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FOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastA Cardiac Arrest Story: Patient InterviewThis episode is a departure from the typical FOAMcast clinical content, we will be back with strictly clinical content soon. In May 2022, I came across a fellow passenger and stranger in cardiac arrest in the airport. A small team of strangers, including an emergency medicine resident, Dr. Jason Tanner, and an emergency department technician, Angel, assembled to treat this passenger. Billy Frolick, a writer and our patient that day, shares his perspective on his case with us.  In addition, we highlight important clinical pearls, notably the importance of continuous chest compressions and early defibrillation. For m...2023-01-2429 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastTranexamic Acid in EpistaxisWe have previously covered epistaxis on FOAMcast , including the use of tranexamic acid (TXA). Now, we cover a new, large RCT, the NoPac trial by Reuben et al, on TXA for epistaxis. Show notes: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust2021-02-2117 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: SARS-CoV-2 Vaccine UpdateWe 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 *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks.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,2020-11-3025 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - TocilizumabWe 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 *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks.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) Hermine et al (RCT...2020-10-2520 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Monoclonal AntibodiesWe 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, Lauren Westafer and Jeremy Faust2020-10-1117 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: High Flow Nasal Cannula and Health Care Worker InfectionsWe 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, Lauren Westafer and Jeremy Faust2020-10-0910 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Steroids in COVID-19We 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: REMAP-CAP COVID-19  CoDEX CAPE Covid Show notes (references/graphics): FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-09-0315 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Convalescent Plasma UpdateWe 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, Lauren Westafer and Jeremy Faust2020-08-2614 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastRemdesivir - A new open-label trialWe 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, Lauren Westafer and Jeremy Faust2020-08-2409 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastMetabolic Resuscitation in Sepsis - The ACTS Randomized Trial 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! Jeremy Faust and Lauren Westafer2020-08-1822 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastLit Update: Stop Giving Lidocaine in "GI Cocktails"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 Faust2020-07-1606 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Hydroxychloroquine [Recovery Trial]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, Lauren Westafer and Jeremy Faust2020-07-1609 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Dexamethasone [RECOVERY Trial]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, Lauren Westafer and Jeremy Faust2020-06-2313 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Mask Fit and Filtration with Re-use and SterilizationWe 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 li...2020-06-1911 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: How Early Was COVID-19 in US Communities?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, Lauren Westafer and Jeremy Faust *Recorded June 9, 20202020-06-1207 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Mental Health and COVID-19We 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...2020-06-1021 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Convalescent Plasma RCT UpdateWe 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, Lauren Westafer and Jeremy Faust *Recorded June 4, 20202020-06-0507 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Data Integrity and Hydroxychloroquine (Lancet) and ACE-I/ARB (NEJM) StudiesWe 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 r...2020-06-0213 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - How many days of Remdesivir?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, Lauren Westafer and Jeremy Faust *Recorded May 30, 20202020-05-3012 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Mask Wearing at HomeWe 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, Lauren Westafer and Jeremy Faust *R...2020-05-3010 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Remdesivir (ACTT-1 trial)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, Lauren Westafer and Jeremy Faust *Recorded May 23, 20202020-05-2414 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - SARS-CoV-2 in Breastmilk UpdateWe 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, Lauren Westafer and Jeremy Faust *Recorded May 22, 20202020-05-2309 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Clinical History and Exam AccuracyWe 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, Lauren Westafer and Jeremy Faust *Recorded M...2020-05-2216 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast Literature UpdateWe 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  Outcomes in pregnancy (Knight et al - pre-print). Are EMS calls for strokes and STEMIs down during the pandemic? Holmes et al More pediatric hyperinflammatory /Kawasaki-esque cases from Italy Verdoni et al More Kawasaki Disease in Paris. (Toubiana et al) Aerosol boxes for intubation (Begley et al) Genomic sequencing reveals healthcare associated c...2020-05-1524 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Pediatric Multisystem Inflammatory Syndrome Temporally Associated with COVID-19We 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...2020-05-1019 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Convalescent PlasmaWe 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 Shen et al Zhang et al Ye et al Ahn et al Duan et al Biegel et al (influenza A RCT) Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded May 6, 20202020-05-0914 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Antibody TestingWe 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 IDSA Antibody Testing Primer Crook et al [MedRxIv pre-print] FIND.org compilation and external assessment of tests Zhao et al  Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded May 2, 20202020-05-0318 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Excess Mortality and Out of Hospital Cardiac ArrestWe 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, Lauren Westafer and Jeremy Faust *Recorded 4.29.202020-04-3018 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Cutaneous Manifestations and "COVID toes"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" Recalcati Manalo Duong et al Nieto Piccolo et al Alrantham  et al Kolivras et al And the more serious lesions Zhang et al Zhang et al Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded 4.28.202020-04-2920 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Autopsy findings and Venous ThromboembolismWe 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 Carsana et al Barton et al Dolhnikoff et al and VTE Llitjos Klok Tavazzi Grillet Obi (H1N1) Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded 4.26.202020-04-2718 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Self Proning OxygenationWe 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, Lauren Westafer and Jeremy Faust *Recorded 4.23.202020-04-2415 