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Episode | Date |
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COVIDcast: Convalescent Plasma in Older Outpatients with Mild COVID-19
05:59
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 |
Jan 07, 2021 |
Gonococcal Infection Treatment Update
08:26
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! |
Jan 03, 2021 |
Racial Bias in Pulse Oximetry
08:14
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! |
Dec 18, 2020 |
COVIDcast- SARS-CoV-2 mRNA Vaccines and Pregnancy
14:54
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! |
Dec 09, 2020 |
COVIDcast: SARS-CoV-2 Vaccine Update
25:05
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 *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks.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, |
Nov 30, 2020 |
Cannabinoid Hyperemesis Syndrome
21:09
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 |
Nov 28, 2020 |
COVIDcast - Tocilizumab
20:10
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, |
Oct 25, 2020 |
COVIDcast: Monoclonal Antibodies
17:00
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, |
Oct 11, 2020 |
COVIDcast: High Flow Nasal Cannula and Health Care Worker Infections
10:22
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, |
Oct 09, 2020 |
Lit Update: PE Risk Stratification Tool Performance (PESI, sPESI, BOVA)
11:42
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 |
Sep 21, 2020 |
COVIDcast: Steroids in COVID-19
15:25
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, |
Sep 03, 2020 |
COVIDcast: Convalescent Plasma Update
14:03
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, |
Aug 25, 2020 |
Remdesivir - A new open-label trial
09:58
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, |
Aug 24, 2020 |
Metabolic Resuscitation in Sepsis - The ACTS Randomized Trial
22:34
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! |
Aug 18, 2020 |
2020 Anaphylaxis Update
11:57
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 |
Aug 04, 2020 |
Lit Update: Stop Giving Lidocaine in "GI Cocktails"
06:15
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 |
Jul 16, 2020 |
COVIDcast: Hydroxychloroquine [Recovery Trial]
09:15
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, |
Jul 16, 2020 |
COVIDcast: Dexamethasone [RECOVERY Trial]
13:22
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, |
Jun 22, 2020 |
COVIDcast - Mask Fit and Filtration with Re-use and Sterilization
11:29
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 |
Jun 19, 2020 |
COVIDcast: How Early Was COVID-19 in US Communities?
07:56
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 |
Jun 12, 2020 |
COVIDcast: Mental Health and COVID-19
21:51
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 |
Jun 10, 2020 |
COVIDcast - Convalescent Plasma RCT Update
07:57
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 |
Jun 05, 2020 |
COVIDcast - Data Integrity and Hydroxychloroquine (Lancet) and ACE-I/ARB (NEJM) Studies
13:57
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 |
Jun 01, 2020 |
COVIDcast - How many days of Remdesivir?
12:06
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 |
May 30, 2020 |
COVIDcast - Mask Wearing at Home
10:46
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 |
May 30, 2020 |
COVIDcast - Remdesivir (ACTT-1 trial)
14:08
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 |
May 24, 2020 |
COVIDcast - SARS-CoV-2 in Breastmilk Update
09:06
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 |
May 23, 2020 |
COVIDcast - Clinical History and Exam Accuracy
16:01
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 |
May 22, 2020 |
COVIDcast Literature Update
24:12
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 |
May 15, 2020 |
COVIDcast: Pediatric Multisystem Inflammatory Syndrome Temporally Associated with COVID-19
19:35
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 |
May 10, 2020 |
COVIDcast - Convalescent Plasma
14:24
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 |
May 09, 2020 |
COVIDcast: Antibody Testing
18:17
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 |
May 03, 2020 |
COVIDcast: Excess Mortality and Out of Hospital Cardiac Arrest
18:17
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 |
Apr 30, 2020 |
COVIDcast: Cutaneous Manifestations and "COVID toes"
20:25
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 |
Apr 29, 2020 |
COVIDcast: Autopsy findings and Venous Thromboembolism
18:10
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 |
Apr 27, 2020 |
COVIDcast: Self Proning Oxygenation
15:19
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 |
Apr 24, 2020 |
COVIDcast: The State of Our Current Respiratory Management
30:36
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 |
Apr 21, 2020 |
COVIDcast: Thrombosis (VTE guidelines & MI)
09:51
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 |
Apr 19, 2020 |
COVIDcast: Special Populations (Homeless / Racial Disparities / Healthcare workers)
17:51
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 |
Apr 17, 2020 |
COVIDcast: Testing issues + Hydroxychloroquine Update
19:35
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 |
Apr 14, 2020 |
COVIDcast - Outcomes from New York
11:17
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 |
Apr 13, 2020 |
COVIDcast - Risk Stratification
19:49
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 |
Apr 12, 2020 |
COVIDcast - Remdesivir
19:00
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 |
Apr 10, 2020 |
COVIDcast: Is it ARDS? HAPE? Hemoglobinopathy?
