Thu, 7 January 2021
Prior randomized trials of convalescent plasma in COVID-19 have had disappointing results. However, these trials included patients with severe illness who were many days (if not weeks) into the course of their illness. To date, it was hypothesized, but unknown, that the benefit would be in patients very early in the course of their illness. We cover an RCT by Libster et al in NEJM on convalescent plasma in older patients with mild COVID-19. Show notes/references: FOAMcast.org
Lauren Westafer and Jeremy Faust |
Sun, 3 January 2021
In this quick literature update we review the new recommendations from the CDC for the treatment of gonococcal infections which include:
Show notes and references: FOAMcast.org Thanks for listening! |
Fri, 18 December 2020
For years studies have questioned whether pulse oximeters perform as well in non-White patients as in White patients. This is particularly important now as disposition decisions in patients with COVID-19 are often made based on pulse oximetry readings. We discussed an article by Sjoding et al in NEJM Show notes at FOAMcast.org Thanks for listening! |
Wed, 9 December 2020
Despite multiple Phase II/III vaccine trials of >30,000 participants, pregnant patients or those who are lactating have been largely excluded. In this podcast, we cover what we know (and what we don't know thus far). The Pfizer BNT162b2 trial data submitted for FDA Emergency Use Authorization does include information on a minuscule number of patients who were immunized and became pregnant. The Society for Maternal and Fetal Medicine has released statements on vaccines in SARS-CoV-2. In the United Kingdom, Public Health England has released guidance for their population on vaccination in pregnancy and breastfeeding which are rooted in the lack of data. Shownotes: FOAMcast.org Thanks for listening! |
Sun, 29 November 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* Vaccines for SARS-CoV-2 have been in development for only a few months, but several have published early results from Phase III efficacy trials in press releases. In this episode, we review these vaccines and what we know about them, and what we know about them Show notes (references/graphics): FOAMcast.org Thanks for listening,
Direct download: foamcast_covid_vaccine_interim_updates_.mp3
Category:general -- posted at: 10:30pm EST |
Fri, 27 November 2020
In this episode, we review cannabinoid hyperemesis syndrome and two recent randomized controlled trials on treatments
Show notes (references, graphics) at FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer |
Sat, 24 October 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* Monoclonal antibodies have received significant attention over the past month and we previously podcasted on antibodies that target SARS-CoV-2. In this episode, we review several recent studies on a different "mab", tocilizumab, which targets inflammation mediated by interleukin-6 that is overly ramped up. We review: Stone et al ( RCT) Salvarani et al. (RCT) STOP-COVID (observational) Show notes (references/graphics): FOAMcast.org Thanks for listening,
Direct download: FOAMcast_Covid_tocilizumab_and_covid.mp3
Category:general -- posted at: 10:30pm EST |
Sun, 11 October 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* Monoclonal antibodies have received significant attention over the past couple of weeks. In this episode, we review what we know, as of October 9, 2020, about monoclonal antibodies as a therapy for COVID-19. Show notes (references/graphics): FOAMcast.org Thanks for listening, |
Fri, 9 October 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* We review a retrospective evaluation of COVID-19 infections in employees after a protocol that increased the use of high flow nasal cannula (Westafer et al) Show notes (references/graphics): FOAMcast.org Thanks for listening, |
Mon, 21 September 2020
We spoonfeed you a new article on risk stratification of pulmonary embolism (with critical appraisal pearls!) In this episode, we review a new trial by Barnes et al on antacids versus antacids with lidocaine for epigastric pain and dyspepsia Show notes and references at FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust |
Thu, 3 September 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* We review a new meta-analysis from the WHO REACT group of steroids in critically ill patients with COVID-19 and 3 new randomized trials of steroids in COVID-19 published in JAMA on September 2: Show notes (references/graphics): FOAMcast.org Thanks for listening, |
