This miniature FOAMcast episode brings you pearls the American College of Emergency Physicians annual meeting, ACEP15 in Boston.

We summarize some popular highlights from Day 1 including Jerry Hoffman and Rick Bukata's literature review and a talk from Dr. Jeff Kline on pulmonary embolism.

We cover an episode of the Ultrasound Podcast, in which Drs. Matt Dawson, Mike Mallin, and Jacob Avila demonstrate how to diagnose rib and sternal fractures with bedside ultrasound.

Then we cover core content pearls using Rosen's, Tintinalli, and the EAST guidelines on rib fractures, sternal fractures, and blunt cardiac injury.

Visit foamcast.org for references as well as generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

In this tiny episode we do something a little different.

Dr. Paul Young (@dogICUma) and colleagues published two papers in JAMA and NEJM, SPLIT and HEAT, respectively.  

SPLIT is an RCT looking at balanced crystalloid vs 0.9% NaCl and AKI, an ever popular topic in FOAM.

HEAT is an RCT of acetaminophen in ICU patients.

We'll be back with regular episodes, soon.

-Jeremy Faust and Lauren Westafer

In this episode, we cover the New York Times article, "What Comes After The Heimlich Maneuver" and Dr. Seth Trueger's take on this article, "Bad Idea Jeans." The take home message - cricothyrotomies should be done by experts and we should probably traine ourselves for these a little better.

Then, we cover core content pearls on tracheostomy emergencies and a quick summary of infections in or near the trachea.  Visit foamcast.org for more as well as generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

In this episode, we cover the St. Emlyn's team's post on the REVERT trial, which added a new spin to the traditional (and traditionally ineffective) Valsalva maneuver for stable supraventricular tachycardia (SVT). In this post, Dr. Rick Body goes through the trial covering not only the results and also drops pearls on methodology.

Then, we cover core content pearls on supraventricular tachycardia and ventricular tachycardia. Visit foamcast.org for more as well as generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This week we cover Dr. Ryan Radecki's post on Gestational Age Adjusted D-Dimer covering an article by Murphy et al. 

Then we review the differential diagnosis and workup of hemoptysis using Rosen's Emergency Medicine and Tintinalli as a guide.

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

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.

FOAMcast is bringing you pearls from conferences we attend including SMACC.  (and next June 13-16, we'll bring you pearls from smaccDUB in Dublin, Ireland)

Today we discuss some pearls on shift work, analgesia (even without drugs), the perils of the Glasgow Coma Scale and more!

FOAMcast is bringing you pearls from conferences we attend including SMACC.  (and next June 13-16, we'll bring you pearls from smaccDUB in Dublin, Ireland)

Today we discuss some pearls on pediatric fluids, impact apnea, evidence based medicine, and death.

FOAMcast is bringing you pearls from conferences we attend including SMACC.  

The overarching theme to Day 1 at SMACC?  Use your team-to check you and for feedback.  Dr. Cliff Reid reminded us to follow up our patients and outcomes and learn from it all, without letting our egos get in the way.   Dr. Simon Carley (St. Emlyn's) gave a powerful talk on learning from mistakes later in the day; you will definitely want to listen to these when they come out.

We cover trauma pearls from Dr. Scott Weingart, pain pearls from Dr. Reuben Strayer, tox pearls form Dr. David Juurlin, and a bunch of sepsis goodness. 

We review this post from Dr. Scott Weingart's EMCrit podcast on Thyroid Storm.

Then, we delve into core even more content pearls on the thyroid including differentiating different hyperthyroid states and mxyedema coma.  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

We review this  post from Dr. Anton Helman of Emergency Medicine Cases on Pediatric DKA. 

Then, we delve into core content pearls on hyperglycemia including Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State.  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

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

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

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

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

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

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 policy, AAN guidelines, Ontario 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

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.

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

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

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. 

We review the FOAM resource, Don’t Forget the Bubbles, "Knee X-ray Interpretation" by Dr. Tessa Davis.  We use a systematic approach to assessing chest x-rays, so why not knee x-rays?