18:46
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 |
Apr 07, 2020 |
COVIDcast: ROX index for predicting intubation
22:03
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 |
Apr 06, 2020 |
COVIDcast - High Flow Nasal Cannula paper
16:32
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 |
Apr 04, 2020 |
COVIDcast: COVID-19 and Hypercoagulability
16:42
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 |
Apr 02, 2020 |
COVIDcast: Respiratory Severity Scale and ICU outcomes
17:21
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 |
Apr 01, 2020 |
COVIDcast: Awake Proning, Hydroxychloroquine Update, Neonatal Updates
17:28
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, |
Mar 30, 2020 |
COVIDcast: SARS-CoV-2 in Air Samples & Convalescent Plasma
14:46
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, |
Mar 28, 2020 |
COVIDcast: Pregnancy Update and HFNC Update
15:01
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, |
Mar 28, 2020 |
COVIDcast: Disease and Viral Shedding Timeline
18:31
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, |
Mar 26, 2020 |
COVIDcast: Atypical symptoms
16:01
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, |
Mar 24, 2020 |
COVIDcast: Transmission of SARS-CoV-2, Cloth Masks, UV light for Mask Decontamination
18:32
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, |
Mar 23, 2020 |
COVIDcast: High Flow Nasal Cannula, Cytokine Storm, and Asymptomatic Transmission
15:07
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, |
Mar 22, 2020 |
COVIDcast: Surviving Sepsis SCCM Guidelines (3.20.20)
22:20
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, |
Mar 20, 2020 |
COVIDcast: Pregnancy, Breastfeeding, and Investigational Treatments 93.19.20)
20:25
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! |
Mar 20, 2020 |
COVIDcast: Co-infections, Pediatrics, and Ibuprofen
13:47
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 |
Mar 19, 2020 |
Community Acquired Pneumonia
25:21
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! |
Mar 08, 2020 |
Top 5 Articles of 2019
27:14
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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Feb 01, 2020 |
VITAMINS Trial - Vitamin C, Thiamine, and Hydrocortisone in Septic Shock
22:07
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! |
Jan 17, 2020 |
ACEP Headache Clinical Policy
24:54
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! |
Dec 18, 2019 |
Olanzapine + Benzodiazepines - What is the FDA warning about?
21:05
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! |
Oct 29, 2019 |
Black Box Warnings for Common ED Medications
08:55
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 |
Oct 29, 2019 |
Concussion and VP Shunts from ACEP 2019
18:20
We are at ACEP 2019 in Denver and cover pearls from interesting lectures. Today, that included concussion and VP shunts.
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Oct 27, 2019 |
Vaping Associated Lung Injury (VALI)
22:31
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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Oct 11, 2019 |
Hyperkalemia Treatment - Insulin/Dextrose
24:49
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! |
Sep 30, 2019 |
Droperidol and Butyrophenones
23:35
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! |
Sep 01, 2019 |
Thromboelastography (TEG) Guided Resuscitation
22:14
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! |
Jul 31, 2019 |
2019 Mid-Year Literature Review
26:07
In this episode, we discuss important and "hot" articles thus far in 2019. These articles include:
Thanks for listening! Jeremy Faust and Lauren Westafer |
Jul 09, 2019 |
Psychogenic Non-epileptic Attacks (PNEA)
25:02
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! |
May 24, 2019 |
Emergent Issues in Sickle Cell Disease
27:21
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! |
Apr 30, 2019 |
Mechanical CPR, Balloon Tamponade, and Advocacy
14:08
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! |
Mar 29, 2019 |
Roc vs Sux, Bougie vs Stylet, The Crashing Asthmatic at #SMACC
16:01
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 |
Mar 28, 2019 |
anti-NMDA receptor encephalitis and communicating with patients at #smacc
10:23
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! |
Mar 27, 2019 |
Emergency Medicine Updates - 2019
12:37
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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Mar 27, 2019 |
Supraventricular Tachycardia Treatment Controversies
28:32
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. |
Feb 18, 2019 |
Fluoroquinolones and Aortic Pathology
25:40
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 |
Jan 31, 2019 |
ACEP Non-ST Elevation Acute Coronary Syndrome Guidelines
31:29
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! |
Dec 27, 2018 |
Medicated Assisted Treatment (MAT)
26:54
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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Nov 20, 2018 |
Magnesium
31:27
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 |
Oct 22, 2018 |
2018 Literature Update
31:09
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! |
Oct 16, 2018 |
Myths in imaging and pediatrics
11:32
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! |
Oct 03, 2018 |
Errors in CYA Medicine and Biomarkers
15:37
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! |
Oct 03, 2018 |
severe pediatric head trauma, aortic dissection diagnostics, and chest tubes
17:13
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! |
Oct 01, 2018 |
Lyme (Borreliosis)
25:00
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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Sep 24, 2018 |
Penile Fracture and Priapism
25:14
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. |
Aug 27, 2018 |
Corneal Emergencies
30:04
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! |
Jul 20, 2018 |
Clostridium difficile
24:45
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! |
Jun 18, 2018 |
ACEP Pulmonary Embolism Policy + Risk Stratifying PE
32:27
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, |
May 16, 2018 |
The Lactating Emergency Department Patient
20:46
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! |
May 01, 2018 |
The Faust-Westafer Central Theorem of Emergency MEdicine
12:02
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! |
Apr 01, 2018 |
Literature Update - 2017
28:49
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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Mar 21, 2018 |
Episode 78 - Influenza
24:22
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 |
Feb 24, 2018 |
Episode 77 - Alcohol Withdrawal
24:46
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 |
Jan 14, 2018 |
Episode 76 - Pneumoperitoneum, Gastritis, PUD
22:10
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! |
Dec 05, 2017 |
Episode 75 - Mass Casualty Incidents
22:15
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! |
Nov 20, 2017 |
ACEP 2017 - In flight emergencies, CT scans, and peds
14:17
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! |
Nov 04, 2017 |
ACEP 2017 - H. Pylori, Tox, and Zika
13:13
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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Oct 30, 2017 |
ACEP 2017 - Critical Care Updates and Pediatric Pitfalls
12:53
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! |
Oct 30, 2017 |
The Cutting Edge - PEs, Steroids, Pus, and more
25:32
We cover some high yield, important, or frequently discussed recent articles. Antibiotics and abscesses - Daum et al FAST in hemodynamically stable patients - Holmes et al Haloperidol in gastroparesis - Roldan et al and Ramirez et al Ignoring PERC - Buchanan et al Steroids in non-asthma/COPD lower respiratory tract infections - Hay et al Gender pay gap persists in academic EM (and it's not due to hours, rank, or roles) - Madsen et al |
Oct 08, 2017 |
Episode 74 - Physostigmine and Anticholinergic Toxidrome
21:16
We review this blog post by Bryan Hayes, an ED pharmacist (@PharmERToxGuy), on the use of physostigmine in anticholinergic toxicity. We then review anticholinergic toxidrome using Rosen's, Tintinalli's, and Goldfrank's as a guide.