Tue, 25 August 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* We review the evidence, to date, on convalescent plasma for the treatment of COVID-19. This includes 3 randomized trials, as well the US experience with >35,000 patients treated with convalescent plasma, a noncontrolled study by Joyner et al [pre-print]. Show notes (references/graphics): FOAMcast.org Thanks for listening,
Direct download: covid_convalescent_ii_-_82620_11.02_AM.mp3
Category:general -- posted at: 7:27pm EST |
Mon, 24 August 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* We review Spinner et al in JAMA 2020, an open label trial of remdesivir 5 days vs remdesivir 10 days vs 'standard of care' for the treatment of #COVID19 Show notes: FOAMcast.org Thanks for listening, |
Tue, 18 August 2020
We review the Ascorbic Acid, Corticosteroids, and Thiamine in Septic Shock (ACTS) Trial by Moskowitz et al in JAMA Show notes: FOAMcast.org Thanks for listening! |
Tue, 4 August 2020
We review the AAAAI 2020 anaphylaxis guideline (Shaker et al) A lightening review of anaphylaxis, follow by a discussion of biphasic reaction and the role of steroids and antihistamines Thanks for listening, Jeremy Faust and Lauren Westsafer |
Thu, 16 July 2020
Introducing a new series of quick, spoonfed literature updates, 1 article at a time In this episode we review a new trial by Warren et al on antacids versus antacids with lidocaine for epigastric pain and dyspepsia Show notes and references at FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust |
Thu, 16 July 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* We review the RECOVERY trial results on hydroxychloroquine for COVID-19 [pre-print by Hornby et al] Show notes: FOAMcast.org Thanks for listening, |
Mon, 22 June 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* We review the RECOVERY trial results on dexamethasone for COVID-19 [pre-print by Hornby et al] Show notes: FOAMcast.org Thanks for listening, |
Fri, 19 June 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* We explore effects of sterilization and re-use on N95s and KN95s efficiency and fit Sterilization of N95s and KN95s with Hydrogen Peroxide and Chlorine Dioxide (Cai et al) Extended use/reuse of N95 and fit test failure (Degesys et al) Show notes: FOAMcast.org Thanks for listening, *Recorded June 19, 2020 |
Fri, 12 June 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode we discuss data on when SARS-CoV-2 began being detected in US communities (Jorden et al)
Show notes: FOAMcast.org Thanks for listening, *Recorded June 9, 2020 |
Wed, 10 June 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode we discuss some of the mental health ramifications of COVID-19 and the lockdowns: US ED visits for mental health (Smalley et al) Mental health of children during lockdown Xie et al Psychological distress in US adults (McGinty et al) Mood and violence in Chinese interns (Li et al) Show notes: FOAMcast.org Thanks for listening, *Recorded June 9, 2020 |
Fri, 5 June 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In an update to the Convalsecent plasma episode we now cover the first RCT on the topic, Li et al Show notes: FOAMcast.org Thanks for listening, *Recorded June 4, 2020 |
Mon, 1 June 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode reviews a study published by Mehra et al in the Lancet with concerning methods and data anomalies, leading to the possibility and likelihood of falsified data. This came to light after an open letter by Watson et al detailing major issues. The Lancet issued a correction, which did not address many of the major issues and resulted in significant changes to Table S3 in the supplement. Concerningly, this group also authored the NEJM study on ACE-I/ARBs in COVID-19. Note: This is an evolving story Show notes: FOAMcast.org Thanks for listening, *Recorded June 1, 2020 |
Sat, 30 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode reviews a study published by Goldman et al dissecting a study on remdesivir - 5 day vs 10 day course. Show notes: FOAMcast.org Thanks for listening, *Recorded May 30, 2020 |
Sat, 30 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode reviews a study published by Wang et al that received incredible press coverage for touting benefits of mask wearing in one's own home....if it started prior to symptoms. This study is problematic, and we discuss why. Show notes: FOAMcast.org Thanks for listening, *Recorded May 29, 2020
