Shows
FOAMfrat PodcastPodcast 190 - Intubation Triggers w/ Nicole Hooser"GCS less than 8, intubate." We've all heard it. Many of us were taught it. In this episode of the FOAMfrat Podcast, Tyler and FOAMfrat educator Nicole Hooser examine one of the most repeated airway phrases in EMS and why it may be doing more harm than good. From the origins of the "less than 8" mindset in GCS to the real-world complexity of airway decision-making, this conversation examines what actually matters when deciding whether to take a patient's airway. They discuss: • Why a GCS of 8 is not a magic number • The math behind GCS scoring combinations and why 8 carr...
2026-02-1829 min
FOAMfrat PodcastPodcast 189 - APRV & Volumetric CO2 w/ Joe HyltonIn this episode of the FOAMfrat Podcast, we sit down with Joe Hylton, one of the go-to ventilator educators in critical care transport, to break down APRV in a way that actually makes sense. We move beyond surface level explanations and get into how APRV really works, why it is so effective for ARDS and severe hypoxemia, and how volumetric capnography can give you real-time physiologic feedback when titrating mean airway pressure and PEEP. This is not a "set it and forget it" APRV discussion. We dig into the mechanics, the physiology, and the bedside...
2026-01-1950 min
FOAMfrat PodcastPodcast 188 - Sodium Nitrite Ingestion & Methemoglobinemia w/ Dr. BrookemanIn this episode of the FOAMfrat Podcast, Dr. Harrison Brookeman joins the discussion to examine methemoglobinemia and the emerging prehospital threat of sodium nitrite ingestion. Often viewed as a rare toxicology concept, this condition is appearing more frequently and can progress rapidly with devastating consequences if it is not recognized early. The episode focuses on what matters most to EMS clinicians in the field: the physiology of methemoglobinemia, why these patients appear profoundly hypoxic despite adequate ventilation, and the classic clue: a pulse oximetry reading that remains fixed around 85 percent regardless of oxygen delivery. The conversation also...
2025-12-1143 min
FOAMfrat PodcastPodcast 186 - Should we throw away our pelvic binders? w/ Dr John Lyng Pelvic binders have long been considered a standard intervention in the management of suspected pelvic fractures in the prehospital setting. However, recent guidance from the National Association of EMS Physicians (NAEMSP) challenges some of the long-standing assumptions surrounding their use. In a recent FOAMfrat podcast episode, I spoke with Dr. John Lyng, editor-in-chief of the NAEMSP Trauma Compendium, to explore the evidence and rationale behind their newly released position statement on pelvic fracture management.
2025-08-0741 minFOAMfrat PodcastPodcast 181 - Discrepancies in Testing & TreatmentDoes medicine have dangerous side effects for women? Are the "normal" values we have set for diagnostics possibly endangering specific populations? In this episode of the FOAMfrat podcast, Tyler sits down with Dr.Alyson McGregor, emergency physician and author of Sex Matters, and Tim Redding, EMS educator and lecturer, to discuss the discrepancies in medical testing, diagnosis, and treatment between male and female patients. Dr. McGregor shares her journey of discovering gender bias in medicine, particularly how women's symptoms are often dismissed or mislabeled as psychiatric in nature. The discussion explores how male-centric research has shaped clinical...
2025-04-1553 min
FOAMfrat PodcastPodcast 180 - MCI Collaboration w/ ATCEMS & Travis County Star FlightIn this episode of the FOAMfrat podcast, join as we discuss mass casualty management with Chief Robert Luckritz of Austin Travis County EMS and Justin Soulier from Travis County Star Flight. Explore the strategies and challenges in mass casualty responses in one of the fastest-growing urban areas in the U.S.
2025-03-1449 min
FOAMfrat PodcastPodcast 179 - Your First 5 Minutes of an MCI w/ Rommie DuckworthJoin Rommie Duckworth and FOAMfrat as we discuss the mental framing and big-picture thought process behind the first five minutes of any mass casualty incident (MCI). Rommie Duckworth, a fire captain and shift commander, is a wealth of knowledge on this topic and speaks globally to prepare emergency responders for these events.
2025-02-0741 min
The Debrief With Tyler Burns017: Tyler Christifulli Chief Creative Officer and Co-Founder of FOAMfratOn this episode I speak with Tyler Christifulli. We discuss how FOAMfrat became a thing, his experience with mental health, and much more!
2024-12-0843 minFOAMfrat PodcastPodcast 174 - "I Rolled My Ambulance" Interview w/ Kyle RiceIn this episode of FOAMfrat, Tyler speaks with paramedic Kyle Rice to discuss a deeply personal and eye-opening experience—rolling his ambulance after running a red light. Kyle shares the lessons he learned about complacency, crew resource management, and the often-overlooked dangers of driving with lights and sirens. Together, they explore how EMS providers can stay vigilant behind the wheel, adopt safer driving practices, and shift their mindset when responding to emergencies. If you're an EMS provider, this episode is a must-listen for understanding the real-life risks of complacency and how to prevent accidents.
2024-10-2745 minFOAMfrat PodcastPodcast 161 - EMT Pharmacology Taking on pharmacology in EMT school is a big hurdle. We wanted to write something that not only explained the basics of the medications but also helped bridge the gap between what EMTs are taught and what paramedics learn when they go back over these medications in paramedic pharmacology. Each chapter discusses how the medications work, why they're given for specific indications, and the logistics of medication administration! We've also included medication profiles, tips and tricks from experienced providers, and flashcards for each medication to help you hone your med knowledge base! In this book...