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: The State of Our Current Respiratory ManagementWe 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... Early intubation recommendations High flow nasal cannula in COVID-19 Self/awake proning Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy F...2020-04-2230 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Thrombosis (VTE guidelines & MI)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: Journal of the American College of Cardiology recommendations for COVID-19 (prophylaxis, anticoagulation, myocardial infarction) Bangalore et al in NEJM on ST elevation in COVID-19 Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded 4.18.202020-04-1909 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Special Populations (Homeless / Racial Disparities / Healthcare workers)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 Homeless individuals - Baggett et al  Racial disparities - African-Americans / Blacks disproportionately contracting SARS-CoV-2 and dying Yancy CW Healthcare workers with COVID-19 Heinzerling et al (CDC) and MMWR and Ng et al Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Rec...2020-04-1817 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Testing issues + Hydroxychloroquine UpdateWe 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 Asymptomatic obstetric patients in NYC (Sutton et al. ) Effects of narrow screening criteria (Wee et al) And hydroxychloroquine updates More data without a comparator from the Raoult group (only published as abstract and table) Retrospective study with propensity matching (Mahévas et al) Show notes: FOAMcast.org ...2020-04-1419 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Outcomes from New YorkWe 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 Petrilli et al [pre-print] Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded 4.12.202020-04-1311 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - Risk StratificationWe 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 Zhou et al. Gong et al  Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded 4.10.202020-04-1219 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - RemdesivirWe 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, Lauren Westafer and Jeremy Faust *Recorded 4.10.202020-04-1119 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Is it ARDS? HAPE? Hemoglobinopathy?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. Atypical ARDS picture HAPE: Solaimanzadeh Hemoglobinopathy-type of picture: Liu et al Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded 4.5.202020-04-0718 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: ROX index for predicting intubationWe 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 Derivation: Roca O, Messika J, Caralt B, et al. Predicting success of high-flow nasal cannula in pneumonia patients with hypoxemic respiratory failure: The utility of the ROX index. J Crit Care. 2016;35:200-5.2020-04-0622 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast - High Flow Nasal Cannula paperWe 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  Wang et al. Ann Intensive Care. 2020 10(37) Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust Recorded 4.3.202020-04-0416 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: COVID-19 and HypercoagulabilityWe 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, Lauren Westafer and Jeremy Faust Recorded 4.2.202020-04-0216 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Respiratory Severity Scale and ICU outcomesWe 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 Brescia-COVID Respiratory Severity Scale (BCRSS) / Algorithm  ICU outcomes in Washington State - Bhatraju et al. Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust Recorded 3.31.202020-04-0117 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Awake Proning, Hydroxychloroquine Update, Neonatal UpdatesWe 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 Awake proning: Sun et al and Ding et al Hydroxychloroquine/Azithromycine update: Gautret et al. Neonatal update: Zeng et al. Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-03-3017 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: SARS-CoV-2 in Air Samples & Convalescent PlasmaWe 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 Air samples from hallways and rooms contain SARS-CoV-2 [Santarpia et al - Pre-print] Convalescent plasma for the treatment of COVID-19 [Shen et al - JAMA] Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-03-2814 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Pregnancy Update and HFNC UpdateWe 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 Vertical transmission in pregnancy High flow nasal cannula with a mask Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-03-2815 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Disease and Viral Shedding TimelineWe 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 Incubation period Disease timeline Viral shedding Re-infection Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-03-2618 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Atypical symptomsWe 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 Anosmia / dysgeusia Gastrointestinal symptoms Policy updates Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-03-2416 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Transmission of SARS-CoV-2, Cloth Masks, UV light for Mask DecontaminationWe 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 Transmission of SARS-CoV-2 (including stability on surfaces / aerosols) Cloth masks - do they work? UV light decontamination Recorded 3.22.20 Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-03-2318 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: High Flow Nasal Cannula, Cytokine Storm, and Asymptomatic TransmissionWe 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 High flow nasal cannula in COVID-19 Cytokine storm Asymptomatic transmission and Ro of Sars-CoV2 Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust2020-03-2215 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Surviving Sepsis SCCM Guidelines (3.20.20)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, Lauren Westafer and Jeremy Faust2020-03-2122 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCOVIDcast: Pregnancy, Breastfeeding, and Investigational Treatments 93.19.20)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. In this episode we review: guidance for pregnant and breastfeeding patients and healthcare workers experimental treatments that are all the craze: remdesivir, chloroquine, hydroxychloroquine, lopinavir-ritonavir Show notes: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust2020-03-2020 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastCommunity Acquired PneumoniaWe 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! Jeremy Faust and Lauren Westafer2020-03-0825 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastVITAMINS Trial - Vitamin C, Thiamine, and Hydrocortisone in Septic ShockThe 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! Jeremy Faust and Lauren Westafer2020-01-1722 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastACEP Headache Clinical PolicyWe 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! Jeremy Faust and Lauren Westafer2019-12-1824 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastVaping Associated Lung Injury (VALI)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! Jeremy Faust and Lauren Westafer FOAMcast.org References: Morbidity and Mortality Weekly Report (MMWR). 2019; 68(40) Layden JE, Ghinai I, Pray I, et al. Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Preliminary Report. N Engl J Med. 2019; Sept 6. Maddock SD, Cirulis MM, Callahan SJ, et al...2019-10-1122 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastThromboelastography (TEG) Guided ResuscitationWe 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! Jeremy Faust and Lauren Westafer2019-07-3122 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastLyme (Borreliosis)We cover a JAMA Clinical Reviews podcast on lyme disease, including some myth-busters. *Doxycycline can be used, safely, in kids < > *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 li...2018-09-2425 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastClostridium difficileShow 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! Jeremy Faust and Lauren Westafer2018-06-1824 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastThe Faust-Westafer Central Theorem of Emergency MEdicineShow 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! Jeremy Faust and Lauren Westafer2018-04-0112 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 72 - HypertensionWe 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! Jeremy Faust and Lauren WEstafer2017-08-1821 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine Podcast#dasSMACC - Endocarditis, Sickle Cell, and StatsWe 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 Westafer2017-06-2717 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - Medical TextingWe 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 Faust2017-06-0512 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 70 - Non-Pregnant Vaginal BleedingWe 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 Faust2017-05-1523 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 68 - ECG Ischemia 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 waves Check out FOAMcast.org for more show notes and images. Thanks for listening! Lauren Westafer and Jeremy Faust2017-04-2626 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 67 - Serious Pediatric FeverWe 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 2017-03-3122 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 66 - Back Pain and Spinal Epidural AbscessWe 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! Lauren Westafer and Jeremy Faust2017-03-1229 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastSuviving Sepsis Campaign Guideline updateThe 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 Westafer2017-01-1918 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 58 - Ophthalmology BasicsWe 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 Westafer2016-10-0924 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 57 - Lithium Toxicity + RhabdomyolysisThe 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.   Sh...2016-10-0221 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 51 - Eye TraumaWe 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 Westafer2016-06-0921 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 45 - DiverticulitisWe 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 Westafer2016-03-0422 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 39 - Likelihood RatiosWe 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 ...2015-12-0816 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - ACEP15 Day 3This 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.2015-10-2809 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - ACEP15 day 2This 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.2015-10-2709 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - ACEP15 Day 1This 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.2015-10-2610 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 36 - Rib and Sternal FracturesWe 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 Westafer2015-10-2120 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 35 - The TracheaIn 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 Westafer2015-10-0719 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 34 - TachyarrythmiasIn 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 Westafer2015-09-0719 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 33 - HemoptysisThis 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. Thanks y'all! -Jeremy Faust and Lauren Westafer  2015-08-3019 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 32 - Appendicitis 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. Thanks y'all! -Jeremy Faust and Lauren Westafer   2015-08-1420 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 31 - VasopressorsThis 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. Thanks y'all! -Jeremy Faust and Lauren...2015-07-2517 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - SMACC Day 3FOAMcast 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!2015-06-2810 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - SMACC Day 2FOAMcast 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.  2015-06-2610 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - SMACCFOAMcast 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 pearl...2015-06-2511 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 30 - ThyroidWe 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 Westafer2015-06-1718 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 29 - HyperglycemiaWe 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 Westafer2015-05-3021 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 28 - Neuroleptic Malignant & Serotonin Syndrome 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 2015-05-0319 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 27 - BurnsWe 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 Westafer2015-04-2421 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 26 - The Spinal CordWe 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...2015-04-0221 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - KappaIn 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 Westafer2015-03-1310 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 25 - Skin and Skin Structure InfectionsWe 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 Westafer2015-03-0120 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 24 - Concussion/Mild Traumatic Brain InjuryThis 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 qu...2015-02-1921 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 23 - SBO and Acute Mesenteric IschemiaThis 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 Westafe2015-01-2617 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - Perspectives on the ACEP tPA Clinical Policy DraftAs 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 See his response to the policy on his blog here Dr. David Newman (#draftnewman), Associate Professor of Emerg...2015-01-1828 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 22 - The KneeWe 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 Westafer2015-01-1220 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastEpisode 21 - Acute Kidney InjuryThis 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 Westafer2014-12-2720 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini - SMACCFOAMcast 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...2014-11-0310 minFOAMcast - An Emergency Medicine PodcastFOAMcast - An Emergency Medicine PodcastFOAMcastini 3 - All About the PearlsIn 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 Westafer2014-09-2610 minEM BasicEM BasicHepatic Emergencies from FOAMcastToday I am handing over the podcast to FOAMcast by Drs. Lauren Westafer and Jeremy Faust.  A little more than a month ago, Dr. Nick Genes challenged twitter to create core content FOAM for hepatic emergencies.  Lauren and Jeremy did an excellent episode on this topic on FOAMcast so here it is- re-broadcasted on EM Basic.  They'll review common hepatic emergencies and their managementi in the ED and point you in the right direction to learn even more on this topic.  I haven't edited their episode at all- it's all Lauren and Jeremy's episode.  If you like what you hear...2014-08-0700 min