FOAMcast - An Emergency Medicine Podcast

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

We bring you highlights from ACEP2016 in Las Vegas. Today we focus on the care of the transgender patient and some pearls on caring appropriately for our diverse patients. We also cover active shooters and lawsuit pearls   Thanks for listening! Jeremy Faust and Lauren Westafer

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 Medicin...

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 p...

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! -Jeremy Faust & Lauren Westafer

We cover several excellent post on rashes, including: Paucis Verbis Approach to Rashes  - ALiEM Emergent Diagnosis of the Unknown Rash from EMJ What's That Rash? - EMdocs 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 Cha...

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

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

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.

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 i...

ITUNES OR  LISTEN HERE 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 " Analgesia first. Try a hydromorphone 1mg push while you're waiting for the fentanyl drip. The endotracheal tube is uncomfortable. Minimize sedation. There's this principle: eCASH:  earl...

#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 t...

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?" Many critical care studies are negative, but in some cases this may be because critically ill patients don't have a uniform prognosis. Dr. Singer argues that some people may be "...

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 Westafe...

We review the FOAM video by Dr. Anna Pickens of EMin5.com on " Special Seizures " including hyponatremia, isoniazid toxcitiy, alcohol withdrawal, and eclampsia. Then we review core content on seizures using Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review. Thanks for listening! Jeremy Faust and Lauren Westafer

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  

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. Thanks for listening! Lauren Westafer and Jeremy Faust

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

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 em...

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...

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)    

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 a...

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 ha...

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 c an only be performed on patients with continuous vertigo  and that e xternal validity is a major issue with HiNTs. Then, we delve into core content on...

In this special episode we review some of the top items of 2015* David Newman: Opioids for back pain - falling out of favor. Risk stratifying (and testing) low risk chest pain. Haney Mallemat: Peripheral vasopressors may be ready for prime time FAST guided resuscitative thoracotomy (No cardiac activity and no effusion? No thoracotomy). Movement towards less volume in sepsis (ex: in PROMISE trial a...