Lauren Westafer and Jeremy Faust |
Sep 15, 2017 |
Episode 73 - Gastroparesis & Biliary Pathology
23:56
We review gastroparesis treatment with haloperidol including a recent study by Ramirez and colleagues. This study had significant methodologic limitations but provides some interesting insight into a practice that many providers have adopted - using haloperidol for gastroparesis. A tiny RCT by Roldan and colleagues also looked at this practice and found promising results, although the study was very small. Haloperidol has also been used in cannabinoid hyperemesis but literature on this is limited to case reports/series. We also cover core content on biliary pathology using Tintinalli and Rosen's as guides. Thanks for listening! |
Sep 01, 2017 |
Episode 72 - Hypertension
21:40
We review recent discussions on the accuracy of cuff blood pressures including a meta-analysis Picone et al published in the Journal of the American College of Cardiology discussing the accuracy of cuff blood pressures. We cover core content on hypertensive emergencies and asymptomatic markedly elevated blood pressure using the ACEP clinical policy on hypertension, Rosen's (9th ed) Chapter 74 "Hypertension," and Tintinalli (8th ed), Chapter 57 “Systemic Hypertension” Chapter 59 “Aortic Dissection and Related Aortic Syndromes” as guides Show notes on FOAMcast.org Thanks for listening! |
Aug 18, 2017 |
Episode 71 - Opioids
28:28
We cover Free Open Access Medical Education on opioids.
Then we cover core content on opioid overdose and withdrawal using Rosen's Emergency Medicine (9th ed) Chapter 156 and Tintinalli's Emergency Medicine (8th ed), Chapter 186 as a guide.
Thanks for listening! |
Jul 31, 2017 |
#dasSMACC - Dunning-Kruger, Ultrasound, and Critical Care
15:31
We are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference. Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn't wait. We cover... One of the major themes of #dasSMACC has been - we are more overconfident in our knowledge, skills, ability, and good behavior than we actually demonstrate. We cover the Dunning-Kruger effect and how to help combat the notion that "this happens to other people, not me." Drs. Jacob Avila and Ben Smith on Airway Ultrasound Dr. James Rippey on Point of Care Ultrasound Incidental Findings Dr. Jack Iwashyna on Critical Care Prognosis Thanks for listening! Jeremy Faust and Lauren Westafer |
Jun 29, 2017 |
#dasSMACC - PE with Right Heart Thrombus, Pediatric Cardiology Emergencies, and TEE in Cardiac Arrest
28:47
We are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference. Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn't wait. We cover... Dr. Leanne Harnett on Pulmonary Embolism with Right Heart Thrombus (PE with RHT) Dr. Michele Domico on Pediatric Cardiology Emergencies Dr. Haney Mallemat (@CriticalCareNow) on Transesophageal Echocardiography (TEE) during Cardiac Arrest
Thanks for listening! Jeremy Faust and Lauren Westafer |
Jun 28, 2017 |
#dasSMACC - Endocarditis, Sickle Cell, and Stats
17:10
We deliver pearls from the first day of #dasSMACC in Berlin. We cover talks by Dr. Brian Burns on trauma, Dr. David Carr on endocarditis, Dr. Paul Young on statistics, and Dr. Jess Mason on sickle cell vaso-occlusive crisis. Check out foamcast.org for show notes and pictographic summaries. Thanks for listening and for the Rosh Review for sending us! Jeremy Faust and Lauren Westafer |
Jun 27, 2017 |
FOAMcastini - Medical Texting
12:22
We interrupt our normal core content for this update: Texting amongst medical professionals is ubiquitous; however, given patient privacy laws, many wonder, what is permissible? We discuss a recent article in JAMA by Brian Drolet on this very topic as well as some basic professionalism pearls. Show notes at FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust |
Jun 05, 2017 |
Episode 70 - Non-Pregnant Vaginal Bleeding
23:04
We cover FOAM on the WOMAN trial of tranexamic acid (TXA) in post-partum hemorrhage including BroomeDocs, EMlitofnote, and The Bottom Line Then we delve into core content on non-pregnant vaginal bleeding using Rosen's and Tintinalli's as a guide. Show notes are available at FOAMcast.org Thanks for listening! |
May 15, 2017 |
Episode 69 - Urinary Tract Infection
29:57
We cover Free Open Access Medical Education (FOAM) from a recent Emergency Medicine Cases podcast and First10inEM blog post by Dr. Justin Morganstern regarding urinary tract infections (UTIs). This podcast and blog tackle common issues in UTI diagnosis and treatment, including the following points:
Then we cover core content from Rosen’s Emergency Medicine (8th ed), Chapter 99; Tintialli's Emergency Medicine (8th ed), Chapter 91; IDSA Guidelines for Treatment and Asymptomatic Bacteriuria Thanks for listening! Jeremy Faust and Lauren Westafer |
May 06, 2017 |
Episode 68 - ECG Ischemia
26:01
A recent study in Academic Emergency Medicine by Hughes and colleagues, looks at the potential clinical relevance of having emergency physicians sign ECGs read "normal" by the computer software. FOAM reviews of this article can be found here: Then we review ischemia on ECGs, including STEMIs as well as a dive into ischemic T waves Check out FOAMcast.org for more show notes and images. Thanks for listening! Lauren Westafer and Jeremy Faust |
Apr 26, 2017 |
Episode 67 - Serious Pediatric Fever
22:40
We cover an episode of The Skeptic's Guide to Emergency Medicine that covers a validation study of the Step by Step approach to pediatric fever. This approach to infants with a fever <3 months old is alluring as it does not necessitate a lumbar puncture. This algorithm had a better sensitivity and negative predictive value than the Rochester criteria. The approach did miss some infants with a serious bacterial infection and these tended to be those between 21 and 28 days old and those with fever onset <2 hours prior to arrival. We cover Chapter 116 in Tintinalli's Emergency Medicine (8th ed) and Rosen's on pediatric fever. Visit FOAMcast.org for more information and thanks for listening! -Jeremy Faust and Lauren Westafer |
Mar 31, 2017 |
Episode 66 - Back Pain and Spinal Epidural Abscess
29:01
We cover a post from the fantastic St. Emlyn's team which breaks down a recently published article in Annals of Emergency Medicine comparing diazepam with placebo in patients with acute low back pain. We recommend you read the full text of the article by Friedman et al. We delve into core content on red flags in back pain and spinal epidural abscess using Rosen's Emergency Medicine and Tintinalli's Emergency Medicine Chapter 279 as a guide. visit FOAMcast.org for show notes and more information. Thanks for listening! |
