FOAMcast - Emergency Medicine Core Content

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

Direct download: FOAMcast_2016_roundup.mp3
Category:general -- posted at: 8:35pm EDT

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!
Jeremy Faust and Lauren Westafer

Direct download: Foamcast_TMJ_and_dental_.mp3
Category:general -- posted at: 4:09pm EDT

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!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_nursemaids_and_humerus.mp3
Category:general -- posted at: 6:54am EDT

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!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_Resuscitative_Hysterotomy.mp3
Category:general -- posted at: 12:00am EDT

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

Direct download: FOAMcast_syncope_and_PE_v2.mp3
Category:general -- posted at: 5:31pm EDT

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

Direct download: FOAMcast_ACEP_16_Day_3.mp3
Category:general -- posted at: 9:00pm EDT

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

We bring you highlights from ACEP2016 in Las Vegas.


Today we focus on the care of the transgender patient and some pearls on caring appropriately for our diverse patients.

We also cover active shooters and lawsuit pearls

 

Thanks for listening!
Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_ACEP16_Transgender.mp3
Category:general -- posted at: 6:27am EDT

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

Direct download: nks..mp3
Category:general -- posted at: 5:30pm EDT

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

Direct download: foamcast_57_lithium_and_rhabdo.mp3
Category:general -- posted at: 3:33pm EDT