Direct download: covidcast_mask_at_home_-_53020_10.10_AM.mp3
Category:general -- posted at: 10:11am EST |
Sun, 24 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode reviews the NIAID trial, ACTT-1, on remdesivir vs placebo (Beigel et al) Show notes: FOAMcast.org Thanks for listening, *Recorded May 23, 2020 |
Fri, 22 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode reviews an article by Groß et al that demonstrates SARS-CoV-2 RNA can be found in breastmilk Show notes: FOAMcast.org Thanks for listening, *Recorded May 22, 2020 |
Fri, 22 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19. *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode reviews an article by Peyrony et al examining the performance of symptoms, physical exam findings, and ultrasound on the probability of COVID-19. We also go into a bit of an interlude on likelihood ratios Show notes: FOAMcast.org Thanks for listening, *Recorded May 22, 2020 |
Fri, 15 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode is a literature potpourri
Show notes: FOAMcast.org Thanks for listening, *Recorded May 15, 2020 |
Sat, 9 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses Pediatric Multisystem Inflammatory Syndrome Temporally Associated with COVID-19 , including the study published in the Lancet by Riphagen et al Show notes: FOAMcast.org Thanks for listening, *Recorded May 6, 2020 Show notes: FOAMcast.org Thanks for listening, *Recorded May 9, 2020 |
Sat, 9 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses convalescent plasma, specifically a recent systematic review by Rajendran et al
Show notes: FOAMcast.org Thanks for listening, *Recorded May 6, 2020 |
Sun, 3 May 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses antibody testing including
Show notes: FOAMcast.org Thanks for listening, *Recorded May 2, 2020 |
Thu, 30 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses an article by Baldi et al on excess mortality and Out of Hospital Cardiac Arrest Show notes: FOAMcast.org Thanks for listening, *Recorded 4.29.20 |
Tue, 28 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses cutaneous manifestations of COVID-19 including "COVID toes" And the more serious lesions Show notes: FOAMcast.org Thanks for listening, *Recorded 4.28.20 |
Mon, 27 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses autopsy findings and VTE Show notes: FOAMcast.org Thanks for listening, *Recorded 4.26.20 |
Fri, 24 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* This episode discusses an article by Caputo et al. on self proning and oxygenation in COVID-19 Show notes: FOAMcast.org Thanks for listening, *Recorded 4.23.20 |
Tue, 21 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, Dr. Rory Spiegel (@EMNerd_) and I discuss the "switch" from early intubation to aggressive non-invasive modalities and our respiratory protocols including what we know about the evidence behind...
Show notes: FOAMcast.org Thanks for listening, *Recorded 4.17.20
Direct download: Covid_4.19_resp_protocol_-_42020_8.17_PM.mp3
Category:general -- posted at: 6:53pm EST |
Sat, 18 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, we discuss thrombosis and COVID-19, specifically:
Show notes: FOAMcast.org Thanks for listening, *Recorded 4.18.20 |
Fri, 17 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, we discuss special populations including
Show notes: FOAMcast.org Thanks for listening, *Recorded 4.17.20 |
Tue, 14 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, we discuss testing issues
And hydroxychloroquine updates
Show notes: FOAMcast.org Thanks for listening, *Recorded 4.14.20 |
Mon, 13 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, we discuss outcomes from NYU Show notes: FOAMcast.org Thanks for listening, *Recorded 4.12.20 |
Sun, 12 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, Dr. Rory Spiegel (@EMNerd_) and I discuss risk stratification tools in COVID-19 Show notes: FOAMcast.org Thanks for listening, *Recorded 4.10.20 |
Fri, 10 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, we discuss the NEJM article by Grien et al on the compassionate use of remdesivir in COVID-19 Show notes: FOAMcast.org Thanks for listening, *Recorded 4.10.20 |
Tue, 7 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, we are joined by Dr. Rory Spiegel (EMNerd) and discuss what we are seeing in COVID-19 and various theories.