Mar 12, 2017 |
Episode 65 - Contrast Induced Nephropathy and Genitourinary Trauma
22:56
We cover Free Open Access Medical Education (FOAM) on Contrast-Induced Nephropathy (CIN). Recent interes The American College of Radiology (ACR) Manual on Contrast Induced Nephropathy This Emergency Medicine Literature of Note post covers the AMACING trial, which looks at intravenous fluid administration (0.9% NaCl) versus usual care in patients "at risk" for CIN undergoing contrast-enhanced CT scan. The study found a difference of -0.1% (95% CI -2.25 to 2.06), which was below the non-inferiority margin. Prior literature shows similar results, with no clear-cut efficacy from prevention strategies for CIN. This post by Dr. Joel Topf (nephrologist @kidneyboy) on the Precious Bodily Fluids blog discusses a nephrologist's take on CIN. EM topics post on fluids in CIN. Core Content We then delve into core content on genitourinary trauma using Rosen’s Chapter 47 and Tintinalli’s Chapter265 as a guide. Thanks for listening! |
Feb 28, 2017 |
Episode 64 - Lumbar Punctures and Meningitis
28:25
Ultrasound is gaining popularity in assisting lumbar punctures (LPs). We review this technique as well as Free Open Access Medical Education (FOAM) from the following sites: 5 Min Sono, Sinai EM, and PEM pearls from ALiEM. We then delve into core content on meningitis, encephalitis, and antiNMDA receptor encephalitis using Rosen's Chapter 109 and Tintinalli's Chapters 117 and 174 as a guide. Thanks for listening! Jeremy Faust and Lauren Westafer
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Feb 18, 2017 |
Episode 63 - Bradycardias
23:20
We cover FOAM on transvenous pacing from Ultrasound Podcast, Dr. Jason Nomura, and Dr. Al Sachetti
Then, we delve into basics on bradycardias using Rosen's Emergency Medicine and Tintinalli's as a guide.
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Jan 24, 2017 |
Suviving Sepsis Campaign Guideline update
18:34
The Surviving Sepsis Campaign Guidelines were updated, reflecting some changes carried forward from Sepsis 3.0 that was released in 2016. In this podcast we go over some of the updates, many of the recommendations that stayed the same. As a bonus we cover a new study on validation of qSOFA. Show notes at FOAMcast.org
Jeremy Faust and Lauren Westafer |
Jan 19, 2017 |
Roundup: Favorite Literature of 2016
16:19
A lot of good literature came out in 2016 so we wanted to mention a couple of our favorite articles of the year. Sepsis 3.0 Singer M, Deutschman CS, Seymour CW, et al: The Sepsis Definitions Task Force The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). The quick SOFA score (qSOFA) also came out in hopes it "provides simple bedside criteria to identify adult patients with suspected infection who are likely to have poor outcomes." It is not part of the sepsis definition Back Up Head Elevated Intubation Khandelwal et al. Head-elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit. Anesthesia and Analgesia. Apr 2016. Ketorolac Dose Motov, S, Yasavolian, M, Likourezos, A, et al. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department. .Ann Emerg Med. 2016 Dec 16. Out of Hospital Cardiac Arrest Prognostication Jabre et al. Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation. Intern Med. 2016 Dec 6;165(11):770-778
Thanks for listening! Jeremy Faust and Lauren Westafer |
Jan 01, 2017 |
Episode 62 - Dental Emergencies
25:23
We review a trick of the trade from Academic Life in Emergency medicine for temporomandibular joint (TMJ) dislocation, the extra-oral reduction as well as other methods of TMJ reduction. We delve into core content on dental injuries including fractures, avulsion, luxations, pulpitis and more using Rosen’s Emergency Medicine (8th edition) Chapter 70 "Oral Emergencies" and Tintinalli’s Emergency Medicine (8th edition) Chapter 245 "Oral and Dental Emergencies" as a guide. Thanks for listening! |
Dec 20, 2016 |
Episode 61 - The Elbow
22:16
We review a podcast from Dr. Tim Horeczko's Pediatric Emergency Playbook on elbow injuries including identifying normal ossification centers (CRITOE), radial head subluxation, and supracondylar fractures. Then, we delve into core content on other elbow adjacent injuries including elbow dislocations, humerus fractures, and olecranon bursitis using Rosen’s Emergency Medicine (8th edition) Chapter and Tintinalli’s Emergency Medicine (8th edition) Chapter as a guide. Thanks for listening! |
Dec 13, 2016 |
Episode 60 - Resuscitative Hysterotomy and FIrst Trimester Pregnancy Emergencies
22:51
We review a talk by Dr. Sara Gray from SMACC (Social Media and Critical Care) conference in June 2016, Resuscitative hysterotomy, which is the new name for perimortem c-section [1]. In this talk she challenges the "4 minute" rule: if resuscitative efforts following maternal circulatory arrest are unsuccessful, cesarean delivery should be commenced at 4 minutes and completed by 5 minutes to optimize fetal outcome. Then we delve into core content on pregnancy emergencies using Rosen’s Emergency Medicine (8th edition) Chapter 98and Tintinalli’s Emergency Medicine (8th edition) Chapter 178 as a guide, discussing nausea and vomiting, hyperemesis gravidarum, bacteriuria, and vaginal bleeding in the first trimester. Thanks for listening! |
Nov 25, 2016 |
Episode 59 - Syncope (including the PESIT trial)
23:51
The PESIT study in the New England Journal of Medicine stirred up controversy in the FOAM world earlier in October 2016. In this episode we cover the following posts on this article on pulmonary embolism in syncope: Then, We delve into core content on syncope usingRosen's Emergency Medicine (8th edition) and Tintinalli's Emergency Medicine (8th edition) Chapter 52
Thanks for listening! -Jeremy Faust and Lauren Westafer |
Oct 31, 2016 |
Bell's Palsy and Burns
10:24
We are bringing y'all pearls from ACEP 2016 in Las Vegas. Today we cover Bell's Palsy (are you sure it's not a stroke?), burn dogma, and some hot abstracts of the year. Thanks for listening! Jeremy Faust and Lauren Westafer |
Oct 19, 2016 |
Vaccine Side Effects and Placebos
10:56
We are at ACEP 2016 summarizing the hottest pearls Today we cover placebos in the ED for back pain, nausea, and upper respiratory tract infections as well as atrial fibrillation management controversies and vaccine side effects. Thanks for listening! Jeremy Faust and Lauren Westafer |
Oct 18, 2016 |
The Transgender Patient + More from ACEP 2016
11:19
We bring you highlights from ACEP2016 in Las Vegas.
