FOAMcast - Emergency Medicine Core Content (general)

We review this post from the amazing Maryland Critical Care Project on N-acetylcysteine for Inhalational Burn Injury

Then, we delve into core content pearls on  burns including nomenclature, fluid resuscitation, burn center referral criteria, and more.  We do this using Tintinalli and Rosen's as guides. 

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_27_Burns.mp3
Category:general -- posted at: 1:38pm EDT

We review use of longboards and cervical collars for spinal immobilization using the  new ACEP statement and posts by ScanCrit (Curse of the Cervical Collar, Cervical Collar RIP,  Cervical Collars Slashed From Guidelines), a post by Dr. Minh Le Cong from PHARM, and this Medest118 post (in addition to new policy statement from ACEP) 

Then, we delve into core content pearls on differentiating spinal shock from neurogenic shock, the incomplete cord syndromes such as anterior cord syndrome, central cord syndrome, and Brown Sequard syndrome, as well as a quick and dirty review of key spinal reflexes.  We do this using Tintinalli, and Rosen's 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_26_Spine.mp3
Category:general -- posted at: 9:11pm EDT

We review the post by Bryan Hayes, PharmD, FAACT on Academic Life in Emergency Medicine,  Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? 

Then, we delve into core content pearls on cellulitis and abscesses, necrotizing skin infections, and Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis using the IDSA guidelines, Tintinalli, and Rosen's 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_25._MRSA_cellulitis_and_skin_FIXED.mp3
Category:general -- posted at: 11:12pm EDT

This week we're covering Dr. Jacob Avila's post on ultrasound for small bowel obstruction (SBO)  located at Ultrasound of the week.  He has an accompanying video on 5minSono.

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The Bread and Butter

We cover key points on SBO and Acute Mesenteric Ischemia from Rosenalli, that’s Tintinalli (7e) Chapter 86; Rosen’s (8e) Chapter 92.  But, don’t just take our word for it.  Go enrich your fundamental understanding yourself.

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_SBO.mp3
Category:general -- posted at: 9:45pm EDT

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.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 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