FOAMcast - An Emergency Medicine Podcast

This episode is a departure from the typical FOAMcast clinical content, we will be back with strictly clinical content soon.

In May 2022, I came across a fellow passenger and stranger in cardiac arrest in the airport. A small team of strangers, including an emergency medicine resident, Dr. Jason Tanner, and an emergency department technician, Angel, assembled to treat this passenger. Billy Frolick, a writer and our patient that day, shares his perspective on his case with us. 

In addition, we highlight important clinical pearls, notably the importance of continuous chest compressions and early defibrillation. For more on not doing pulse checks, see this podcast: https://foamcast.org/2022/09/04/pulse-checks-during-cardiopulmonary-resuscitation/ .

 

Direct download: foamcast___billy_-_12423_3.02_PM.mp3
Category:general -- posted at: 3:07pm EDT

This episode covers the 2022 American College of Emergency Physicians (ACEP) clinical policy on acute heart failure syndromes with a special focus on high dose nitrates

References and Show Notes: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: ACEP_HF_nitrates.mp3
Category:general -- posted at: 10:41am EDT

In this episode, we review the largest trial of double sequential external defibrillation (DSED) and vector change (VC) defibrillation for refractory ventricular fibrillation (VFib): Cheskes S, Verbeek PR, Drennan IR, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022;387(21):1947-1956.

Show notes, references, & infographics: FOAMcast.org

Thanks for listening!
Jeremy Faust & Lauren Westafer

Direct download: 2947_e_rc.mp3
Category:cardiology -- posted at: 8:30am EDT

The American College of Cardiology released a new consensus statement endorsing several signs on the electrocardiogram (ECG) as "STEMI Equivalents." In this podcast, we review these signs.

Show notes / graphics / references: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: stemi_equivalent_-_101822_1.31_PM.mp3
Category:general -- posted at: 12:52pm EDT

Since 2010, the American Heart Association guidelines for cardiopulmonary resuscitation (CPR) have de-emphasized pulse checks - such that they recommend against routine pulse checks. Despite this recommendation, may individuals and institutions continue to perform pulse checks. This episode reviews the recommendations and the literature.

References/show notes: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: FOAMcast_pulse_check_-_9322_3.33_PM.mp3
Category:general -- posted at: 3:36pm EDT

There is a global outbreak of human monkeypox virus cases. In this episode we provide a quick summary of monkeypox to date. Check out our two more in-depth episodes on the topic. 

References/Show notes: FOAMcast.org

Thanks for listening!

Jeremy Faust & Lauren Westafer

Direct download: monkeypox_foamcast_tldr.mp3
Category:general -- posted at: 2:09pm EDT

There is a global outbreak of human monkeypox virus cases. In this episode (the second of a 2 part series), we summarize clinical manifestations, complications, and vaccination. 

References/Show notes: FOAMcast.org

Thanks for listening!

Jeremy Faust & Lauren Westafer

Direct download: Monkeypox_FOAMCast_clinical_2.mp3
Category:general -- posted at: 1:53pm EDT

There is a global outbreak of human monkeypox virus cases. In this episode (the first of a 2 part series), we summarize some brief virology, epidemiology, and review the transmission of this virus. 

References/Show notes: FOAMcast.org

Thanks for listening!

Jeremy Faust & Lauren Westafer

Direct download: Monkeypox_FOAMCast_first.mp3
Category:general -- posted at: 1:18pm EDT

We review the Anorectal emergencies: WSES-AAST guidelines on complicated hemorrhoids that include some practice-changers

References: FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: foamcast_hemorrhoids_-_72322_7.11_AM.mp3
Category:general -- posted at: 7:23am EDT

Diphenhydramine (Benadryl) and other first-generation antihistamines are commonly used, despite decades of data that there are safer and effective alternatives.  In this podcast, we review the guidelines / data behind common indications.

References at FOAMcast.org

Thanks for listening!
Lauren Westafer

Direct download: diphenhydramine_-_6822_1.31_PM.mp3
Category:general -- posted at: 1:42pm EDT