Show notes: FOAMcast.org Thanks for listening, *Recorded 4.5.20 |
Sun, 5 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check back for updates/fact check what you hear* In this episode, we are joined by Dr. Rory Spiegel (EMNerd) and discuss the ROX index predicting failure of HFNC and any applicability to COVID-19
Show notes: FOAMcast.org Thanks for listening, Recorded 4.5.20 |
Sat, 4 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* In this episode, we discuss emerging evidence for high flow nasal cannula
Show notes: FOAMcast.org Thanks for listening, Recorded 4.3.20 |
Thu, 2 April 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* In this episode, we discuss the theory (there is no great evidence) of hypercoagulability in severe COVID-19 Show notes: FOAMcast.org Thanks for listening, Recorded 4.2.20 |
Tue, 31 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* In this episode, we cover
Show notes: FOAMcast.org Thanks for listening, Recorded 3.31.20 |
Mon, 30 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* Recorded 3.30.20 In this episode, we cover
Show notes: FOAMcast.org Thanks for listening, |
Sat, 28 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* Recorded 3.28.20 In this episode, we cover
Show notes: FOAMcast.org Thanks for listening, |
Fri, 27 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* Recorded 3.27.20 In this episode, we cover
Show notes: FOAMcast.org Thanks for listening, |
Thu, 26 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* Recorded 3.25.20 In this episode, we cover
Show notes: FOAMcast.org Thanks for listening, |
Tue, 24 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* Recorded 3.23.20 In this episode, we cover
Show notes: FOAMcast.org Thanks for listening, |
Mon, 23 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* In this episode, we cover
Recorded 3.22.20 Show notes: FOAMcast.org Thanks for listening, |
Sat, 21 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* In this episode, we cover
Show notes: FOAMcast.org Thanks for listening, |
Fri, 20 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. So, check us* In this episode, we cover the Society of Critical Care Medicine, Surviving Sepsis Guidelines for COVID-19 Show notes: FOAMcast.org Thanks for listening, |
Fri, 20 March 2020
We interrupt our normal FOAMcast episodes to bring you updates from COVID-19, as literature develops. *Things change frequently and this may be out of date in days/weeks. In this episode we review:
Show notes: FOAMcast.org Thanks for listening! |
Thu, 19 March 2020
We are going to try to bring you updates regarding COVID-19 on a regular basis. These podcasts will likely be out of date in a few days, so check back for updates. This episode features:
Recorded 3.18.20 Thanks for listening, Lauren Westafer and Jeremy Faust |
Sun, 8 March 2020
We review the evaluation and management of Community-Acquired Pneumonia (CAP) as well as the Infectious Disease Society of America (IDSA) / American Thoracic Society (ATS) 2019 guidelines for CAP. Shownotes and references at FOAMcast.org Thanks for listening!
Direct download: FOAMcast_community_acquired_pna_-_3_8_20_6.48_PM.mp3
Category:general -- posted at: 4:39pm EST |
Fri, 31 January 2020
We cover some top articles of 2019, including the following: Roc vs Sux: Guihard B et al. Effect of rocuronium vs succinylcholine on endotracheal intubation success rate among patients undergoing out-of-hospital rapid sequence intubation: A randomized clinical trial. JAMA 2019 Dec 17; 322:2303. (https://doi.org/10.1001/jama.2019.18254) Targeted Temperature Management after Cardiac Arrest: Lascarrou JB, Merdji H, Le gouge A, et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm. N Engl J Med. 2019. Pulmonary Embolism - a new D-dimer cut off Kearon C, De wit K, Parpia S, et al. Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability. N Engl J Med. 2019;381(22):2125-2134. Pulmonary Embolism in Pregnancy: Van der pol LM, Tromeur C, Bistervels IM, et al. Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism. N Engl J Med. 2019;380(12):1139-1149. TXA in head injury The CRASH-3 Trial Collaborators. Effects of Tranexamic Acid on Death, Disability, Vascular Occlusive Events and Other Morbidities in Patients with Acute Traumatic Brain Injury (CRASH-3): A Randomised, Placebo-Controlled Trial. Lancet 2019
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Fri, 17 January 2020
The VITAMINS trial by Fujii et al has been published in JAMA and provides insight into the performance of the "metabolic cocktail" (Vitamin C + thiamine + hydrocortisone) in ICU patients with septic shock. We review this trial in the context of prior literature. Show notes and references at FOAMcast.org Thanks for listening! |
Wed, 18 December 2019
We review the American College of Emergency Physicians (ACEP) clinical policy on headache from June 2019, most of which revolves around the diagnosis of subarachnoid hemorrhage. Show notes and references at FOAMcast.org Thanks for listening! |
Tue, 29 October 2019
We are at ACEP 2019 in Denver and do a deep dive on a topic introduced by Bryan Hayes (@PharmERToxGuy) in a talk on black boxed medications used in the ED. We review the data underlying the FDA warning for olanzapine and benzodiazepines. Thanks for listening!