2023-08-1828 min
FOAMfrat PodcastPodcast 159 - Close Encounters of the Infectious Kind w/ Dr. Hudson GarrettEMS providers encounter various infectious diseases daily and need to know the routes of exposure, risks, and preventive measures to protect themselves and their families. In this episode, We talk with Dr. Hudson Garrett, an infectious disease expert with the medical college of Louisville University, to discuss the practical points of infectious disease for the everyday provider. Want CE for this episode? Sign up for FOAMfrat Studio and access 300+ hours of continuing education for EMS & Nursing. www.foamfrat.com
2023-06-1443 min
Medic Class Citizen| 38 | Reinventing EMS Con-ED, with Tyler Christifulli & Samuel Ireland (FOAM Frat)Tyler Christifulli and Samuel Ireland are flight paramedics and co-founders of the project, FOAM Frat. Listen as Sam and Tyler discuss the beginning of FOAM Frat as a blog and podcast, and how it evolved to the revolutionary continuing education platform that it is today. Find out more about FOAM Frat by visiting www.foamfrat.com, @foamfrat on Instagram and Facebook, and @FOAMfratStudios on YouTube. www.medicclasscitizen.com
2023-02-201h 07
FOAMfrat PodcastPodcast 155 - Pattern Recognition vs. Autopilot w/ Shaylah MontgomeryIn this episode, Tyler is joined by Shaylah Montgomery to discuss decision-making, human factors, and mental shortcuts utilizing pattern detection. Shaylah is a flight nurse and paramedic for Pafford Air One and a member of the FOAMfrat team.
2023-02-1526 min2023-02-0632 minFOAMfrat PodcastPodcast 148 - Crashing PE Logistics w/ Shane & BrianI ran some specific decision points when treating the REALLY BAD massiVE pulmonary embolism patient by Shane & Brian from the FOAMfrat Team. This discussion really focuses on the logistics and ideas when you are trying to get the patient from A to B without having to do CPR.
2022-10-0436 min
FOAMfrat PodcastPodcast 147 - NICU Q&A w/ Theresa BowdenTheresa Bowden is a rockstar flight nurse who specializes in NICU transports. In this episode, you will listen in as Theresa explains anything and everything you have ever wondered about NICU interfacility transports. Topics include: Who gets prostaglandin? IO or IV catheter for UVC Cardiac vs. Respiratory Initial Vent Settings Get credit for this class by listening to it in FOAMfrat Studio.
2022-07-1432 minFOAMfrat PodcastPodcast 146 - IVC Assessment w/ Shane O'DonnellDoes IVC assessment have a role in pre-hospital ultrasound? This week we talk to one of the newest members of FOAMfrat, Shane O'Donnell.
2022-05-2226 min
FOAMfrat PodcastPodcast 144 - VR & EMS EducationThe FOAMfrat podcast is back in 2022 with a discussion on how virtual reality can be used in EMS education. We did our first VR class a few weeks ago and here's what we learned and what we plan to do with it!
2022-02-0326 minFOAMfrat PodcastPodcast 139 - Tracheostomy ManagementNothing is scarier than watching an awake patient struggle to breathe with a trach. Do you have an approach to troubleshoot? Make sure you watch to the end to see our first FOAMfrat reaction video!
2021-11-2137 min
The RSI PodcastEpisode 21 - Brian King Part DeuceMike is joined by FOAMfrat's own Brian King to field your most recent questions. Please get your questions in now for the next episode. Ask us anything! CLICK HERE to submit your question now! 1) How do I get a strong start in a new orientation? 2) How do you measure experience? 3) What do you do in your spare time? 4) COVID from pandemic to endemic - thoughts? You can also see this on YouTube CLICK HERE to watch! ...
2021-11-0126 minThe RSI PodcastEpisode 20 - Flow, ECMO, and Burnout with Austin QuilletJared and Mike are back again with your questions and joined by fellow FOAMfrat team member Austin Quillet. We are always excited to hear from the listeners and will be recording our next episode with Brittany Grandfield very soon. Get your questions in now for the next episode. CLICK HERE to submit your question now. Find full length questions, links to additional information, and much more by checking out the blog with this podcast. Just CLICK HERE 1) Getting burned out? Get past that "bump" 2) Does...
2021-10-1031 minFOAMfrat PodcastPodcast 137 - Glucose (Outer Limits)Welcome to the fourth and final installment of this metabolic panel series, where we're exploring what happens when these lab values hit their limits, or beyond.
2021-10-0638 minFOAMfrat PodcastPodcast 136 - Intranasal Delivery (or not) One of my first calls as a paramedic was to our local ski hill for a 26-year-old guy who crashed into a tree while snowboarding. The ski patrol brought him down to the patrol room and we met them inside. The guy was literally screaming in pain and saying: "just put me out, man!" I could see his leg was obviously deformed below the knee. Now, this dude was covered in gear, and starting an IV was going to take a little while. I looked at my partner and remembered we had just got this new gadget...
2021-09-2420 minFOAMfrat PodcastPodcast 135 - Renal Labs! (Outer Limits) Welcome to the third installment of this metabolic panel series, where we're exploring what happens when these lab values hit their limits, or beyond. Previously we've explored Cations (located here) and Anions (located here), but don't feel like you need to read these in any particular order. These blogs are meant as a reference for you to come back to. There's a lot of information in each, so they might be better absorbed in chunks. I'm writing these as the reference I wish I had when I started learning lab values. This week we're going...