Then, we delve into a core content review using Rosenalli as a base, covering knee dislocations and septic arthritis.  Key Texts:Tintinalli (7e) Chapters 271, 281; Rosen’s (8e) Chapters 57, 136

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This week we review Dr. Josh Farkas's PulmCrit blog posts, Renal microvascular hemodynamics in sepsis: a new paradigm and Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications in which he posits that renal protection in sepsis may prove beneficial for patients.  

Then, we delve into core content pearls on acute kidney injury using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) 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

This week we review Dr. Rory Spiegel's EMNerd blog post, A Case of Identity Part Two, on dual antiplatelet therapy for ACS and MI. 

• Dual antiplatelet therapy, often aspirin + P2Y12 inhibitors, although commonly used, do not affect mortality and have questionable benefit but are associated with risks of bleeding.

Then, we delve into core content pearls on anticoagulation including aspirin, ibuprofen, and novel oral anticoagulants using Rosenalli  (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) and Goldrank (10th ed) Chapter 60 and EMPractice October 2013 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

This week we review the Tox Talk podcast, Episode 23, Mushrooms. Key pearls 

Clitocybe, Inocybe - contain muscarine which stimulates muscarinic receptors (acetylcholine/parasympathetic), causing a cholinergic toxidrome. 

• Memory aid: these mushrooms end in -yBE, akin to the "killer B's" that make cholinergic toxicity deadly - bradycardia, bronchorrhea, bronchospasm.

Gyromitra - (false morel)

• Memory aid: gyromitra named because they look like the gyri of the brain and, conveniently, make the brain seize through depletion of GABA. 

Amanita phalloides - the mushroom equivalent of acetaminophen toxicity.

Then, we delve into core content pearls on accidental hypothermia using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This week we review Dr.Ken Milne's podcast, the Skeptics Guide to Emergency Medicine new feature - Hot off the Press. It's all about geriatric falls, y'all.

Then, we delve into core content pearls on the geriatrics using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We review polypharmacy, abdominal pain, and other key pearls.

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

FOAMcast will be back shortly with regular core content-cutting edge mash ups; however, we wanted to take a moment to focus on a conference that inadvertently created FOAMcast...and is coming to Chicago in June 2015.

 SMACC - Chicago (#smaccUS) June 23-26, 2015. Registration begins Nov 5, 2014

There are too many core content lectures to choose from and they're available on iTunes.

Our favorites are listed on FOAMcast.org and here we review:

Dr. Haney Mallemat - The Art and Science of Fluid Responsiveness

Dr. Scott Weingart - Sepsis in New York: Our First 15,000 Patients

Dr. Cliff Reid - Resuscitation Dogmalysis

Dr. Rob Mac Sweeney - ARDS: An Evidence Based Update

Timing, Tribes, and STEMIs

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  

Today's Pearls:

ACEP is revisiting the TPA policy - Dr. David Newman, Dr. Edward Sloan, and Dr. Seaberg

Evidence based approach to Intracerebral Hemorrhage by Dr. Jon Edlow

Drs. Jerome Hoffman and Richard Bukata delivered key literature pearls.

For updates, follow #ACEP14

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  

Today's Pearls:

HIV patients are at risk for ACS and thrombotic complications

Resuscitation pearls from Weingart:  Don't trust "normal" vital signs, ACLS is not for emergency physicians, REBOA and ECMO are coming

Palliative care in the Emergendy Department - important and often not well done

ACEP has 5 more "Chosing Wisely" Pearls

For updates, follow #ACEP14

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  

Today's Pearls:

Emergency Physicians are like economists (We're more probalisticians than diagnosticians).

Cardiology pearls from Dr. Slovis - TTM to 36 Celsius post-arrest should be standard. Many people probably could benefit from caths after arrest, we're not sure exactly who at this point.

Patients returning from West Africa with fever probably have a regular virus, maybe malaria, but probably not ebola.

There's really not much use for glucagon in calcium channel blocker toxicity. Think supportive care, insulin-dextrose.

ETCO2 - it doesn't equal PaCO2 and it depends on cardiac output and alveolar ventilation  

For updates, follow #ACEP14

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

FOAMcast is bringing you pearls from conferences we attend and, first up, the American College of Emergency Physicians annual meeting, ACEP14.  However, Jeremy and I both worked overnights so we got into town a little late.  Our friends and ACEP luminaries, Drs. Justin Hensley, Howie Mell, and Todd Slesinger.