Direct download: FOAMcast_ACEP19_Day_2_Olanzapine_and_Benzos_-_10_28_19_11.10_PM.mp3
Category:general -- posted at: 7:10am EST |
Mon, 28 October 2019
In this episode covering the American College of Emergency Physicians (ACEP) 2019, we cover common black box warnings including
Thanks for listening! Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_ACEP19_Day_2_Black_Box_Warnings_-_10_28_19_5.46_PM.mp3
Category:general -- posted at: 10:49pm EST |
Sun, 27 October 2019
We are at ACEP 2019 in Denver and cover pearls from interesting lectures. Today, that included concussion and VP shunts.
Direct download: FOAMcast_ACEP19_Day_1_Concussion_and_VP_shunts_-_10_27_19_6.04_PM.mp3
Category:general -- posted at: 7:36pm EST |
Fri, 11 October 2019
Vaping associated lung injury (VALI) has become a frequent topic in the news in the United States (US). In this episode we review the epidemiology, presumed pathophysiology, and new recommendations from the Centers for Disease Control (CDC) in the US. Thanks for listening! References:
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Mon, 30 September 2019
In this episode we briefly review hyperkalemia and the principles of emergent treatment. Then we explore, in-depth, the role of insulin and dextrose including the incidence of hypoglycemia and pearls to reduce this side effect. Pearls:
Thanks for listening!
Direct download: FOAMcast_hyperkalemia_and_insulin_-_9_29_19_1.52_PM.mp3
Category:general -- posted at: 9:08am EST |
Sun, 1 September 2019
We discuss the US Food & Drug Administration's black box warning for droperidol and the evidence behind this warning. We then discuss the use of butyrophenones such as droperidol and haloperidol for the treatment of agitation, headaches, nausea and vomiting, and gastroparesis/cannabinoid hyperemesis.
Thanks for listening! |
Wed, 31 July 2019
We discuss the coagulation test thromboelastography (TEG) / Rotational Thromboelastometry (ROTEM), reviewing the evidence behind the use of the tests as well as the clinical implications. Show notes and graphics FOAMcast.org Thanks for listening! |
Tue, 9 July 2019
In this episode, we discuss important and "hot" articles thus far in 2019. These articles include:
Thanks for listening! Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_2019_mid_yera_literature_review.mp3
Category:general -- posted at: 11:02am EST |
Fri, 24 May 2019
We review the entity formally known as pseudoseizures and psychogenic non-epileptic seizures (PNES), now referred to as psychogenic non-epileptic attacks (PNEA). We discuss the history of PNEA as well as relevant literature on the diagnosis and treatment of this entity. Thanks for listening! |
Tue, 30 April 2019
We review myths and reality in the management of patients with Sickle Cell Disease (SCD)
We also review common emergencies in sickle cell disease that include
Thanks for listening! |
Fri, 29 March 2019
We are at #SMACC in Sydney, Australia, thanks to the Rosh Review, delivering updates from the conference to your earbuds. Advocacy in Emergency Medicine - Esther Choo and Hugh Montgomery Mechanical CPR vs Manual CPR - Ken Milne vs Salim Rezaie Super sick massive GI bleeds and balloon tamponade - Sara Gray Thanks for listening! |
Thu, 28 March 2019
We are at SMACC in Sydney, Australia, thanks to the Rosh Review, delivering updates from the conference to your earbuds. Today we cover resuscitation pearls. Bougie vs Standard Stylet in emergency department (ED) rapid sequence intubation (RSI) - Brian Driver vs Rich Levitan Rocuronium vs Succinylcholine Debate - Billy Mallon and Reuben Strayer The Crashing Asthmatic - Haney Mallemat Thanks for listening! Lauren Westafer and Jeremy Faust |
Wed, 27 March 2019
We are at #smacc in Australia thanks to the Rosh Review! The opening session this morning was amazing and we can't do it justice on the podcast. Gill Hicks (@MadForPeace), a victim in the July 7, 2005 bombing attack on a London train spoke on how impactful everyone in the healthcare delivery system can be (from medics to detectives to nurses to physical therapists to physicians). Dr. Dara Kass delivered a powerful talk on vulnerability, responsibility, and lack of knowledge even in a super health care literate individual.....what it means to be a provider and a patient (and a mom and a medical home for the family and a wife) in her story of donating part of her liver to her son. David Carr on anti-NMDA receptor encephalitis Anti-NMDA receptor encephalitis is the most common cause of encephalitis in young people (<30 years old), with an average age of ~20. We review the presentation, diagnosis, and treatment of this disease Thanks for listening! |
Wed, 27 March 2019
We co-hosted (with John Vassiliadis) the SMACC EM Updates half-day conference. We had amazing speakers. Salim Rezaie spoke on TXA for Everything, Ken Milne spoke on hot papers from 2018, and we learned about when ultrasound may be helpful in pediatric lumbar punctures. In addition, Jeremy spoke on what is usual care in sepsis and Lauren spoke on pulmonary embolism: the next generation. In this short podcast we highlight some of our other talks. Aidan Baron (@Aidan_Baron) on Prehospital Updates in Cardiac Arrest This talk focused on focusing on things that are most likely to make a difference in OHCA (bystander CPR and defibrillation) rather than on fun interventions like intubation and adrenaline (epinephrine). Aidan suggests that the future debates and questions in OHCA will be largely philosophical - what outcomes do we care about: neuro intact survival or ROSC or survival?