2021-09-1535 minThe RSI PodcastEpisode 18 - Debrief with Tony HenryListener responses came through with some great questions for this episode and you get to meet Tony Henry! Get your questions in now for the next episode CLICK HERE which will feature Brittany Grandfield. You love her blogs, now it's time to find out how she makes them so fun. Don't miss it. Here are the questions for this episode. You can also watch the episode on YouTube, just CLICK HERE 1) Should EMS become civil service like police/fire? 2) Other than IBSC offerings, what should I take to advanc...
2021-09-1135 minFOAMfrat PodcastPodcast 134 - When Gallbladders Attack w/ Cynthia GriffinWhat does jaundiced skin, right upper quadrant pain, and a fever mean? In this episode, Dr. Cynthia Griffin and I discuss everything gallbladder and biliary colic! Check out the blog post here: https://www.foamfratblog.com/post/when-gall-bladders-attack
2021-09-0920 minFOAMfrat PodcastPodcast 133 - Outer Limits: Anions Welcome to the second installment of this metabolic panel series, where we're exploring what happens when various lab values reach their outer limits (or beyond). Each part in the series can be read on its own, but if you want to start at the beginning, go check out the first blog on cations HERE. This series of blogs and podcasts are meant as a reference for you to come back to. There is a lot of information on each one of the lab values we'll cover, so it might be best to read it in parts. As...
2021-09-0133 minFOAMfrat PodcastPodcast 132 - Reversal Rehearsal "Warfarin"In this episode, Sam and I discuss warfarin's mechanism of action and reversal. Check out the blog for more information! https://www.foamfratblog.com/post/podcast-132-reversal-rehearsal-warfarin
2021-08-2022 minThe RSI PodcastEpisode 16 - Jake Good UnfilteredThanks for joining us for Episode 16 featuring Jake Good. Jake is the producer of Good Reads, a part of the FOAMfrat family. Check them out here. He contributes regularly as an educator and blog writer as well. This one is a little longer but when you're listening to Jake time flies!! Learn more about Jake on this podcast! Good Reads - Click Here 1. Can you explain the occlusive myocardial infarction concept and what are some quick/easy ways to up my EKG interpretation game? 2. I recently had a complex p...
2021-08-1631 minFOAMfrat PodcastPodcast 131- Outer Limits - Cations Lab value interpretation sadly wasn't included in my initial paramedic education. I was absolutely ecstatic to attend a critical care program and learn about lab values - I had always found it very impressive when people could interpret lab values. I wanted to be a lab value wizard too! Unfortunately, in critical care class, our lectures and resources were nothing like what I had hoped for.I hope this series of blogs serve as a resource for those who are eager to learn more about the art of interpreting labs. I wouldn't recommend tackling this whole thing in one...
2021-08-1524 minFOAMfrat PodcastPodcast 130 - Getting To Know The NREMT "Certification Questions"200 comment Facebook post where I asked, "what questions would you like me to ask the NREMT?" These are the questions that seem to be the most popular. 200 comment Facebook post where I asked, \"what questions would you like me to ask the NREMT?\" These are the questions that seem to be the most popular.","type":"unstyled","depth":0,"inlineStyleRanges":[],"entityRanges":[],"data":{}}],"entityMap":{},"VERSION":"8.46.0"}"> 1. Besides reciprocity amongst select states, what is the benefit of maintaining your NREMT?
2021-08-0652 minFOAMfrat PodcastPodcast 129 - NoBull Gas Laws (Part Two!)Welcome to round two! We'll be going over fewer laws than last time, but this will round things out nicely! We'll be covering the laws of Fick, Graham, and Dalton/Amagat. Mike Brown joins me again as we look at the clinical application of some lesser-known gas laws.
2021-07-3040 min2021-07-2325 minFOAMfrat PodcastPodcast 127 - Boyle's and Henry's Law! Gas Laws Explained We've been exposed to gas laws our whole life, and we have intuition about what will happen to gas under certain conditions. For example, people notice that the pressure in their tires might become low on a very cold day. Or perhaps you've been at very high altitudes and you've been short of breath. And everyone knows that if you shake a carbonated beverage before opening it you'll be cleaning up a mess very shortly. Each of these observations has been classified into the laws, and we'll be splitting them up between this blog and the next. Stating the...
2021-07-1638 minThe RSI PodcastEpisode 14 with Tom BouthilletGreat episode with Tom! He will definitely be back. CLICK HERE to submit your questions for the next episode You can also email us at RSIPodcast@FOAMfrat.com 1) My question is for Tom, but Jared and Mike please feel free to weigh in. First off, congratulations on your retirement! I have been a paramedic for a while and did not learn 12 lead EKG interpretation during my initial training. I feel like I have a good ability to identify the obvious STEMI findings in a 12 lead like 2 contiguous leads an...
2021-07-1030 minFOAMfrat PodcastPodcast 126 - ECMO Physiology The concept of taking blood out of the body, oxygenating it, removing the CO2, and then putting back in, fascinates me. A few years ago I admittedly knew very little about extracorporeal membrane oxygenation (ECMO) and its indications. I remember going to a class on ECMO at Life Link III and having questions like: Are we actually pumping blood backward through the body? What happens to the blood in the heart when using ECMO in cardiac arrest (ECPR)?
2021-07-0936 minFOAMfrat PodcastPodcast 125 - For Those Who Play With Fire Before the July 4th weekend hits, I wanted to address two main questions whose answers may come in handy on a call you'll run very soon... Should EMS use a burn formula? What's the best way to manage pain for the burn patient? For a sense of a well-rounded blog on burns, I've included some quick facts about burn care at the end that are unrelated to these questions. Also, Erik Rima (CFRN and former burn center RN) left us his perspective at the end in a peer review. Be sure to check...
