) Chapter 98and Tintinalli’s Emergency Medicine (8th edition) Chapter 178 as a guide, discussing nausea and vomiting, hyperemesis gravidarum, bacteriuria, and vaginal bleeding in the first trimester. Thanks for listening! |
Mon, 31 October 2016
The PESIT study in the New England Journal of Medicine stirred up controversy in the FOAM world earlier in October 2016. In this episode we cover the following posts on this article on pulmonary embolism in syncope: Then, We delve into core content on syncope usingRosen's Emergency Medicine (8th edition) and Tintinalli's Emergency Medicine (8th edition) Chapter 52
Thanks for listening! -Jeremy Faust and Lauren Westafer |
Tue, 18 October 2016
We are bringing y'all pearls from ACEP 2016 in Las Vegas. Today we cover Bell's Palsy (are you sure it's not a stroke?), burn dogma, and some hot abstracts of the year. Thanks for listening! Jeremy Faust and Lauren Westafer |
Tue, 18 October 2016
We are at ACEP 2016 summarizing the hottest pearls Today we cover placebos in the ED for back pain, nausea, and upper respiratory tract infections as well as atrial fibrillation management controversies and vaccine side effects. Thanks for listening! Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_Vaccine_side_effects_and_Placebos_ACEP_16_Day_2_.mp3
Category:general -- posted at: 8:28am EDT |
Mon, 17 October 2016
We bring you highlights from ACEP2016 in Las Vegas.
We also cover active shooters and lawsuit pearls
Thanks for listening! |
Sun, 9 October 2016
We cover an incredible ophthalmology resource, OphthoBook.com, by Dr. Tim Roots. This resource has a free book and excellent free video lectures. Specifically, we detail a hilarious video on eye exam tricks, especially targeting individuals who "can't see." We previously reviewed eye trauma in this podcast. In this episode, we review ophthalmology basics using Tintinalli’s Emergency Medicine (8e), Chapter 241 Visit FOAMcast.org for more and Rosh Review questions. Thanks for listening! Jeremy Faust + Lauren Westafer |
Sun, 2 October 2016
The Free Open Access Medical Education (FOAM) We cover a post from Dr. Josh Farkas on PULMcrit on lithium toxicity. The key message from the post is: a single serum lithium level doesn't necessitate dialysis, despite a recommendation from the EXTRIP working group to initiate dialysis in patients with a lithium level > 5 mEq/L [1]. Dr. Farkas advocates for aggressive management in asymptomatic patients with chronic lithium toxicity and patients without impaired renal function. Core Content We review rhabdomyolysis using Rosen's Emergency Medicine (8e) Chapter 160 and Tintinalli's Emergency Medicine (8e), Chapter 181.
Show notes at FOAMcast.org Thanks for listening! Jeremy Faust & Lauren Westafer |
Tue, 6 September 2016
We review a FOAM post by Dr. Matthew MacPartlin on Rollcage Medic on flying after a pneumothorax. Then we delve into a core content review of altitude sickness, high altitude pulmonary edema, high altitude cerebral edema, and altitude related problems using Tintinalli and Rosen's Emergency Medicine as a guide. Thanks for listening! |
Tue, 23 August 2016
We cover several excellent post on rashes, including:
Next, we dive into core content on platelet problems including problems caused by drugs, immune thrombocytopenic purpura (ITP/idiopathic thrombocytopenic purpura) and thrombotic thrombocytopenic purpura (TTP) using Tintinalli Chapter 233 (8th ed) and Rosen's Chapter 122 (7th ed) as a guide.
Thanks for listening! Jeremy Faust and Lauren Westafer |
Mon, 8 August 2016
We cover ultrasound guided pericardiocentesis using the posts from EMin5, CoreEM, and the Ultrasound Podcast. Then, we delve into core content on the pericardium using Rosen’s (8th ed) Chapter 82 and Tintinalli (8th ed) Chapter 55 covering pericardial effusions, pericarditis, and myocarditis.
Thanks for listening! Jeremy Faust & Lauren Westafer |
Sun, 17 July 2016
We cover a post by Dr. Rory Spiegel, EMNerd: The Case of Differing Perspectives, on the results of the ATACH-2 trial on blood pressure control in intracranial hemorrhage (ICH). This study sought to determine the safety and efficacy of the Population: adults (>18 y/o) with ICH on CT scan, GCS ≥ 5 and <4.5 hours since symptom onset (changed mid-study) Intervention: Reduce and maintain the hourly minimum systolic blood pressure in the range of 110 to 139 mm Hg throughout the period of 24 hours after randomization ("intensive treatment"). Preferred agents for blood pressure control in order of preference were 1. nicardipine 2. labetalol (diltiazem or urapidil if not available)
Control: Reduce and maintain the hourly minimum systolic blood pressure in the range of 140 to 179 mm Hg throughout the period of 24 hours after randomization.