We also cover active shooters and lawsuit pearls
Thanks for listening! |
Oct 17, 2016 |
Episode 58 - Ophthalmology Basics
24:24
We cover an incredible ophthalmology resource, OphthoBook.com, by Dr. Tim Roots. This resource has a free book and excellent free video lectures. Specifically, we detail a hilarious video on eye exam tricks, especially targeting individuals who "can't see." We previously reviewed eye trauma in this podcast. In this episode, we review ophthalmology basics using Tintinalli’s Emergency Medicine (8e), Chapter 241 Visit FOAMcast.org for more and Rosh Review questions. Thanks for listening! Jeremy Faust + Lauren Westafer |
Oct 09, 2016 |
Episode 57 - Lithium Toxicity + Rhabdomyolysis
21:36
The Free Open Access Medical Education (FOAM) We cover a post from Dr. Josh Farkas on PULMcrit on lithium toxicity. The key message from the post is: a single serum lithium level doesn't necessitate dialysis, despite a recommendation from the EXTRIP working group to initiate dialysis in patients with a lithium level > 5 mEq/L [1]. Dr. Farkas advocates for aggressive management in asymptomatic patients with chronic lithium toxicity and patients without impaired renal function. Core Content We review rhabdomyolysis using Rosen's Emergency Medicine (8e) Chapter 160 and Tintinalli's Emergency Medicine (8e), Chapter 181.
Show notes at FOAMcast.org Thanks for listening! Jeremy Faust & Lauren Westafer |
Oct 02, 2016 |
Episode 56 - Altitude
21:11
We review a FOAM post by Dr. Matthew MacPartlin on Rollcage Medic on flying after a pneumothorax. Then we delve into a core content review of altitude sickness, high altitude pulmonary edema, high altitude cerebral edema, and altitude related problems using Tintinalli and Rosen's Emergency Medicine as a guide. Thanks for listening! |
Sep 06, 2016 |
Episode 55 - Petechiae & Purupra
23:33
We cover several excellent post on rashes, including:
Next, we dive into core content on platelet problems including problems caused by drugs, immune thrombocytopenic purpura (ITP/idiopathic thrombocytopenic purpura) and thrombotic thrombocytopenic purpura (TTP) using Tintinalli Chapter 233 (8th ed) and Rosen's Chapter 122 (7th ed) as a guide.
Thanks for listening! Jeremy Faust and Lauren Westafer |
Aug 23, 2016 |
Episode 54 - The Pericardium
20:31
We cover ultrasound guided pericardiocentesis using the posts from EMin5, CoreEM, and the Ultrasound Podcast. Then, we delve into core content on the pericardium using Rosen’s (8th ed) Chapter 82 and Tintinalli (8th ed) Chapter 55 covering pericardial effusions, pericarditis, and myocarditis.
Thanks for listening! Jeremy Faust & Lauren Westafer |
Aug 08, 2016 |
Episode 53 - Intracranial Hemorrhage
23:29
We cover a post by Dr. Rory Spiegel, EMNerd: The Case of Differing Perspectives, on the results of the ATACH-2 trial on blood pressure control in intracranial hemorrhage (ICH). This study sought to determine the safety and efficacy of the Population: adults (>18 y/o) with ICH on CT scan, GCS ≥ 5 and <4.5 hours since symptom onset (changed mid-study) Intervention: Reduce and maintain the hourly minimum systolic blood pressure in the range of 110 to 139 mm Hg throughout the period of 24 hours after randomization ("intensive treatment"). Preferred agents for blood pressure control in order of preference were 1. nicardipine 2. labetalol (diltiazem or urapidil if not available)
Control: Reduce and maintain the hourly minimum systolic blood pressure in the range of 140 to 179 mm Hg throughout the period of 24 hours after randomization.
Outcome: The primary outcome was the proportion of patients who had moderately severe or severe disability (modified Rankin scale score (mRS) 4-5) or those who had died (mRS 6; hereafter referred to as “death or disability”) at 3 months.
We also discuss the history of blood pressure control in ICH and the pendulum swing on this in recent years, using an episode of the Skeptic's Guide to Emergency Medicine, Episode 73. This episode covers the Interact-2 trial. Core Content We delve into core content on ICH using Rosen’s (8th ed) Chapter and Chapter in Tintinalli (8th ed). We also discuss the PATCH trial with regard to ICH management in patients on antiplatelet agents, discussing a REBELEM post on this trial.