2021-07-0233 min
2021-07-0133 minThe RSI PodcastEpisode 13: Mech Vent, Toxic Individuals, LogisticsGet your questions in now for our next episode with Tom Bouthillet! https://www.foamfrat.com/RSI You can also email us at RSIPodcast@FOAMfrat.com What is the difference between CMV and SIMV? Click here for Jared's Blog on CMV vs SIMV Suggestions on dealing with toxic individuals? When should I say no? Like, when not to act and sit on my hands. Sometimes it seems that’s the hardest thing to do. What doe...
2021-06-2525 minFOAMfrat PodcastPodcast 124 - Arterial Line Placement in Critical Care Transport w/ Michael Lauria Invasive arterial blood pressure (IABP) monitoring techniques have enjoyed a rich history of use throughout the mid-to-late 20th century in the peri-operative setting and are now a standard of care intensive care units. While there are a variety of IABP monitoring options, one of the most common techniques is percutaneous radial arterial catheterization. Although monitoring of radial arterial lines is a widely accepted skill in the critical care transport (CCT) world, placement by CCT providers is less common. Concerns over safety and logistical management have contributed to the perceived difficulty in arterial lines; however, this article aims to demonstrate that...
2021-06-2550 minFOAMfrat PodcastPodcast 123 - The Anion (figurative) GapOk, here's the thing.. there really is no anion gap. We pretend there is because the things we routinely measure leave something to be desired on the anion side. Sam put out a killer blog and this is a follow-up conversation. Enjoy!
2021-06-1922 minFOAMfrat PodcastPodcast 122 - Ultrasound-Guided Pacing w/ Leon Eydelman Traditionally transcutaneous pacing involves a paramedic placing pads anterior/posterior (preferred), and turning up the milliamps until electrical capture is obtained. Electrical capture is obtained when a pacing spike is followed by a wide complex. The clinician will then try to palpate a pulse to confirm mechanical capture. Because the contractions of the pectoral muscles can tug on the muscles of the neck as well, AHA recommends palpating a femoral pulse versus a carotid (3) to avoid thinking you feel a pulse (false mechanical capture). Not only are events of false capture common, but there are even situations in which...
2021-06-1248 min
2021-06-0536 minFOAMfrat PodcastPodcast 120 - The Mystery of Optimal PEEP My buddy Bryan Winchell and I sit down and record a conversation about PEEP. We have way more questions than answers, but here's some shop talk on what we are currently doing to optimize PEEP. Check out the full blog and show notes at FOAMfrat.com
2021-05-3034 minThe RSI PodcastEpisode 12 - Leadership, Scene Logistics, and more!Mike and Jared are back for episode 12. Please get your questions in now for the next episode. To submit CLICK HERE! You can email us at RSIPodcast@FOAMfrat.com 1) My department has reassigned all front line personnel randomly in hopes of uniting direction for the shifts. Thoughts on this strategy versus concentrating on moving leaders for desired effect? 2) Do you guys feel like COVID has improved your personal connections? 3) Worked a scene of a head injured motorcycle rider who we proc...
2021-05-2923 minFOAMfrat PodcastPodcast 119 - Paramedic's Guide To Left Ventricular FunctionIf I give this patient a fluid bolus, will it increase cardiac output? What does wall tension have to do with myocardial oxygen demand? In this episode, we will give you a step-by-step guide into assessing LV function utilizing pulse pressure and ultrasound. FOAMfrat is an online library for EMS professionals who are looking to take their knowledge and skills to the next level. www.foamfrat.com
2021-05-2132 minFOAMfrat PodcastPodcast 118 - Obstetric Ultrasound w/ Cynthia Griffin Anne keeps asking "is my baby ok?!" There may be some momentum to just break out the ultrasound and look for a fetal heart rate right now, but you know that taking care of mom means taking care of the baby. In this episode, Cynthia and I discuss the prehospital fetal assessment and how to communicate with mom what you see. www.foamfrat.com
2021-05-1415 minFOAMfrat PodcastPodcast 117 - Jumping The Gun - WPW and Adenosine? WPW is an incredibly interesting disease process that can initially cause some trepidation on the part of the clinician due to the perceived nuance of treatment. However, we might just be psyching ourselves out a little bit. Check out Sam & Tyler as they break down the dos and don'ts of WPW management. www.foamfrat.com
2021-05-0925 minThe RSI PodcastEpisode 11 with Brian KingTo submit questions please Click Here This episode's questions: 1. I’ve recently moved to a new station and my normal transport time has gone from a minimum of 20-30 minutes to the hospital, down to 5-10 minutes maybe 30 if we go to the city. How do you differentiate what needs to be done on scene as opposed to just loading and getting to the hospital in situations where your transports are so short? Article on Philadelphia Police transport of penetrating trauma 2. Has the word “uncomfortable” become a wa...
2021-05-0729 minFOAMfrat PodcastPodcast 116 - Pulmonary Embolism (Clinical Signs)In this episode, Sam and I break down the different clinical signs and diagnostics of the dreaded pulmonary embolism. Make sure you check out the show notes at foamfrat.com for references and videos mentioned throughout the episode!
2021-04-2835 minFOAMfrat PodcastPodcast 115 - Prolonged Q-T Syndrome w/ Jake GoodYesterday Sam released a blog on the various flavors of prolonged Q-T syndrome. As a complement to that blog, Sam and Jake sit down and tease out some of the nuances and treatments of this interesting pathology.