For updates, follow #ACEP14

Thanks for listening, y'all!

Jeremy Faust and Lauren Westafer

This week we review Dr. Scott Weingart's EMcrit episode, The First Prehospital REBOA

Then, we delve into core content pearls on the spleen using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover splenic trauma and lacerations, post-splenectomy sepsis, and splenic sequestration.

Key Texts: Rosen's Chapter 46, 134 and Tintinalli Chapter 260.

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This week we review Dr. Rob Orman's ERCast episode, Is it really a sinus headache?

Then, we delve into core content headache pearls with an ophthalmology bent using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover temporal arteritis, acute angle closure glaucoma, idiopathic intracranial hypertension, and cerebral venous sinus thrombosis.

Key Texts: Tintinalli (7e): Ch 159; Rosen's (8e) Ch 20, 103

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

In this tiny episode, Jeremy gives his bottom line pearls for FOAMcast episodes 4-14.  You know, because spaced repetition is a good thing.  We've got anaphylaxis, heart failure, ebola, acid-base, and more.

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This week we review a post by Brent Reed on Academic Life in EM, covering pharmacologic management of atrial fibrillation.  

Then, we delve into core content Emergency Medicine cardiology using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover atrial fibrillation, atrial flutter, and, everyone's favorite, multifocal atrial tachycardia.

Key Texts: Tintinalli (7e): Ch ; Rosen's (8e) Ch 

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

This week we review EM in 5's episode on the hand neuro exam.

Then, we delve into core content hand pearls including flexor tenosynovitis, extensor tendon injuries, amputations, and more using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).

Key Texts: Tintinalli (7e): Ch 280, 295; Rosen's (8e) Ch 50

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

This week we review Right Axis Deviation from Dr. Amal Mattu's ECG Video of the Week - Why You Should Care When Things are Totally RAD as well as EMCrit Episode 98 on TCA Overdose treatment

Then, we delve into core content toxicology pearls regarding tricyclic antidepressants and sodium channel blockade using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) in addition to Goldfrank's Toxicology

Key Texts: Tintinalli (7e): Ch 171; Rosen's (8e) Ch 151 Goldfrank Ch 73 

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

This week we review Dr. Salim Rezaie's REBEL Cast Episode 1 on Biphasic Anaphylaxis

Then, we delve into core content allergy/immunology pearls on Anaphylaxis and Angioedema using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide)

Key Texts: Tintinalli (7e): Ch 27; Rosen's (8e) Ch 119

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This week we review Mount Sinai Emergency Medicine Residency's blog post on Ebola.

Then, we delve into core content infectious disease pearls on Airborne and Droplet isolation and infectious agents such as varicella using Tintinalli as our predominant reference.

Key Texts: Tintinalli (7e): Ch 148, Ch 157; The CDC

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This week we review Dr. Natalie May's brilliant post on the St. Emlyn's blog, "When Sick Means Sick: Emesemantics and Vomiting in Kids"  in which she dissects emesis descriptors such as bilious, projectile, and coffee-ground.

Then, we delve into core content on Neonatal Jaundice and Intussusception.

Key Texts: Tintinalli (7e) Chapters 111, 124 ; Rosen's (8e) Chapter 172

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

In this episode we review Dr. Scott Weingart's Practical Evidence Podcast #3 on Management of First Trimester Vaginal Bleeding and ACEP's 2012 Clinical Policy.  After a thrilling discussion of the discriminatory zone and ultrasound, we digress into core content covering bleeding in later pregnancy (placental abruption and previa), abdominal pain in pregnancy including septic abortion and chorioamnionitis, as well as eclampsia and pre-eclampsia.

Key Texts: Tintinalli (7e) Chapters 102-105 ; Rosen's (8e) Chapter 178

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

This tiny episode covers Hypernatremia - a supplement to our Episode 8 on acid-base and hyponatremia.

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

Thanks y'all!

-Jeremy Faust and Lauren Westafer

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/IV, Hyponatremia - EMBasic, Hyponatremia-ERCast, Hyponatremia - EMCrit

Thanks y'all!

-Jeremy Faust and Lauren Westafer

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

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

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

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

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

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