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Jul 17, 2016 |
FOAMcastini - FOAM, Just In Time
15:07
Just in time for the new interns, we answer the most common question asked of us - our favorite resources to use on shift. Free Open Access Medical Education (FOAM) exists in forms that are suitable for self-study or function as resources and those that are easy to use resources to consult on shift, Just In Time (JIT) Resources. We review our favorite FOAM JIT resources. |
Jul 01, 2016 |
Episode 52 - The Esophagus
20:30
We cover a Scancrit post on the Back Up Head Elevated (BUHE) intubation position. This post details a multicenter retrospective observational study by Khandelwal et al in Anesthesia & Analgesia. Intubating with the head elevated (ear to sternal notch) and the back of the bed up reduces complications. We delve into core content on the esophagus using Rosen’s (8th ed) Chapter 71 and Chapter 77 in Tintinalli (8th ed). We discuss dysphagia, food impaction, and esophagitis.
JEremy Faust and Lauren WEstafer |
Jun 26, 2016 |
FOAMcastini - The Aorta and No Analgesia Will #!&?% You Up
11:39
We cover pearls from smaccDUB (Social Media and Critical Care Conference in Dublin, Ireland), Day 3. We are here thanks to the Rosh Review. Dr. Scott Weingart - "Post-Intubation Sedation"
Dr. David Carr - "The Aorta Will #!&?% You Up" Dr. Kathleen Thomas - "Oh Sh**! They’re bombing the hospital!" We should not need a website entitled STOPBOMBINGHOSPITALS.ORG but, unfortunately, over the past 4 years, 400 hospitals have been bombed. This passionate, wrenching talk is a "must see" and "must listen" when the free talks are released on the SMACC podcast over the course of the next year. ive use in the emergency department. Emergency medicine journal : EMJ. 30(11):893-5. 2013. [pubmed]
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Jun 16, 2016 |
FOAMcastini - Undifferentiated Agitation and Cured Pork
12:09
#smaccDUB day 2 Dr. Reuben Strayer - “Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient." Dr. Strayer presented a brilliant talk on dealing with the quintessential Emergency Medicine patient - the undifferentiated acutely agitated patient. These patients are high risk and require emergent stabilization and resuscitation. Dr. Haney Mallemat - "The PEA Paradox" The typical way we think about PEA, the "H's and T's," is overly complicated. Further, we are horrendous at pulse palpation (see this for more), and so what we think is PEA may not actually be PEA. Dr. Mallemat proposed QRS duration as one way to think about PEA, although this has limitations. Dr. Michele Dominico - "How Usual Resuscitative Maneuvers Can Kill Paediatric Cardiac Patients" Interventions we jump to in sick patients - oxygenation, ventilation, vasopressors - these can kill pediatric patients with cardiac pathology. She gave examples of some high yield pearls in these already terrifying patients. EM Literature update by Drs. Ashley Shreves and Ryan Radecki
Interesting and Ridiculous Research Pearls from Drs. Ashley Shreves and Ryan Radecki
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Jun 15, 2016 |
FOAMcastini - Do We Make Saves?
10:34
We are at SMACC in Dublin - thanks to the Rosh Review, an excellent board review question bank. Here are some of our favorite pearls. Do We Make Saves? Dr. Mervyn Singer "Is Survival Predetermined in the Critically Ill?"
Favorite Pearls Dr. Suzanne Mason - "Acute Care of the Elderly"
Dr. Victoria Brazil - "So You Think You're a Resuscitationist?"
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Jun 14, 2016 |
Episode 51 - Eye Trauma
21:52
We cover this short video from EMRAP on lateral canthotomies. This is one of those rare procedures that is vision saving; hence, it is worthy of frequent review. Then, we delve into core content on orbital fractures, hyphemas, and ocular burns using Tintinalli and Rosen's Emergency Medicine as a guide. Show notes and references at foamcast.org Thanks for listening! Jeremy Faust and Lauren Westafer |
Jun 09, 2016 |
Episode 50 - Seizures
24:41
We review the FOAM video by Dr. Anna Pickens of EMin5.com on "Special Seizures" including hyponatremia, isoniazid toxcitiy, alcohol withdrawal, and eclampsia.
Jeremy Faust and Lauren Westafer |
May 25, 2016 |
Episode 49 - The AAP BRUE Guidelines
17:52
ALTE is out and BRUE is in. We review the American Academy of Pediatrics guideline on Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants |
May 04, 2016 |
Episode 48: Urine Drug Screens, Cocaine, and PCP
22:26
We cover a post by Dr. Seth Trueger (@MDaware) on false positives in the urine drug screen and review limitations of this test. Then we review some toxicology, including toxicity associated with cocaine and PCP using Rosen's Emergency Medicine (8e) and Tintinalli's (8e) as a guide.