2021-04-1439 min2021-03-2233 minThe RSI PodcastEpisode 10 - Honoring Women's History MonthWe hope that you enjoy this episode. We took three of your questions submitted and had our panel of women answer them. The questions listed below will be answered and the first person to respond is indicated next to the question in the event you don't recognize the voices! Please feel free to submit any follow-up questions you might have on this or any subject to RSIPodcast@FOAMFrat.com How do you feel women have made a positive impact and contribution to healthcare and EMS as a career? Cynthia Griffin What advice do you have for wome...
2021-03-1444 minFOAMfrat PodcastPodcast 113- DON'T stop the insulin! We realized the other day that we have yet to do a podcast on diabetic ketoacidosis (DKA). In this episode, we spend a little bit of time talking about the pathophysiology, but the majority is focused on the logistics of running a DKA transfer. Here are the highlights: DO EVERYTHING YOU CAN TO AVOID STOPPING THE INSULIN.
2021-03-0643 minThe RSI PodcastEpisode 9 - Just UsYour questions answered today: I would love to hear you guys kick around utilization of HEMS, more specific over utilization. Potential areas including requests from ground EMS and inter facility alike. Some areas of frequent discussion include occasions of overflying capable facilities to honor the request of a sending hospital. I’m a paramedic student 6 months away from graduating and taking my NREMT. I have a passion for learning but also teaching and helping other students. In our systems we do a full semester of preceptorship rides for 275 hours. My question for you all is: How long if...
2021-02-2721 minFOAMfrat PodcastPodcast 112 - When Mental Models #FAIL w/ Tom Grawey & Bryan Selvage So, my buddy, Bryan Selvage released a blog a few weeks ago called "The Curious Case of The Brain & The Octopus Trap." This case study caught me off guard because it did not match my mental model of a brain bleed patient. I called Bryan and had a great conversation regarding mental models and how they can either make us look like we have superhuman powers or trip us up. Bryan started working on a blog to address the perils of mental models at the same time my friend Tom Grawey was writing a piece for FOAMfrat on the "sick v...
2021-02-1049 minThe RSI PodcastEpisode 8 with Dr. Jim DuCantoMike and Jared sit down with Dr. Jim DuCanto to answer your questions. Get questions or requests for future guests in now! RSIPodcast@FOAMfrat.com 1) How did rapid sequence induction start? 2) What would you do if you weren't in medicine? 3) What is the difference between the Hi-D and DuCanto suction catheters? 4) What do you think EMS will look like in 3 years? Link to paper Dr. DuCanto referenced in Question 1 - Great Read
2021-02-0829 minFOAMfrat PodcastPodcast 111 - How We Peer Review w/ Eric Bauer & Chris Smetana In this podcast, Sam and discuss the evolution of FOAMed peer review with Chris Smetana and Eric Bauer. Eric is the founder of FlightbridgeED which was one of the first EMS podcasts to surface and quickly became a hit. The FlightbridgeED brand now has grown into one of the industries household names when it comes to providing resources and training for flight clinicians all over the world. You can find their content at FlightbridgeED.com Chris Smetana is the CEO of IA Med and a known leader within the industry. The IA Med team prides itself on meeting the needs of...
2021-01-251h 02The RSI PodcastEpisode 7 with Jace MullenJoin Mike as we get to know Jace Mullen, another FOAMfrat educator. As always we answer some questions from listeners. What are your opinions on single vs dual paramedic deployment models? How does skill dilution weigh in? How about hospital vs private? What do you do to relax during off time? What do you think of the recent incident in DC? Get your questions in now for the next podcast RSIPodcast@foamfrat.com Our next guest will be Dr. Jim DuCanto. He’s excited to answer your questions.
2021-01-2537 minThe RSI PodcastEpisode 6 with Tom LatosekMike and Tom answer listener questions on vaccines. Includes an invite for free attendance at an upcoming FOAMfrat live class. Act now! Did you guys get the vaccine? Why or why not? How do genetic vaccines work? How long before we are back to normal? Will be recording another episode soon with another member of the FOAMfrat team. Get your questions in now! RSIPodcast@foamfrat.com
2021-01-1029 minFOAMfrat PodcastPodcast 110 - Resus Tempo w/ Keith VelaskiI am thrilled to finally get my friend and colleague, Keith Velaski, on the podcast. Keith was my preceptor at LifeLink III and has been a flight clinician for over 25 years. In this episode, we talk about the tempo and mental modeling of resuscitation and flight medicine. This podcast was inspired by my buddy Alex Jones who just started his career in HEMS and sent me this message a few weeks ago. Just got off shift and had saved this in the notes on my phone. I'm a new flight medic and am still getting into my g...
2021-01-0453 minFOAMfrat PodcastPodcast 109 - Productivity HacksWe all want to feel more productive, write a book, or perhaps learn a new skill - but there never feels like enough time. Join Sam and Tyler and they discuss their approach to staying productive while still allowing creative space. www.foamfrat.com
2020-12-2536 minThe RSI PodcastEpisode 5Episode 6 recording next week! Email us at RSIPodcast@foamfrat.com now to get your questions in. Contents of this podcast include: Should CCT services be required to have medical direction from both emergency medicine and critical care? How do we know we are keeping with the times? What advice do you have for new critical care providers? Would increasing prevalence of IFR programs help change the HAA accident rate? (If you don't know what these terms mean, we explain them!) Be sure to tune in until the end, we included some outtakes for your entertainment. More...
2020-12-1428 minFOAMfrat PodcastPodcast 108 - TBI+MultiSysTrauma w/ Jake GoodIn this podcast, Tyler, Sam, and Jake discuss managing the patient with multisystem trauma and a suspected TBI. Subscribe to the FOAMfrat podcast for the latest updates in prehospital emergency and critical care.