Barbra Backus on the future of the HEART score Modified Heart Score (redefining the T or troponin based on newer assays) results in a NPV of 99.8% and classifies 48% of patients as low-risk. Clinically Relevant Adverse Cardiac Events (CRACE) is way less common than major adverse cardiac events (MACE). HEART score of ≤3 ? CRACE is 0.05% Hot Literature in 2019
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Mon, 18 February 2019
We have previously podcasted on tachyarrythmias (Episode 34 Tachyarrhythmias), but in this episode, we focus specifically on the treatment of supraventricular tachycardia (SVT), specifically paroxysmal SVT. We discuss the treatment options of adenosine and calcium channel blockers, weighing in with the evidence, the guidelines, and some opinion. Thanks for listening!
Thanks to Figure 1 for supporting this episode. We do not make money off of this podcast, this support is just for operational costs associated with the podcast. |
Thu, 31 January 2019
The US Food and Drug Administration (FDA) recently released another warning for fluoroquinolones, this time regarding aortic dissection and aneurysm. We review the evidence behind this warning, including the following studies: Lee CC Risk of Aortic Dissection and Aortic Aneurysm in Patients Taking Oral Fluoroquinolone. JAMA Intern Med. 2015;175(11):1839-47. Lee CC Oral Fluoroquinolone and the Risk of Aortic Dissection. J Am Coll Cardiol. 2018;72(12):1369-1378. Pasternak B Fluoroquinolone use and risk of aortic aneurysm and dissection: nationwide cohort study. BMJ. 2018;360:k678. We then review the ACEP clinical policy on aortic dissection covering risk scores, d-dimers, and management of aortic dissection Thanks for listening! Jeremy Faust and Lauren Westafer
Direct download: FOAMcast_Fluoroquinilons_and_the_aorta_v2.mp3
Category:general -- posted at: 6:59am EST |
Thu, 27 December 2018
We cover the clinical policy from the American College of Emergency Physicians - Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes In adult patients without evidence of ST-elevation acute coronary syndrome, can initial risk stratification be used to predict a low rate of 30-day major adverse cardiac events?
In adult patients with suspected acute non–ST-elevation acute coronary syndromes, can troponin testing within 3 hours of emergency department presentation be used to predict a low rate of 30-day major adverse cardiac events?
In adult patients with suspected acute non–ST-elevation acute coronary syndromes in whom acute myocardial infarction has been excluded, does further diagnostic testing (eg, provocative, stress test, computed tomography [CT] angiography) for acute coronary syndrome prior to discharge reduce 30-day major adverse cardiac events?
Should adult patients with acute non–ST-elevation myocardial infarction receive immediate antiplatelet therapy in addition to aspirin to reduce 30-day major adverse cardiac events?
Thanks for listening!
Direct download: FOAMcast_ACS_ACEP_guideline_with_definition_fix.mp3
Category:general -- posted at: 2:12pm EST |
Tue, 20 November 2018
We discuss Medicated Assisted Treatment (MAT) for opioid use disorder (OUD) including buprenorphine initiated from the emergency department. This show was sponsored by Figure 1, a free open access application for providers using images and cases Thanks for listening! Jeremy Faust and Lauren Westafer References:
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Mon, 22 October 2018
The Free Open Access Medical Education (FOAM) world is often obsessed with magnesium. In this show we address the use of magnesium for various applications. Magnesium for Acute Atrial Fibrillation with Rapid Ventricular Response (RVR)
Magnesium for Migraine
Magnesium for Acute Asthma Exacerbation Griffiths B, Kew KM. Intravenous magnesium sulfate for treating children with acute asthma in the emergency department. Cochrane Database Syst Rev. 2016;4:CD011050.
