FOAMcast - An Emergency Medicine Podcast

Latest Episodes:

Roundup: Favorite Literature of 2016 Jan 01, 2017

Show notes

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

Episode 62 - Dental Emergencies Dec 20, 2016

Show notes

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! Jeremy Faust and Lauren Westafer

Episode 61 - The Elbow Dec 13, 2016

Show notes

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! Jeremy Faust and Lauren Westafer

Episode 60 - Resuscitative Hysterotomy and FIrst Trimester Pregnancy Emergencies Nov 25, 2016

Show notes

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! Jeremy Faust and Lauren Westafer

Episode 59 - Syncope (including the PESIT trial) Oct 31, 2016

Show notes

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

Bell's Palsy and Burns Oct 19, 2016

Show notes

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

Vaccine Side Effects and Placebos Oct 18, 2016

Show notes

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

The Transgender Patient + More from ACEP 2016 Oct 17, 2016

Show notes

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

Episode 58 - Ophthalmology Basics Oct 09, 2016

Show notes

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

Episode 57 - Lithium Toxicity + Rhabdomyolysis Oct 02, 2016

Show notes

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