This week we cover posts from the Wessex ICS site, The Bottom Line, which is an excellent source for breakdown of recent and important trials. We cover their post on a systematic review of peripheral pressor complications (Loubani et al) and then we delve into a recent prospective trial by Cardenas-Garcia and colleagues that came up at SMACC.

Then we review peripheral vasopressors using Tintinalli and Rosen's Emergency Medicine as a guide. 

We have Rosh Review questions and more available on our website, FOAMcast.org.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

ACEP released an updated clinical policy on the use of tPA for acute ischemic stroke in June 2015.  We reviewed this on a prior episode. While we are not an interview based show, we had to seize the opportunity to talk with those with more experience. 

In this episode, Jeremy interviews Dr. Jerry Hoffman, a notorious tPA critic.

We shall return to regular core content soon.

-Jeremy Faust and Lauren Westafer

ACEP published the clinical policy on the use of tPA for acute ischemic stroke in June.  We covered the draft in January in a FOAMcastini.  Given some significant changes, we wanted to update y'all to ensure we deliver accurate information.

We review the changes and then tap our tPA brain trust, Drs. Anand Swaminathan, Ken Milne, Ryan Radecki, and David Newman for expert opinion.