FOAMcast - Emergency Medicine Core Content

This episode is slightly different.  We review some of our favoite pearls from the last year including our favorite mnemonics and memory aids (and some that we think bombed).

Thanks, y'all, for listening, providing feedback, and continuing to inspire us to look through FOAM and Rosenalli to enhance our emergency medicine education.

 

-Jeremy Faust and Lauren Westafer

Direct download: FOAMCastini_One_year.mp3
Category:general -- posted at: 10:06am EDT

We review thisa post from Dr. Charles Bruen of Resus Review on Malignant Hyperthermia and dantrolene.

Then, we delve into core content pearls on polypharmacy -  serotonin syndrome, neuroleptic malignant syndrome, and extrapyramidal side effects.  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_28_NMS_MH_and_Serotonin_Syndrome_edited.mp3
Category:general -- posted at: 7:10pm EDT

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

In this mini FOAMcast, we introduce a new segment - statistics.  

We cover inter-rater reliability,\ or, the kappa coefficient, using the PECARN head trauma decision aid as a tool.

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: FOAMcastini_Kappa.mp3
Category:statistics -- posted at: 7:33am 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 review the Taming the SRU podcast, "Ketamine Cagematch" (iTunes) in which Drs. Minh Le Cong and Chris Zammit banter about the use of ketamine in patients with traumatic brain injury (TBI). 

Then, we delve into core content pearls on concussion/mild TBI including diagnosis, treatment, and complications using Tintinalli 254 but to be honest, Rosenalli is lacking on this topic so we've turned to the ACEP clinical policyAAN guidelinesOntario Pediatric Guidelines, and the  AAP guidelines on the topic.

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_24._Ketamine_and_Concussions.mp3
Category:neurology -- posted at: 10:55pm 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.

Screen Shot 2015-01-25 at 10.20.44 AM

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

As detailed in this FOAMcastini, ACEP just released a draft of an updated clinical policy on tPA for acute ischemic stroke.  This came in the wake of years of controversy over the aggressive position taken in the 2012 clinical policy.

While FOAMcast is not an interview style podcast, we felt compelled to get some perspective on Emergency Physicians a little more experienced than ourselves.  Here we interview:

Dr. Ryan Radecki (@emlitofnote), Assistant Professor, University of Texas - Houston

  • See his response to the policy on his blog here

Dr. David Newman (#draftnewman), Associate Professor of Emergency Medicine, Mount Sinai Hospital

Dr. Anand Swaminathan (@EMSwami), Assistant Professor of Emergency Medicine, NYU

Dr. Ken Milne (@thesgem), Chief of Staff at South Huron Hospital

Direct download: FOAMcastini_ACEP_tPA_interviews.mp3
Category:neurology -- posted at: 11:21pm EDT

On Jan 12, 2015, ACEP released the draft of the new clinical policy on tPA in acute ischemic stroke. This was an update of the  ACEP tPA Clinical Policy 2012, which has been entrenched in controversy since it was published.  

In this episode we dicuss the major differences between the two policies.  Then, have your say. Comment on the draft here

Direct download: FOAMcastini_ACEP_tPA_.mp3
Category:neurology -- posted at: 1:12pm EDT