FOAMcast - An Emergency Medicine Podcast (general)

Outpatient management of pulmonary embolism for low-risk patients has been encouraged for several years. However, little is known about pulmonary embolism diagnosed and managed exclusively in the outpatient setting. In this study, Vinson et al describe the course of patients diagnosed with PE and managed in the outpatient setting in an integrated healthcare delivery system.

Shownotes/References: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: PEPc.mp3
Category:general -- posted at: 3:03pm EDT

The diagnostic algorithm for pulmonary embolism (PE) has evolved over the past few years to include probability or risk-adjusted D-dimer. The YEARS algorithm includes an elevated D-dimer threshold for some risk groups and has been found to be safe and reduce imaging in several studies, including in pregnant patients. Now, this multicenter trial by Freund et al evaluates use of YEARS and age-adjusted D-dimer compared with an age-adjusted approach alone.

Shownotes/References: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: YEARS_update_2021.mp3
Category:general -- posted at: 10:04am EDT

A seminal single-center study in 2018 by Driver et al found a 98% first-pass success in patients undergoing endotracheal intubation in the Emergency Department. This multi-center randomized control trial examines bougie vs stylet in a wider array of settings

Show notes/references: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: bougie_driver_2021.mp3
Category:general -- posted at: 9:41am EDT

Subsegmental pulmonary embolism (SSPE) is a controversial entity as they have uncertain clinical significance. As a result, the Chest Guidelines  and ACEP guidelines state that a very select group of patients with isolated SSPE and no deep vein thrombosis may be managed with surveillance rather than anticoagulation. In this podcast we review SSPE and a new prospective study by Le Gal and colleagues.

Show notes and references: FOAMcast.org

Thanks for listening!

Lauren Westafer

Direct download: SSPE_anticoagulation_-_12921_12.57_PM.mp3
Category:general -- posted at: 2:14pm EDT

We review the FDA briefing document from Pfizer   as well as from the CDC Advisory Council on Immunization Practices that approved the Pfizer-BioNTech COVID-19 vaccine in children ages 5-11.


References and show notes: FOAMcast.org

Thanks for listening!
Lauren Westafer and Jeremy Faust

Direct download: covid_pedi_vax_5-11_-_11221_7.08_PM.mp3
Category:general -- posted at: 7:12pm EDT

We previously covered the management of young febrile infants in a 2017 podcast  but now we have updated guidance from the AAP. In this podcast, we review the 2021 AAP Guidelines for the management of well-appearing febrile infants 8-60 days old, highlight practice-changing recommendations.

Show notes/references: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: aap_pedi_fever_-_101921_2.42_PM.mp3
Category:general -- posted at: 3:23pm EDT

In this episode, Jeremy discusses what we know about breakthrough infections in the delta variant era and what this may mean for COVID-19 vaccine boosters.

Jeremy's takes can be found at Inside Medicine

Show notes/references: FOAMcast.org

Thanks for listening!
Lauren Westafer and Jeremy Faust

Direct download: delta_breakthrough.mp3
Category:general -- posted at: 2:34pm EDT

In this episode, we discuss the current evidence (as of September 24, 2021) on COVID-19 vaccine boosters as well as the CDC recommendations and the details of the Advisory Council on Immunization Practices recommendations/vote.

Show notes/References at FOAMcast.org

Jeremy's takes can be found at Inside Medicine

Thanks for listening!
Lauren Westafer and Jeremy Faust

Direct download: booster_vax_covid.mp3
Category:general -- posted at: 2:06pm EDT

In this literature update podcast covering important papers of 2021, we cover Becattini et al on the assessment of right ventricular dysfunction in patients diagnosed with acute pulmonary embolism (PE). We review guidelines on PE risk stratification for severity and discuss this individual patient meta-analysis.

Show notes/references: FOAMcast.org

Thanks for listening!
Lauren Westafer and Jeremy Faust

 

Direct download: PE_right_ventricle_dysfunction_-_81021_3.40_PM.mp3
Category:general -- posted at: 6:43pm EDT

This is a quick literature update on practice-changing literature from 2021. Here we discuss Pappal et al in Annals of Emergency Medicine on awareness during paralysis in mechanically ventilated patients

Show notes / References: FOAMcast.org

Thanks for listening!
Lauren Westafer and Jeremy Faust

Direct download: ED_awareness.mp3
Category:general -- posted at: 9:24am EDT