We cover an EMcrit episode on Semantics of End of Life Discussions with Dr. Ashley Shreves as well as pearls from another favorite episode with her, Episode 93 - Critical Care Palliation.  We can't do these episodes justice summarizing them so listen to them.

Key Pearls on moving away from "DNAR" and moving towards "AND" - Allow Natural Death, how to have the conversation, and with whom to have the end of life discussion.

Then we delve into core content on vertigo using Rosen’s Medicine (8e) electronic chapter, "End of Life,"  and Tintinalli’s Emergency Medicine: A Comprehensive Study Guide  (7e) Chapter 297 “Death and Dying.”

Thanks for listening!
Jeremy Faust and Lauren Westafer

We cover two bits of FOAM,Emergency Medicine Literature of Note - Dr. Ryan Radecki - on the use of meclizine for vertigo and EMcrit - Dr. Scott Weingart on the HiNTs exam.

Then we delve into some of the problems with the HiNTs exam including it can only be performed on patients with continuous vertigo and that external validity is a major issue with HiNTs.

Then, we delve into core content on vertigo using Rosen’s Medicine (8e) Chapter 19,  and Tintinalli’s Emergency Medicine: A Comprehensive Study Guide  (7e) Chapter 164 “Vertigo and Dizziness."

Thanks for listening!

Jeremy Faust and Lauren Westafer

In this special episode we review some of the top items of 2015*

David Newman:

• Opioids for back pain - falling out of favor.
• Risk stratifying (and testing) low risk chest pain.

Haney Mallemat:

• Peripheral vasopressors may be ready for prime time
• FAST guided resuscitative thoracotomy (No cardiac activity and no effusion? No thoracotomy).
• Movement towards less volume in sepsis (ex: in PROMISE trial average patient got 6L over 72 h)

Michelle Lin

• Merging of FOAM with traditional journals 
• Merging of FOAM resources into conglomerates
• More medical education FOAM (ex: ICEnet, EMin5)

Rob Orman

• Same as Haney (peripheral vasopressors + FAST in resuscitative thoracotomy)
• Sexual intercourse 3-4 times per week may aid in expulsion of distal kidney stones.

Thanks for listening!

Jeremy Faust and Lauren Westafer

*Chosen by people smarter than we are.

(nb: Lauren initially wrote "smarter than us," but I fixed it. You're welcome, universe. -JF)