FOAMcast - An Emergency Medicine Podcast

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 differentiatin...

In this mini FOAMcast, we introduce a new segment - statistics.   We cover inter-rater reliability,\ or, the kappa coefficient, using the PECARN head trauma decision aid as a tool. As always, visit  foamcast.org   for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

We review the post by Bryan Hayes, PharmD, FAACT on Academic Life in Emergency Medicine,   Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID?   Then, we delve into core content pearls on cellulitis and abscesses, necrotizing skin infections, and Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis using the IDSA guidelines, Tintinalli, and Ros...

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'...

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...

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.  ...

On Jan 12, 2015, ACEP released the draft of the new clinical policy on tPA  in acute ischemic stroke. This was an update of the   ACEP tPA Clinical Policy 2012 , which has been entrenched in controversy since it was published.   In this episode we dicuss the major differences between the two policies.  Then, have your say. Comment on the draft here . 

We review the FOAM resource,   Don’t Forget the Bubbles , " Knee X-ray Interpretation " by Dr. Tessa Davis.  We use a systematic approach to assessing chest x-rays, so why not knee x-rays? Then, we delve into a core content review using Rosenalli as a base, covering knee dislocations and septic arthritis.  Key  Texts: Tintinalli (7e) Chapters 271, 281; Rosen’s (8e) Chapters 57, 136 As always, visi...

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 Medi...

This week we review Dr. Rory Spiegel's EMNerd  blog post,   A Case of Identity Part Two , on dual antiplatelet therapy for ACS and MI.  Dual antiplatelet therapy, often aspirin + P2Y12 inhibitors, although commonly used, do not affect mortality and have questionable benefit but are associated with risks of bleeding. Then, we delve into core content pearls on anticoagulation including aspirin, ibup...

This week we review the Tox Talk  podcast, Episode 23 , Mushrooms. Key pearls  Clitocybe, Inocybe   - contain muscarine which stimulates muscarinic receptors (acetylcholine/parasympathetic), causing a cholinergic toxidrome.  Memory aid: these mushrooms end in -yBE, akin to the "killer B's" that make cholinergic toxicity deadly - bradycardia, bronchorrhea, bronchospasm. Gyromitra  - (false morel) M...

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 alway...

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...

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 update...

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 Departmen...

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...

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 Westaf...

This week we review Dr. Scott Weingart's EMcrit episode,   T he 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...

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 thro...

In this tiny episode, Jeremy gives his bottom line pearls for FOAMcast episodes 4-14.  You know, because spaced repetition is a good thing.  We've got anaphylaxis, heart failure, ebola, acid-base, and more. As always, visit  foamcast.org   for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

This week we review a post by Brent Reed on Academic Life in EM, covering pharmacologic management of atrial fibrillation.   Then, we delve into core content Emergency Medicine cardiology using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover atrial fibrillation, atrial flutter, and, everyone's favorite, multifocal atrial tachycard...

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 sho...

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 Comprehen...

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 gene...

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 Revi...