FOAMcast - Emergency Medicine Core Content

We review the FOAM from SMACC GOLD, Dr. David Story's "Is Chloride A Poison?" for a great primer on the Stewart method to acid-base.  The Strong Ion Difference (SID) is essentially Sodium minus Chloride (Na - Cl). Normal = 38; a higher SID indicates metabolic alkalosis and a lower SID indicates a metabolic acidosis.  "Normal Saline" has a whopping amount of chloride, which decreases the SID and has been associated with acidosis, renal insufficiency in critically ill patients, and, perhaps, mortality.

As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

Key Texts: Tintinalli (7e) Chapters 19,21 ; Rosen's (8e) Chapters 124, 125

FOAM Resources: Acid-Base ala EMCrit I/II/III/IVHyponatremia - EMBasic, Hyponatremia-ERCastHyponatremia - EMCrit

Thanks y'all!

-Jeremy Faust and Lauren Westafer

 

 

 

Direct download: FOAMcast_Episode_8._Smacc-ICN_Chlorine._071714.1032.mp3
Category:acid-base -- posted at: 12:03pm EDT

On this FOAMcastini (A tiny FOAMcast), we summarize our summaries of core content and free open access medical education (FOAM), covering:

Episode 1 - Cyanide and Carbon Monoxide Toxicity

Episode 2 - All things GU (Renal colic, urinary retention, infected stones)

Episode 3 - ENT (Bullous myringitis, ruptured tympanic membranes, auricular hematomas, and more).

This is our attempt at remembering these things ourselves and encouraging some spaced repetition. Thanks for listening and just remember, no need to FOAM it alone.

-Jeremy Faust and Lauren Westafer

Direct download: Foamcastini_1_ep._1_to_3.mp3
Category:general -- posted at: 7:00am EDT

We review the FOAM from The RAGE podcast (The Resuscitationist's Awesome Guide to Everything), "Episode 4" ,on impact apnea, the right heart and more.  Then we discuss the core content related to right ventricular myocardial infarctions and heart failure.

As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions.

Key Texts:  Tintinalli (7e) Chapters 53, 57; Rosen’s (8e) Chapters 78, 81

Thanks for listening!

 

-Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_Episode_7._RAGE_Heart_Failure.mp3
Category:general -- posted at: 7:46am EDT

Episode 6 - Hepatic Emergencies

This episode is inspired by a tweet from Dr. Nick Genes who queried why there wasn't more focus on hepatic emergencies in FOAM  (Free Open Access Medical education).  

We review the FOAM from Maryland's Critical Care Project ,"Chyle- coming to a paracentesis near you," on chylous ascites.  Then, we discuss core content liver emergencies, focusing on Spontaneous Bacterial Peritonitis, Hepatic Encephalopathy, and a smattering of hepatotoxic drugs.

As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions.

Key Texts: Tintinalli's Emergency Medicine: A Comprehensive Board Review(7e) Chapter83, Rosen’s Emergency Medicine (8e) Chapter 90

Thanks for listening!

-Jeremy Faust and Lauren Westafer


We review the FOAM (Free Open Access Medical education) from Academic Life in Emergency Medicine, "Atypical Antispychotic Medication Re-initiation in the Emergency Department" and Dr. Casey Parker's Broome Docs Podcast "Optic Nerve Sheath Diameter."  Then, we discuss core content emergencies including a review of select psychiatric disorders and management of increased ICP.

As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions.

Key Texts:

  • Tintinalli's Emergency Medicine: A Comprehensive Board Review(7e) Chapters 284, 254
  • Rosen’s Emergency Medicine (8e) Chapters 110, 29 

Thanks for listening!

 

-Jeremy Faust and Lauren Westafer


We review the FOAM (Free Open Access Medical education) from Dr. Ryan Radecki's Emergency Medicine Literature of Note, "Infections & Transfusions" and "Grilling Injuries on Memorial Day."  Then, we discuss core content emergencies including transfusion reactions and ingested foreign bodies.

As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions.

Key Texts:

  • Tintinalli's Emergency Medicine: A Comprehensive Study Guide (7e) Chapter 233
  • Rosen's Emergency Medicine(8e) Chapter 7

Thanks for listening!

 

-Jeremy Faust and Lauren Westafer


Episode 3 - SMART EM and Ear Emergencies

We review FOAM (Free Open Access Medical education), SMART EM "Pseudoaxioms 2 and Literature Update," in which Dr. David Newman discussesthe lack of benefit for tamsulosin in most renal colic.  Then, we discuss core content urologic emergencies including:

  • Bullous Myringitis
  • Perforated Tympanic Membrane
  • Auricular Hematoma
  • Necrotizing Otitis Externa (Malignant Otitis Externa)

As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions.

Key Texts:

Tintinalli's Emergency Medicine: A Comprehensive Study Guide (7e) Chapter 237

Rosen's Emergency Medicine(8e) Chapter 92

Thanks for listening!

 

-Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_Episode_3._SMART_EM_Bullous_Myringitis_060114.1401.mp3
Category:general -- posted at: 7:00am EDT

Episode #2:  Urologic Emergencies

We review FOAM (Free Open Access Medical education), The Skeptic's Guide to Emergency Medicine Episode #71, in which Dr. Milne discussesthe lack of benefit for tamsulosin in most renal colic.  Then, we discuss core content urologic emergencies including:

  • Renal Colic
  • Infected kidney stones
  • Acute Urinary Retention

As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions.

Key Texts:

Tintinalli's Emergency Medicine: A Comprehensive Study Guide (7e) Chapters 95, 97

Rosen's Emergency Medicine(8e) Chapter 99

Thanks for listening!

 

-Jeremy Faust and Lauren Westafer

Direct download: FOAMcast_Episode_2._Renal_Colic_SGEM71.mp3
Category:medicine, urology, emergency medicine -- posted at: 7:00am EDT

Episode #1: Cyanide and Carbon Monoxide Toxicity

We review EMCrit Episode #122 in which Drs. Weingart and Nelson review a case of cyanide poisoning in a patient presenting in PEA arrest after a house fire.

 

Show notes and Rosh Review questions at foamcast.org

Key Texts:

Cyanide: Tintinalli (7e) Ch 198; Rosen's (8e) Ch 159

Carbon Monoxide: Tintinalli (7e) Ch 217; Rosen's (8e) Ch 159