FOAMcast - An Emergency Medicine Podcast

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! Jeremy Faust and Lauren Westafer

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...

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. Thanks for listening! Lauren Westafer and Jeremy Faust

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 ve...

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 "Hy...

We cover Free Open Access Medical Education on opioids. The Poison Review podcast reviews papers on the opioid epidemic, including a paper by Rudd et al demonstrating an increase in opioid-related deaths over the past five years as well as the following paper by Shah and colleagues. The Dantastic Mr. Tox and Howard , a new podcast on the scene, also covers multiple topics on opioids, including com...

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 act...

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...

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

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

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! Lauren Westafer & Jeremy Faust

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: UTI is a clinical diagnosis, a dirty urine does not mean the patient has a UTI Urinalyses are more...

 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: Dr. Smith's ECG blog Emergency Medicine Literature of Note REBEL EM Then we review ischemia on ECGs, including STEMIs as well as a dive into ischemic T wa...

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

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 Tintinall...

  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...

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...

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. Thanks for listening! Jeremy Faust and Lauren Westafer

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 Thanks for listening! Jeremy Faust and Lauren Westafer

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 pat...

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 M...

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  ...

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 optim...

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: Dr. Rory Spiegel of EMnerd  Dr. Ryan Radecki of EM Literature of Note St. Emlyn's Rebel EM  Then, We delve into core content on syncope usingRosen's Emergency Medicine (8th edition) a...

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