Thanks for listening! Jeremy Faust and Lauren Westafer |
Tue, 16 October 2018
In this episode we highlight key articles in Emergency Medicine that came out, thus far, in 2018. D'souza et al. Effects of prophylactic anticholinergic medications to decrease extrapyramidal side effects in patients taking acute antiemetic drugs: a systematic review and meta-analysis Emerg Med J. 2018;35(5):325-331. Driver et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA. 2018;319(21):2179-2189. Atkinson PR, Milne J, Diegelmann L, et al. Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators. Ann Emerg Med. 2018; In press. Perkins GD et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. N Engl J Med 2018; 379:711-721 Meltzer et al. Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial. JAMA Intern Med. 2018 Aug 1;178(8):1051-1057 Kabrhel et al Multicenter Evaluation of the YEARS Criteria in Emergency Department Patients Evaluated for Pulmonary Embolism. Acad Emerg Med. 2018;25(9):987-994
Thanks for listening! |
Wed, 3 October 2018
We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight:
Thanks for listening! |
Tue, 2 October 2018
We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight:
Thanks for listening! |
Mon, 1 October 2018
We bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight:
Thanks for listening!
Direct download: FOAMCast_Pediatrics_Head_Trauma_from_ACEP18_San_Diego_Day_1_.mp3
Category:general -- posted at: 6:15pm EST |
Mon, 24 September 2018
We cover a JAMA Clinical Reviews podcast on lyme disease, including some myth-busters. *Doxycycline can be used, safely, in kids < 8 years old *Testing for lyme is a mess because : (1) we test patients with ultra low probability of disease (2) we test patients who shouldn't be tested (i.e. have erythema migrans) (3) the tests are a pain to interpret *Lyme disease is spreading further south and west in the US, into Canada, and it's also increasingly found in Europe. We then delve into core content for Rosen's, Tintinalli, and the IDSA 2006 guidelines. Thanks for listening!
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Mon, 27 August 2018
We review the American Urological Association guidelines on penile fracture and priapism. We supplement this with core content from Tintinalli and Rosen's Emergency Medicine.
Direct download: FOAMcast_Penile_Fracture_and_Priapism__.mp3
Category:general -- posted at: 3:31pm EST |
Fri, 20 July 2018
We review one of the editors top picks from Annals of Emergency Medicine, which are free for 6 months from issue release. The article covered in this podcast is Waldman et al, is a study of tetracaine in corneal abrasions. We also review commonly encountered corneal emergencies: Corneal abrasions Corneal ulcers and herpes keratoconjunctivitis. Thanks for listening! |
Mon, 18 June 2018
Show notes at FOAMcast.org We cover the 2017 IDSA/SHEA guidelines on clostridium difficile (c diff). We then review core content on c diff including risk stratification and treatment using Rosen's and Tintinalli as guides. Thanks for listening! |
Wed, 16 May 2018
Workup for pulmonary embolism (PE) is common (perhaps too common) in the United States. The American College of Emergency Physicians has released a clinical policy on pulmonary embolism. We cover this policy as well as core content on PE risk stratification and "rule out" Thanks for listening, |
Mon, 30 April 2018
We cover the emergency department care of lactating patients including Medications during breastfeeding - who should "pump and dump"? (spoiler: very few people, check LactMed or InfantRisk) Mastitis & Breast Abscesses Emergency Department Support Thanks for listening! |
Sun, 1 April 2018
Show notes at FOAMcast.org We have a special April 1st show - the Faust-Westafer Central Theorem of Emergency Medicine. Listen for details Thanks for listening!