2020-12-0922 min2020-11-2741 minFOAMfrat PodcastText-To-Speech: Lara Croft (OB/GYN) and the Cradle of LifeIn this story you'll be playing the role of Lara Croft, an OB/GYN who sees three patients throughout her shift. Your goal is to make the diagnosis for each emergency, and figure out which treatment option is best.
2020-11-1221 minThe RSI PodcastEpisode 41. Are formal critical care courses necessary? 2. Should nitroglycerin be used in right ventricular MI? Have fun going down the wormhole of information on this one! https://pubmed.ncbi.nlm.nih.gov/26024432/ 3. Does an educator need to still be working in the field in order to maintain credibility amongst their peers? If not, how long is an appropriate amount of time before “hanging up your hat” and just teaching? 4. How do you cause change? Mike’s favorite question yet! 5. If there was one area, clinical or non-clinical, that doesn’t get enough at...
2020-11-0627 minFOAMfrat PodcastPodcast 106 - When Benzos Won't Stop The Seizure Sometimes seizing patients don't respond to benzodiazepines. In the RAMPART study they found that 18.5% of the midazolam group and 25.8% of the lorazepam group were still seizing upon arrival at the ED. We know that rapid termination of status epilepticus (SE) is important, but what should EMS do when they are maxing out benzo's, blood pressures are getting soft from all the meds, and the patient is still seizing?! In this episode we discuss the role of ketamine in SE patients that are refractory to front line treatments.
2020-11-0330 minFOAMfrat PodcastBackStage Pass - My Online Teaching Setup (Tyler)EVERYONE is teaching online now! FOAMfrat teaches live classes five days a week, three times a day, ALL year long! We have ironed out the logistics of zoom room teaching to a science! Here are some tips if you need to give a talk online.
2020-10-3007 min
The RSI PodcastEpisode 3Please get your questions in now for the next episode. They can be emailed to RSIPodcast@foamfrat.com This episode includes Should advanced certifications include more than just a written test? Is sepsis a condition or a syndrome? What is your view of lactate in sepsis? How do you feel about your nurse partner making more money than you for doing the same job? Are body cameras for EMS a good idea or a bad idea?
2020-10-1528 minFOAMfrat PodcastPodcast 105 - Logistics of a pediatric arrest w/ Austin QuilletOver the years, OHCA in the pediatric population has not much improved like the Adult. Why is this? What are we doing wrong? Well, there is emerging evidence that may change your practice. We also know half the battle is the psychological response and communication. How do we improve? What do we need to do to change these outcomes and find closure? Preparation, psychology of ourselves and others, performance under pressure and tracking data after implementing best practices is just a start. Check out "Solving the Pediatric Labyrinth" in the F3 content of the FOAMfrat r...
2020-10-0444 minFOAMfrat PodcastPodcast 104 - Are they resuscitated enough for intubation?We commonly hear the phrase "resuscitate before you intubate." My question is - how do you know when your patient is resuscitated enough to follow through with intubation? Last weekend I gave a talk at EMSWorld called "The Sound of Silence." At the end of the talk Sam and I had a discussion on how do you know when a patient is resuscitated enough to allow intubation. In true Tyler fashion, I misread how long my talk was suppose to be and had to cut out the ending. This is the discussion portion of that talk and I...
2020-09-2722 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #218 - FOAMfrat Crossover: The Future of PAs in EMSSam Ireland from FOAMfrat invited me on to their podcast to talk more about PAs in EMS. This was a fantastic conversational piece that is well worth listening to in order to learn more about what it means to have PAs in EMS and the potential future of such as role.
2020-09-2249 min2020-09-2254 minThe RSI PodcastEpisode 2Check out this episode for thoughts on RSI, tagging bags, making your cot, etc. Get ready for body cameras in EMS and more in episode 3. Get your questions in RSIPODCAST@FOAMFRAT.COM
2020-09-1131 minFOAMfrat PodcastPodcast 102: No Agenda w/ Chris Meeks & Jay NanceMy buddy Jay Nance and I went on the Mind Body Medic podcast with absolutely no agenda (I typically don't do those). The conversation was excellent and minimal banter makes it tolerable.
2020-09-111h 08FOAMfrat PodcastText-To-Speech: The Slow Motion Plane CrashThe whole FOAMfrat team loves listening to audio books. Last week, Austin Quillet pitched the idea of turning our blogs into a audio book style format. So we figured, why not give it a shot? We put this audio blog into a story format with some sound effects and voiceovers to help you visualize yourself on the call (and sometimes provide a little comedy relief). We are always looking for feedback from you guys, so please let us know how we could improve - audio blogs are obviously something brand new to us. We'll be selecting the blogs that best fi...
2020-08-1922 minFOAMfrat PodcastThe Rapid Sequence Interrogation PodcastA few months ago in our weekly team meeting, Mike Brown(@FireMedicFPC) and Jared Patterson(@OneRadMedic) pitched the idea of starting a podcast that takes questions from clinicias all around the world and answers them in five minutes or less. I initially was skeptical to the idea because of all the EMS podcasts surfacing. What would make this show different? After some thought, We realize this concept is unique in style and allows a certain degree of interaction amongst clinicians. I am super excited to announce the Rapid Sequence Interrogation podcast to the FOAMfrat family! The first episode is being h...
2020-08-0827 minThe RSI PodcastEpisode 1Should I get an advanced certification? What piece of new EMS tech is changing the game? How long should an EMT wait before going to paramedic school? If these questions intrigue you, come join the discussion! Send your questions to foamfrat@gmail and have them featured on the show!