Outcome: The primary outcome was the proportion of patients who had moderately severe or severe disability (modified Rankin scale score (mRS) 4-5) or those who had died (mRS 6; hereafter referred to as “death or disability”) at 3 months.
We also discuss the history of blood pressure control in ICH and the pendulum swing on this in recent years, using an episode of the Skeptic's Guide to Emergency Medicine, Episode 73. This episode covers the Interact-2 trial. Core Content We delve into core content on ICH using Rosen’s (8th ed) Chapter and Chapter in Tintinalli (8th ed). We also discuss the PATCH trial with regard to ICH management in patients on antiplatelet agents, discussing a REBELEM post on this trial.
|
Fri, 1 July 2016
Just in time for the new interns, we answer the most common question asked of us - our favorite resources to use on shift. Free Open Access Medical Education (FOAM) exists in forms that are suitable for self-study or function as resources and those that are easy to use resources to consult on shift, Just In Time (JIT) Resources. We review our favorite FOAM JIT resources.
Direct download: FOAMcastini_July_1_Just_in_time_FOAM.mp3
Category:general -- posted at: 11:35am EDT |
Sun, 26 June 2016
We cover a Scancrit post on the Back Up Head Elevated (BUHE) intubation position. This post details a multicenter retrospective observational study by Khandelwal et al in Anesthesia & Analgesia. Intubating with the head elevated (ear to sternal notch) and the back of the bed up reduces complications. We delve into core content on the esophagus using Rosen’s (8th ed) Chapter 71 and Chapter 77 in Tintinalli (8th ed). We discuss dysphagia, food impaction, and esophagitis.
JEremy Faust and Lauren WEstafer
Direct download: Foamcast_52_Back_up_head_elevated_intubation_-_6-25-16_5.17_PM.mp3
Category:general -- posted at: 8:56am EDT |
Thu, 16 June 2016
We cover pearls from smaccDUB (Social Media and Critical Care Conference in Dublin, Ireland), Day 3. We are here thanks to the Rosh Review. Dr. Scott Weingart - "Post-Intubation Sedation"
Dr. David Carr - "The Aorta Will #!&?% You Up" Dr. Kathleen Thomas - "Oh Sh**! They’re bombing the hospital!" We should not need a website entitled STOPBOMBINGHOSPITALS.ORG but, unfortunately, over the past 4 years, 400 hospitals have been bombed. This passionate, wrenching talk is a "must see" and "must listen" when the free talks are released on the SMACC podcast over the course of the next year. ive use in the emergency department. Emergency medicine journal : EMJ. 30(11):893-5. 2013. [pubmed]
Direct download: Foamcastini_smaccdub_day_3_aorta_and_pain.mp3
Category:general -- posted at: 2:01pm EDT |
Wed, 15 June 2016
#smaccDUB day 2 Dr. Reuben Strayer - “Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient." Dr. Strayer presented a brilliant talk on dealing with the quintessential Emergency Medicine patient - the undifferentiated acutely agitated patient. These patients are high risk and require emergent stabilization and resuscitation. Dr. Haney Mallemat - "The PEA Paradox" The typical way we think about PEA, the "H's and T's," is overly complicated. Further, we are horrendous at pulse palpation (see this for more), and so what we think is PEA may not actually be PEA. Dr. Mallemat proposed QRS duration as one way to think about PEA, although this has limitations. Dr. Michele Dominico - "How Usual Resuscitative Maneuvers Can Kill Paediatric Cardiac Patients" Interventions we jump to in sick patients - oxygenation, ventilation, vasopressors - these can kill pediatric patients with cardiac pathology. She gave examples of some high yield pearls in these already terrifying patients. EM Literature update by Drs. Ashley Shreves and Ryan Radecki
Interesting and Ridiculous Research Pearls from Drs. Ashley Shreves and Ryan Radecki
|
Tue, 14 June 2016
We are at SMACC in Dublin - thanks to the Rosh Review, an excellent board review question bank. Here are some of our favorite pearls. Do We Make Saves? Dr. Mervyn Singer "Is Survival Predetermined in the Critically Ill?"
Favorite Pearls Dr. Suzanne Mason - "Acute Care of the Elderly"
Dr. Victoria Brazil - "So You Think You're a Resuscitationist?"