Lauren Westafer and Jeremy Faust |
Apr 25, 2016 |
Episode 47 - Left Bundle and Pacers
23:52
In this episode we cover a post from Dr. Smith's ECG blog investigating ways to read ischemia on a ventricular paced ECG: A Patient with Ischemic symptoms and a Biventricular Pacemaker. Then we delve into core content on the Sgarbossa/modified Sgarbossa criteria as well as pacers and implantable defibrillators and their complications. Thanks for listening! Jeremy Faust and Lauren Westafer |
Apr 09, 2016 |
Episode 46 - Pneumothorax
23:41
We cover a podcast from HEFT EMcast demonstrating that needle decompression at the 2nd intercostal space at the midclavicular line (2ICS MCL) is likely to fail. They review a systematic review and meta-analysis by Laan et al in 2015 that suggests the fifth intercostal space at the anterior axillary line (5ICS AAL) is less likely to fail. Then we delve into core content on pneumothoraces and empyemas using Tintinalli and Rosen's Emergency Medicine as a guide. Thanks for listening, Jeremy Faust and Lauren Westafer |
Mar 20, 2016 |
Episode 45 - Diverticulitis
22:15
We cover a post from Life in the Fast Lane Research and Reviews (LITFL R&R) #121 featuring a section on the new American Gastroenterology Association (AGA) guidelines on diverticulitis. The game changer? Antibiotics aren't a requirement in select patients with uncomplicated acute diverticulitis. Then we delve into core content on diverticulosis, diverticulitis, and clostridium difficile using Rosen's Emergency Medicine (8e) and Tintinalli: A Comprehensive Review (7e). Show notes at FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer |
Mar 04, 2016 |
Sepsis: Redefined
19:53
We bring you breaking news on the updated sepsis definition from the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine. SIRS and Severe Sepsis? Out. qSOFA (HAT - Hypotension, AMS, Tachypnea)? In. Septic Shock? Sepsis + Vasopressors needed to maintain MAP >65 mmHg + Lactate >2 mmol/L (*after adequate fluids)
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Feb 21, 2016 |
Episode 43 - Alcohols
23:46
We cover the Skeptic's Guide to Emergency Medicine Episode 144, "That Smell of Isopropyl Alcohol for Nausea in the Emergency Department." This podcast reviews an article by Beadle et al, an RCT on the use of inhalational isopropyl alcohol for nausea. Then we delve into core content on vertigo using Rosen’s Medicine (8e) and Tintinalli’s Emergency Medicine: A Comprehensive Study Guide (7e) on all things toxic alcohols
Thanks for listening! |
Feb 18, 2016 |
Episode 42 - End of Life
21:38
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! |
Jan 21, 2016 |
Episode 41 - Vertigo
18:56
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 |
Jan 11, 2016 |
Best Pearls and Biggest Trends of 2015
19:01
In this special episode we review some of the top items of 2015* David Newman:
Haney Mallemat:
Michelle Lin
Rob Orman
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) |
Jan 04, 2016 |
Episode 40 - Femoral Nerve Blocks & Compartment Syndrome
19:17
In this episode we cover The Skeptic's Guide to Emergency Medicine Episode on Regional Anesthesia for hip and femoral neck fractures. Then we delve into core content on Rosen's and Tintinalli (Rosenalli) on core content pearls on compartment syndrome.
Jeremy and Lauren |
Dec 22, 2015 |
Episode 39 - Likelihood Ratios
16:37
We cover Dr. Rory Spiegel's blog EMNERD, covering an article in Chest 2015 by Pivetta et al, discussing the ways lung ultrasound (US) may be far more helpful than the brain natriuretic peptide (BNP) in determining heart failure in the dyspneic patient. Then we delve into likelihood ratios and show notes can be found at FOAMCAST.org Bottom Line, LR of 1 is useless. It doesn't change the likelihood of using the disease. + LR >5 is good, + LR of 10 means that a test is useful and, if positive, patient most likely had the disease - LR 0.2 is ok but a - LR of 0.1 is much more helpful. Using a Fagan nomogran, one can understand how various likelihood ratios (and tests with their known LRs) may affect the post-test probability (i.e. the likelihood the patient has the disease). The utility of tests also depends on the pretest probability.
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Dec 08, 2015 |
Episode 38 - The Nose
22:32
The FOAM realm has teamed with interest in a randomized trial in the ICU by Semler et al, the FELLOW trial. This week we cover some aspects of this trial, such as statistical power, highlighted in some of the following Free Open Access Medical Education (FOAM) posts
Then, we delve into core content on epistaxis and sinusitis using Rosenalli (Tintinalli (7e) Chapter 239, “Epistaxis, Nasal Fractures, and Rhinosinusitis.” Rosen’s (8e) Chapter 75, “Upper Respiratory Infection.", "Otolaryngology") as a guide. Thanks for listening, Jeremy Faust and Lauren Westafer |
Nov 24, 2015 |
Episode 37 - Lacerations
19:36
We cover a trick of the trade from Dr. Brian Lin, posted on the Academic Life in Emergency Medicine (ALiEM site) on hemostasis in finger tip avulsions. Dr. Lin also has his own excellent FOAM site on all things laceration - LacerationRepair.com. We also cover FOAM on dogma of wound care from Dr. Ken Milne's The Skeptic's Guide to Emergency Medicine, Episode #63
Then we cover laceration and wound care core content pearls using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine Review). |
Nov 15, 2015 |
FOAMcastini - ACEP15 Day 3
09:50
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 3 including foodborne illness, wound management, and tips for giving presentations. |
Oct 28, 2015 |
FOAMcastini - ACEP15 day 2
09:13
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 2 including ECMO, trauma myths, and renal colic. |
Oct 27, 2015 |
FOAMcastini - ACEP15 Day 1
10:39
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. |
Oct 26, 2015 |
Episode 36 - Rib and Sternal Fractures
20:58
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 |
Oct 21, 2015 |
FOAMcastini - Core Content Journal Club!
09:40
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 |
Oct 08, 2015 |
Episode 35 - The Trachea
19:05
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 |
Oct 06, 2015 |
FOAMcastini - The Left Shift
08:29
This tiny episode covers a blog entry from BrownCoatNation.com (University of Illinois, Chicago), who has a new series entitled “Inconceivable.” The idea is to expose medical terminology that we tend to use incorrectly. The first installment is focused on the misuse of the term "left shift," and it's the focus of this FOAMcastini. 'Left shift" refers to the presence of banded (immature) neutrophils in the blood. It does not refer to an elevated white blood cell count with a high percentage of neutrophils. An elevated white blood cell count with an abnormally high percentage of neutrophils should be called "neutrophillic leukocytosis." Only the presence of immature neutrophils in the periphery (including bands) can accurately be called a "left shift." We will be back shortly with regular episodes, once their schedules coincide. Thanks for listening! |
Sep 25, 2015 |
Episode 34 - Tachyarrythmias
19:31
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 |
Sep 07, 2015 |
Episode 33 - Hemoptysis
19:13
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.