2020-08-0827 min
FOAMfrat PodcastPodcast 101: Extrication Sedation w/ Cliff ReidA few weeks ago I posted this scenario on FB . 60 yr male who was in an MVC and is pinned in the driver seat with an obvious closed femur fracture. Firefighters estimate extrication will take 20 minutes. Patient is confused and screaming in pain and asks you to please give him something. He keeps trying to self extricate and is getting in the way of the firefighters tools. Vitals BP- 86/52 HR- 118 SPO2 96% on RA RR 26 You are unable to obtain and IV and firefighters ask you if you are...
2020-07-2836 minFOAMfrat PodcastPodcast 100 - Meet FOAMfratTo celebrate this landmark podcast we could only think of one guest to facilitate the 100th podcast conversation, our fellow podcaster and close friend, Ginger Locke. Ginger is the host of the very popular Medic Mindset podcast. We asked Ginger to produce this episode in her truly original and unique style she uses with Medic Mindset. Sam, I, and the entire FOAMfrat team - thank you for your support and encouragment throughout the last three years. Celebrate the last 100 and cheers to the next!
2020-06-2154 minFOAMfrat PodcastPodcast 99 - We Tested the Sapphire IV Pump! FOAMfrat has always believed that infusions can be started quickly, and lead to better patient care. Infusions let you avoid the peaks and valleys of push-dose medication. Infusions also reduce your cognitive load - having to remember to push a medication at timed intervals can easily be forgotten when you're dealing with multiple issues at once. The last thing anyone wants to do is forget to administer that anesthesia when your patient is paralyzed. For these reasons, and because the industry is currently looking into IV pump solutions, we were happy when QCORE Medical asked us to review the S...
2020-05-2323 minFOAMfrat PodcastPodcast 98 - "Are those really B lines?" w/ Chip LangeChip Lange and I sat down and discussed everything B lines! If you are interested in the basics of lung sliding, detecting pulmonary edema, and differing effusion from consolidation - check out podcast 98!
2020-05-1924 minFOAMfrat PodcastPodcast 97 - Taming The Afterload:Push Dose Nitro w/ Michael PerlmutterIn this episode we talk with Michael Perlmutter (@DitchDoc14) who recently released a poster board for an upcoming paper evaluating the safety and efficacy of push-dose nitroglycerin in EMS for patients experiencing sympathetic induced pulmonary edema. In this episode you will hear us refer to this subset as "SCAPE" patients. This term was coined by Scott Weingart in his very first EMCrit podcast and stands for sympathetic crashing acute pulmonary edema (SCAPE). The safety of this method is extremely beneficial for services that do not have access to an IV pump.
2020-04-2929 minFOAMfrat PodcastPodcast 96 - Vantage Point: RRT w/ Kristin IrelandA few months ago Sam and I started putting together a ventilator module within the FOAMfrat refresher course. Our hopes were to create a "beginners guide" into the world of mechanical ventilation. As we created each lesson we would discuss further points that we felt were essential to include. Two months later and we have a robust approximatley ten hour mechanical ventilation course that takes novice providers through a step by step journey through one of the most intimidating pieces of critical care equipment. Sam mentioned the idea of bringing on his wife who works as a r...
2020-04-2647 min
Cypress Creek EMS PodcastCOVID Protocols and Clinical Treatment ConversationsIn this episode, Samuel Kordik, Zach Dunlap, Lynne Singleton, and Steven Beesley discuss some of the recent protocol changes at Cypress Creek EMS relating to clinical care for COVID-19 patients. Specific items discussed include:
Why there is no "cookbook recipe" for treating these patients.
How we should approach being clinicians and making good judgement calls during this crisis.
The primary focus we have in treating these patients is protecting ourselves and our future patients and doing what's right for patients.
How to manage respiratory distress patients without using nebulized medications or CPAP.
How to approach pre-oxygenation and RSI.
...
2020-04-0839 min
The FlightBridgeED PodcastVasopressors In Trauma? - "The FOAMfrat Blog Response"!The debate regarding vasopressor use in trauma has been going on for years. FOAMfrat recently released a blog article called. "Levophed Assisted Transfusion". In this article written by Tyler, he lays out his thoughts on this subject and advocates for vasopressor administration in the early resuscitation phase with patients suffering from multi-systems trauma and associated TBI. This podcast is a rebuttal podcast on that article and the current evidence. Are vasopressors in trauma warranted? Is there clinical evidence? I say... Join me in this review and find out my stance! These reviews are especially key to keeping us high on...
2019-09-1627 min
The FlightBridgeED PodcastE168: Vasopressors In Trauma? - "The FOAMfrat Blog Response"!The debate regarding vasopressor use in trauma has been going on for years. FOAMfrat recently released a blog article called. "Levophed Assisted Transfusion". In this article written by Tyler, he lays out his thoughts on this subject and advocates for vasopressor administration in the early resuscitation phase with patients suffering from multi-system trauma and associated TBI. This podcast is a rebuttal podcast on that article and the current evidence. Are vasopressors in trauma warranted? Is there clinical evidence? I say... Join me in this review and find out my stance! These reviews are especially key to keeping us high...
2019-09-1627 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #137 - The BRAIN ExamA while back, Podcast #70, we talked about how to perform a neurological exam. We also spoke on FOAMfrat. Since that time, at WEMSA we built on the subject and discussed the exam as well as its caveats. At that time, there was not a name. Now, we have the Brief Repeatable Assessment In Neurology (BRAIN) exam.
2019-03-0513 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #135 - Impending Ventilatory FailureWe have a two part special with Sam Ireland from FOAMfrat. He is a critical care paramedic in Wisconsin and a brilliant mind including with ventilation. Sam agreed to come on to talk both about impending and acute ventilatory failure. Stay tuned next week for the second part of his talk.