Direct download: FOAMcastini_SmaccDub_Saves_day_1_-_6_14_16_7.56_PM.mp3
Category:general -- posted at: 3:05pm EDT |
Thu, 9 June 2016
We cover this short video from EMRAP on lateral canthotomies. This is one of those rare procedures that is vision saving; hence, it is worthy of frequent review. Then, we delve into core content on orbital fractures, hyphemas, and ocular burns using Tintinalli and Rosen's Emergency Medicine as a guide. Show notes and references at foamcast.org Thanks for listening! Jeremy Faust and Lauren Westafer |
Wed, 4 May 2016
ALTE is out and BRUE is in. We review the American Academy of Pediatrics guideline on Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants |
Mon, 25 April 2016
We cover a post by Dr. Seth Trueger (@MDaware) on false positives in the urine drug screen and review limitations of this test. Then we review some toxicology, including toxicity associated with cocaine and PCP using Rosen's Emergency Medicine (8e) and Tintinalli's (8e) as a guide.
Lauren Westafer and Jeremy Faust |
Sat, 9 April 2016
In this episode we cover a post from Dr. Smith's ECG blog investigating ways to read ischemia on a ventricular paced ECG: A Patient with Ischemic symptoms and a Biventricular Pacemaker. Then we delve into core content on the Sgarbossa/modified Sgarbossa criteria as well as pacers and implantable defibrillators and their complications. Thanks for listening! Jeremy Faust and Lauren Westafer |
Sat, 19 March 2016
We cover a podcast from HEFT EMcast demonstrating that needle decompression at the 2nd intercostal space at the midclavicular line (2ICS MCL) is likely to fail. They review a systematic review and meta-analysis by Laan et al in 2015 that suggests the fifth intercostal space at the anterior axillary line (5ICS AAL) is less likely to fail. Then we delve into core content on pneumothoraces and empyemas using Tintinalli and Rosen's Emergency Medicine as a guide. Thanks for listening, Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_46_Needle_decompression_-_3-19-16_4.28_PM.mp3
Category:general -- posted at: 10:43pm EDT |
Sun, 21 February 2016
We bring you breaking news on the updated sepsis definition from the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine. SIRS and Severe Sepsis? Out. qSOFA (HAT - Hypotension, AMS, Tachypnea)? In. Septic Shock? Sepsis + Vasopressors needed to maintain MAP >65 mmHg + Lactate >2 mmol/L (*after adequate fluids)
|
Thu, 18 February 2016
We cover the Skeptic's Guide to Emergency Medicine Episode 144, "That Smell of Isopropyl Alcohol for Nausea in the Emergency Department." This podcast reviews an article by Beadle et al, an RCT on the use of inhalational isopropyl alcohol for nausea. Then we delve into core content on vertigo using Rosen’s Medicine (8e) and Tintinalli’s Emergency Medicine: A Comprehensive Study Guide (7e) on all things toxic alcohols
Thanks for listening! |
Thu, 21 January 2016
We cover an EMcrit episode on Semantics of End of Life Discussions with Dr. Ashley Shreves as well as pearls from another favorite episode with her, Episode 93 - Critical Care Palliation. We can't do these episodes justice summarizing them so listen to them. Key Pearls on moving away from "DNAR" and moving towards "AND" - Allow Natural Death, how to have the conversation, and with whom to have the end of life discussion. Then we delve into core content on vertigo using Rosen’s Medicine (8e) electronic chapter, "End of Life," and Tintinalli’s Emergency Medicine: A Comprehensive Study Guide (7e) Chapter 297 “Death and Dying.” Thanks for listening! |
Mon, 4 January 2016
In this special episode we review some of the top items of 2015* David Newman:
Haney Mallemat:
Michelle Lin
Rob Orman
Thanks for listening! Jeremy Faust and Lauren Westafer *Chosen by people smarter than we are. (nb: Lauren initially wrote "smarter than us," but I fixed it. You're welcome, universe. -JF)
Direct download: FOAMcast_42_Best_new_pearls_and_biggest_trends_of_2015.mp3
Category:general -- posted at: 12:19pm EDT |
Tue, 22 December 2015
In this episode we cover The Skeptic's Guide to Emergency Medicine Episode on Regional Anesthesia for hip and femoral neck fractures. Then we delve into core content on Rosen's and Tintinalli (Rosenalli) on core content pearls on compartment syndrome.