-Jeremy Faust and Lauren Westafer
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Aug 30, 2015 |
Episode 32 - Appendicitis
20:21
This week we cover Dr. Rory Spiegel's post on initial non-operative management of acute appendicitis in his blog post on EMnerd reviewing a paper by Salminen et al. Then we review appendicitis and some other right lower quadrant abdominal pearls using Rosen's Emergency Medicine and Tintinalli as a guide. We have Rosh Review questions and more available on our website, FOAMcast.org.
-Jeremy Faust and Lauren Westafer
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Aug 14, 2015 |
Episode 31 - Vasopressors
17:57
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.
-Jeremy Faust and Lauren Westafer |
Jul 25, 2015 |
FOAMcastini - ACEP tPA Policy with Dr. Jerome Hoffman
33:27
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 |
Jul 18, 2015 |
FOAMcastini - ACEP tPA Clinical Policy
38:40
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. |
Jul 15, 2015 |
FOAMcastini - SMACC Day 3
10:55
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! |
Jun 28, 2015 |
FOAMcastini - SMACC Day 2
10:47
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.
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Jun 26, 2015 |
FOAMcastini - SMACC
11:39
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. |
Jun 25, 2015 |
Episode 30 - Thyroid
18:29
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 |
Jun 16, 2015 |
Episode 29 - Hyperglycemia
21:12
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 |
May 29, 2015 |
FOAMcastini - One Year Anniversary
11:49
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 |
May 18, 2015 |
Episode 28 - Neuroleptic Malignant & Serotonin Syndrome
19:29
We review thisa post from Dr. Charles Bruen of Resus Review on Malignant Hyperthermia and dantrolene. Then, we delve into core content pearls on polypharmacy - serotonin syndrome, neuroleptic malignant syndrome, and extrapyramidal side effects. 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 |
May 02, 2015 |
Episode 27 - Burns
21:36
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 |
Apr 24, 2015 |
Episode 26 - The Spinal Cord
21:05
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 |
Apr 02, 2015 |
FOAMcastini - Kappa
10:22
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 |
Mar 13, 2015 |
Episode 25 - Skin and Skin Structure Infections
20:10
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 |
Mar 01, 2015 |
Episode 24 - Concussion/Mild Traumatic Brain Injury
21:20
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 |
Feb 19, 2015 |
Episode 23 - SBO and Acute Mesenteric Ischemia
17:50
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 |
Jan 26, 2015 |
FOAMcastini - Perspectives on the ACEP tPA Clinical Policy Draft
28:16
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
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 |
Jan 18, 2015 |
FOAMcastini - ACEP tPA Clinical Policy
09:38
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. |
Jan 13, 2015 |
Episode 22 - The Knee
20:42
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 |
Jan 12, 2015 |
Episode 21 - Acute Kidney Injury
20:48
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 |
Dec 27, 2014 |
Episode 20 - Anticoagulation
21:59
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.
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 |
Dec 06, 2014 |
Episode 19 - Environmental: Mushrooms and Hypothermia
20:00
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.
Gyromitra - (false morel)
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 |
Nov 25, 2014 |
Episode 18 - Geriatrics
16:14
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 |
Nov 12, 2014 |
FOAMcastini - SMACC
10:57
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
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Nov 03, 2014 |
FOAMcastini - ACEP Wednesday
09:08
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 |
Oct 30, 2014 |
FOAMcastini - ACEP Tuesday
10:03
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 |
Oct 28, 2014 |
FOAMcastini - ACEP Monday
08:27
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 |
Oct 27, 2014 |
FOAMcastini - ACEP Sunday
06:55
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 |
Oct 27, 2014 |
Episode 17 - The Spleen!
17:41
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 |
Oct 15, 2014 |
Episode 16 - Headaches
19:49
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 |
Sep 29, 2014 |
FOAMcastini 3 - All About the Pearls
10:16
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 |
Sep 26, 2014 |
Episode 15 - Atrial Fibrillation/Flutter
20:39
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. |
Sep 20, 2014 |
Episode 14 - The Hand
20:01
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. |
Sep 11, 2014 |
Episode 13 - Tricyclic Antidepressants and Sodium Channel Blockade
21:01
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. |
Sep 02, 2014 |
Episode 12 - Back to Biphasics (Allergy Pearls)
24:25
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 |
Aug 21, 2014 |
Episode 11 - Ebola and Infectious Disease Pearls
16:50
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 |
Aug 10, 2014 |
Episode 10 - Pediatric GI Emergencies
22:59
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 |
Aug 03, 2014 |
Episode 9 - Emergencies in Pregnancy
21:00
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 |
Jul 28, 2014 |
FOAMcastini #2 - Hypernatremia
05:49
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 |
Jul 18, 2014 |
Episode 8 - Acid-Base and Hyponatremia
21:19
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
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Jul 17, 2014 |
FOAMcastini 1
08:33
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 |
Jul 09, 2014 |
Episode 7 - Heart Failure
22:26
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 |
Jul 07, 2014 |
Episode 6 - Hepatic Emergencies
19:11
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 |
Jun 23, 2014 |
Episode 5 - Psychiatric Emergencies and Increased Intracranial Pressure
18:20
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:
Thanks for listening!
-Jeremy Faust and Lauren Westafer |
Jun 16, 2014 |
Episode 4 - Transfusion Emergencies and Ingested Foreign Bodies
19:56
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:
Thanks for listening!
-Jeremy Faust and Lauren Westafer |
Jun 09, 2014 |
Episode 3 - SMART EM and Ear Emergencies
16:25
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:
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 |
Jun 02, 2014 |
Episode #2: Urologic Emergencies
20:06
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:
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 |
May 26, 2014 |
Episode #1: Cyanide and Carbon Monoxide Toxicity
19:12
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 |
May 16, 2014 |