2019-02-1920 min
Curbside to BedsideAvoiding Airway Disasters with Dr. Jeff JarvisIn this episode, we're graced by the presence of Airway Jedi Dr. Jeff Jarvis. We discuss a novel approach to the standardization of airway management in order to prevent peri-intubation hypoxia and valuable insight into the organizational culture required to make it successful. Link to Dr. Jarvis' paper "Implementation of a Clinical Bundle to Reduce Out-of-Hospital Peri-intubation Hypoxia": (Note, at the time of publishing, this article was open-access). https://www.annemergmed.com/article/S0196-0644(18)30071-4/abstract Link to the FOAMfrat Q&A with Dr. Jarvis: https://www.foamfrat.com/single-post/2018/09/29/Why-Do-You-QA-w-Jeff-Jarvis
2018-09-3000 minThe FlightBridgeED PodcastFOAMfrat "Transfusion Confusion" RESPONSE!If you didn't listen to the recent podcast put out by Tyler Christifulli and FOAMfrat called "Trigger Happy Transfusion Confusion" please download and listen via the FOAMfrat podcast feed. Tyler does a great job and provides out of the box thinking on the hot topic of PRBC administration in the transport environment. This "Response" podcast is based on my commentary, overall thoughts on the topic, additional topic points to consider and an overall review of the data related to PRBCs, FFP, and the recently published PAMPer trial. We couldn’t make this podcast without. Please rate, and review wherever you do...
2018-09-2717 min
The FlightBridgeED PodcastE142: FOAMfrat "Transfusion Confusion" RESPONSE!If you didn't listen to the recent podcast put out by Tyler Christifulli and FOAMfrat called "Trigger Happy Transfusion Confusion" please download and listen via the FOAMfrat podcast feed. Tyler does a great job and provides out-of-the-box thinking on the hot topic of PRBC administration in the transport environment. This "Response" podcast is based on my commentary, overall thoughts on the topic, additional topic points to consider, and an overall review of the data related to PRBCs, FFP, and the recently published PAMPer trial. We couldn’t make this podcast without you. Please rate, and review wherever you download th...
2018-09-2717 min
The FlightBridgeED PodcastE139: FOAMfrat Re..Butt..AL - "Response Required"!In this episode, Eric responds to the latest podcast by FOAMfrat and Tyler Christifulli, titled "Response Required"! This is a must-listen and a full Re..butt..AL based on the podcast we published a few weeks back called: "The 5 Hottest Questions In Mechanical Ventilation w/ Mike Herman". Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!
2018-07-2816 minThe FlightBridgeED PodcastFOAMfrat Re..Butt..AL - "Response Required"!In this episode, Eric responds to the latest podcast by FOAMfrat and Tyler Christifulli, titled "Response Required"! This is a must listen and a full Re..butt..AL based on the podcast we published a few weeks back called: "The 5 Hottest Questions In Mechanical Ventilation w/ Mike Herman". Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!
2018-07-2816 minThe FlightBridgeED PodcastFAST18 Rewind - Traumatic Arrest | Dissecting Critical Thinking w/Sam IrelandFAST18 was Epic! If you missed FAST18.. Don't worry, FAST19 has been planned and booked for May 6-8, 2019 in Murfreesboro, TN. This is the third of many FAST18 Rewinds that will be released throughout the next year, leading up to FAST19. Don't miss this talk on the critical thinking involved in Traumatic Arrest. Join Sam Ireland from our FOAMfrat brothers and sista! Sam is a phenomenal speaker and will make you think differently about the Traumatic Arrest patient. Lastly, we couldn’t make this podcast without you. Please rate, and review wherever you download the podcast. Thanks for listening!
2018-07-0121 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #89 - The Intubated and Agitated Acronym Debate with Tyler ChristifulliWe have Tyler Christifulli from FOAMfrat back on to discuss two acronyms (we each developed one) for post-intubation agitation and sedation. We also talk about the utility of acronyms in general. As a fair warning, there is some explicit language in the podcast itself. However, this is not only a great post but is entertaining and sure to help you better understand the topic.
2018-04-0317 min
TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast #88 - Cognitive Stop Points with Tyler ChristifulliBuilding off of our last post with Harrison Reed talking about communication, we are moving to a very similar and related topic this time talking about cognitive stop points with paramedic Tyler Christifulli. He also has his own blog and podcast called FOAMfrat and one we have actually featured on our website. Our next post will also have Tyler back discussing acronyms and how they tie in with these cognitive stop points so make sure to check that, as well.
2018-03-2728 min
Medic MindsetIt's TylerIn this episode, Ginger talks to Tyler Christifulli. It's accurate to call him a flight medic, but he's so much more. He's also a podcaster and an EMS Educator. In listening to his FOAMfrat podcast, it's obvious he is a sharp guy but being in the same room with him is a completely different animal. He has charisma for days but what is really mesmerizing about him is how he brings out the best in others. Show notes: medicmindset.com Find Tyler online: www.foamfrat.com
2018-03-1556 min
Medic MindsetIt's TylerIn this episode, Ginger talks to Tyler Christifulli. It's accurate to call him a flight medic, but he's so much more. He's also a podcaster and an EMS Educator. In listening to his FOAMfrat podcast, it's obvious he is a sharp guy but being in the same room with him is a completely different animal. He has charisma for days but what is really mesmerizing about him is how he brings out the best in others.
Show notes:
medicmindset.com
Find Tyler online:
www.foamfrat.com
2018-03-1556 min