Direct download: FOAMcast_Faust_Westafer_Central_Theorem_of_Emergency_Medicine_.mp3
Category:general -- posted at: 12:00am EST |
Wed, 21 March 2018
We review select articles from 2017 that are important or that got people talking including: Sadeghirad B et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ. 2017;358:j3887. Barniol et al.Levocetirizine and Prednisone Are Not Superior to Levocetirizine Alone for the Treatment of Acute Urticaria: A Randomized Double-Blind Clinical Trial. Ann Emerg Med. 2018;71(1):125-131.e1 Wilson SS, Kwiatkowski GM, Millis SR, Purakal JD, Mahajan AP, Levy PD. Use of nitroglycerin by bolus prevents intensive care unit admission in patients with acute hypertensive heart failure. Am J Emerg Med. 2017;35(1):126-131. Hu et al Variability in Interpretation of Cardiac Standstill Among Physician Sonographers. Ann Emerg Med. 2017 Sep 1. S0196-0644(17)31376-8 Clattenburg et al Point-of-care ultrasound use in patients with cardiac arrest is associated prolonged cardiopulmonary resuscitation pauses: A prospective cohort study. Resuscitation. 2018;122:65-68. Hinson JS et al. Risk of Acute Kidney Injury After Intravenous Contrast Media Administration. Ann Emerg Med. 2017 Healey CD et al. Asymptomatic cervical spine fractures: Current guidelines can fail older patients. J Trauma Acute Care Surg. 2017;83(1):119-125. Crowell et al. Accuracy of Computed Tomography Imaging Criteria in the Diagnosis of Adult Open Globe Injuries by Neuroradiology and Ophthalmology. Acad Emerg Med. 2017;24(9):1072-1079. Talan et al. Subgroup Analysis of Antibiotic Treatment for Skin Abscesses. Ann Emerg Med. 2018;71(1):21-30.
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Sat, 24 February 2018
We tackle some free open access medical education from the CDC on the flu vaccine, including:
We then dive into CDC recommendations on oseltamivir as well as contradictory data from the most recent Cochrane review. Thanks for listening! Jeremy Faust and Lauren Westafer |
Sun, 14 January 2018
Over at the Pulmcrit blog, Dr. Josh Farkas has proposed the use of phenobarbital monotherapy for the treatment of ethanol withdrawal and we cover this protocol. We then dive into core content alcohol withdrawal using Rosen’s Emergency Medicine (9th ed) Chapter 142 , Tintinalli’s Emergency Medicine (8th ed) Chapter 292, and Goldfrank's Toxicologic Emergencies (10th ed) Chapter 81 as guides. Thanks for listening, Lauren Westafer and Jeremy Faust |
Tue, 5 December 2017
We discuss ultrasound diagnosis of pneumoperitoneum using a podcast from 5MinSono. Then we delve into core content on gastritis, PUD, and helicobacter pylori using Rosen's Ch 78 and Tintinalli's Ch 79 as guides. Thank for listening! |
Mon, 20 November 2017
We cover Free Open Access Medical Education (FOAM) on mass casualty incidents, an unfortunate reality in the current United States climate (and elsewhere). There is a must read (truly, emergency providers really should read this) in EP Monthly by Dr.Kevin Menes, “How One Las Vegas ED Saved Hundreds of Lives After the Worst Mass Shooting in U.S. History”. He details his process in running the Emergency Department that evening. We cover pearls from other great resources include a post on the St. Emlyn's blog, "Mass Casualty Incidents: Lessons from the AAST" and a free EBMedicine article on ballistic injuries Core Content: Chapter 192 Rosen's, Chapter 5 Tintinalli - Mass Casualty Incident Triage Thanks for listening! |
Sat, 4 November 2017
We bring you pearls from the American College of Emergency Physicians (ACEP) 2017 Scientific Assembly. We cover in-flight emergencies, need for contrast enhanced CT scans, bronchiolitis and sucrose for infants Thanks for listening! |
Mon, 30 October 2017
We bring you pearls from the American College of Emergency Physicians (ACEP) 2017 Scientific Assembly. Pearls on H. Pylori from: It's Alimentary - Poo-Pourri of Conditions From the Mouth to Rectum - Dr. Adebayo, Dr. Batra, Dr. Bavokek Emerging Infections: Zika and Its Friends - Dr. Joan Noelker High Yield Toxicology - Dr Erickson, Dr Traub, Dr. Perrone
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Sun, 29 October 2017
We cover top pearl from the American College of Emergency Physicians (ACEP) Scientific Assembly 2017. Dr. Michael Winters - Critical Care Updates Dr. Tim Horeczko - Pediatric Pitfalls Thanks for listening! |