Jeremy and Lauren
Direct download: FOAMcast_40_Femoral_Nerve_Blocks_and_Compartment_Syndrome.mp3
Category:general -- posted at: 2:33pm EDT |
Tue, 8 December 2015
We cover Dr. Rory Spiegel's blog EMNERD, covering an article in Chest 2015 by Pivetta et al, discussing the ways lung ultrasound (US) may be far more helpful than the brain natriuretic peptide (BNP) in determining heart failure in the dyspneic patient. Then we delve into likelihood ratios and show notes can be found at FOAMCAST.org Bottom Line, LR of 1 is useless. It doesn't change the likelihood of using the disease. + LR >5 is good, + LR of 10 means that a test is useful and, if positive, patient most likely had the disease - LR 0.2 is ok but a - LR of 0.1 is much more helpful. Using a Fagan nomogran, one can understand how various likelihood ratios (and tests with their known LRs) may affect the post-test probability (i.e. the likelihood the patient has the disease). The utility of tests also depends on the pretest probability.
|
Tue, 24 November 2015
The FOAM realm has teamed with interest in a randomized trial in the ICU by Semler et al, the FELLOW trial. This week we cover some aspects of this trial, such as statistical power, highlighted in some of the following Free Open Access Medical Education (FOAM) posts
Then, we delve into core content on epistaxis and sinusitis using Rosenalli (Tintinalli (7e) Chapter 239, “Epistaxis, Nasal Fractures, and Rhinosinusitis.” Rosen’s (8e) Chapter 75, “Upper Respiratory Infection.", "Otolaryngology") as a guide. Thanks for listening, Jeremy Faust and Lauren Westafer |
Sun, 15 November 2015
We cover a trick of the trade from Dr. Brian Lin, posted on the Academic Life in Emergency Medicine (ALiEM site) on hemostasis in finger tip avulsions. Dr. Lin also has his own excellent FOAM site on all things laceration - LacerationRepair.com. We also cover FOAM on dogma of wound care from Dr. Ken Milne's The Skeptic's Guide to Emergency Medicine, Episode #63
Then we cover laceration and wound care core content pearls using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine Review). |
Wed, 28 October 2015
This miniature FOAMcast episode brings you pearls the American College of Emergency Physicians annual meeting, ACEP15 in Boston. We summarize some popular highlights from Day 3 including foodborne illness, wound management, and tips for giving presentations. |
Tue, 27 October 2015
This miniature FOAMcast episode brings you pearls the American College of Emergency Physicians annual meeting, ACEP15 in Boston. We summarize some popular highlights from Day 2 including ECMO, trauma myths, and renal colic. |
Mon, 26 October 2015
This miniature FOAMcast episode brings you pearls the American College of Emergency Physicians annual meeting, ACEP15 in Boston. We summarize some popular highlights from Day 1 including Jerry Hoffman and Rick Bukata's literature review and a talk from Dr. Jeff Kline on pulmonary embolism. |
Wed, 21 October 2015
We cover an episode of the Ultrasound Podcast, in which Drs. Matt Dawson, Mike Mallin, and Jacob Avila demonstrate how to diagnose rib and sternal fractures with bedside ultrasound.
Then we cover core content pearls using Rosen's, Tintinalli, and the EAST guidelines on rib fractures, sternal fractures, and blunt cardiac injury. Visit foamcast.org for references as well as generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer |
Thu, 8 October 2015
In this tiny episode we do something a little different. Dr. Paul Young (@dogICUma) and colleagues published two papers in JAMA and NEJM, SPLIT and HEAT, respectively. SPLIT is an RCT looking at balanced crystalloid vs 0.9% NaCl and AKI, an ever popular topic in FOAM. HEAT is an RCT of acetaminophen in ICU patients.
We'll be back with regular episodes, soon.
-Jeremy Faust and Lauren Westafer |
Fri, 25 September 2015
This tiny episode covers a blog entry from BrownCoatNation.com (University of Illinois, Chicago), who has a new series entitled “Inconceivable.” The idea is to expose medical terminology that we tend to use incorrectly. The first installment is focused on the misuse of the term "left shift," and it's the focus of this FOAMcastini. 'Left shift" refers to the presence of banded (immature) neutrophils in the blood. It does not refer to an elevated white blood cell count with a high percentage of neutrophils. An elevated white blood cell count with an abnormally high percentage of neutrophils should be called "neutrophillic leukocytosis." Only the presence of immature neutrophils in the periphery (including bands) can accurately be called a "left shift." We will be back shortly with regular episodes, once their schedules coincide. Thanks for listening! |
Fri, 14 August 2015
This week we cover Dr. Rory Spiegel's post on initial non-operative management of acute appendicitis in his blog post on EMnerd reviewing a paper by Salminen et al. Then we review appendicitis and some other right lower quadrant abdominal pearls using Rosen's Emergency Medicine and Tintinalli as a guide. We have Rosh Review questions and more available on our website, FOAMcast.org.
-Jeremy Faust and Lauren Westafer
|