Lauren Westafer - Podcast Details

Shows

FOAMcast - 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 *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks.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 Faust 2020-10-0910 min

FOAMcast - 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 *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks.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 Faust 2020-08-2409 min

FOAMcast - 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 Westafer 2020-08-1822 min

FOAMcast - 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 Faust 2020-07-1606 min

FOAMcast - 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 *Our understanding of COVID-19 is rapidly developing and this may be out of date in days/weeks.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 Faust 2020-07-1609 min

FOAMcast - 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 Faust 2020-06-2313 min

FOAMcast - 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 min

FOAMcast - 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, 2020 2020-06-1207 min

FOAMcast - 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 min

FOAMcast - 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, 2020 2020-06-0507 min

FOAMcast - 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 min

FOAMcast - 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, 2020 2020-05-3012 min

FOAMcast - 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 min

FOAMcast - 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, 2020 2020-05-2414 min

FOAMcast - 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, 2020 2020-05-2309 min

FOAMcast - 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 min

FOAMcast - 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 min

FOAMcast - 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 min

FOAMcast - 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, 2020 2020-05-0914 min

FOAMcast - 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, 2020 2020-05-0318 min

FOAMcast - 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 4.29.20 2020-04-3018 min

FOAMcast - 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 4.28.20 2020-04-2920 min

FOAMcast - 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 4.26.20 2020-04-2718 min

FOAMcast - 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 4.23.20 2020-04-2415 min

FOAMcast - 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 min

FOAMcast - 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 4.18.20 2020-04-1909 min

FOAMcast - 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 min

FOAMcast - 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 min

FOAMcast - 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 4.12.20 2020-04-1311 min

FOAMcast - 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 4.10.20 2020-04-1219 min

FOAMcast - 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 4.10.20 2020-04-1119 min

FOAMcast - 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 4.5.20 2020-04-0718 min

FOAMcast - 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 min

FOAMcast - 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 4.3.20 2020-04-0416 min

FOAMcast - 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 4.2.20 2020-04-0216 min

FOAMcast - 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 3.31.20 2020-04-0117 min

FOAMcast - 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 Faust 2020-03-3017 min

FOAMcast - 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 Faust 2020-03-2814 min

FOAMcast - 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 Faust 2020-03-2815 min

FOAMcast - 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 Faust 2020-03-2618 min

FOAMcast - 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 Faust 2020-03-2416 min

FOAMcast - 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 Faust 2020-03-2318 min

FOAMcast - 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 Faust 2020-03-2215 min

FOAMcast - 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 Faust 2020-03-2122 min

FOAMcast - 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 Faust 2020-03-2020 min

FOAMcast - An Emergency Medicine PodcastCOVIDcast: Co-infections, Pediatrics, and IbuprofenWe are going to try to bring you updates regarding COVID-19 on a regular basis. These podcasts will likely be out of date in a few days, so check back for updates. This episode features: Co-infections (extended respiratory panel positive and positive for Sars-CoV-20 Epidemiology of pediatric infections Ibuprofen and ACE-inhibitor use Recorded 3.18.20 Thanks for listening, Lauren Westafer and Jeremy Faust 2020-03-1913 min

FOAMcast - 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 Westafer 2020-03-0825 min

FOAMcast - 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 Westafer 2020-01-1722 min

FOAMcast - 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 Westafer 2019-12-1824 min

FOAMcast - An Emergency Medicine PodcastOlanzapine + Benzodiazepines - What is the FDA warning about?We are at ACEP 2019 in Denver and do a deep dive on a topic introduced by Bryan Hayes (@PharmERToxGuy) in a talk on black boxed medications used in the ED. We review the data underlying the FDA warning for olanzapine and benzodiazepines. Thanks for listening! Jeremy Faust and Lauren Westafer 2019-10-2921 min

FOAMcast - An Emergency Medicine PodcastBlack Box Warnings for Common ED MedicationsIn this episode covering the American College of Emergency Physicians (ACEP) 2019, we cover common black box warnings including fluoroquinolones midazolam droperidol NSAIDs and more Thanks for listening! Jeremy Faust and Lauren Westafer 2019-10-2908 min

FOAMcast - 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 min

FOAMcast - An Emergency Medicine PodcastDroperidol and ButyrophenonesWe discuss the US Food & Drug Administration's black box warning for droperidol and the evidence behind this warning. We then discuss the use of butyrophenones such as droperidol and haloperidol for the treatment of agitation, headaches, nausea and vomiting, and gastroparesis/cannabinoid hyperemesis. Thanks for listening! Jeremy Faust and Lauren Westafer 2019-09-0123 min

FOAMcast - 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 Westafer 2019-07-3122 min

FOAMcast - An Emergency Medicine Podcast2019 Mid-Year Literature ReviewIn this episode, we discuss important and "hot" articles thus far in 2019. These articles include: Testing for pulmonary embolism in pregnant patients Van der pol LM, Tromeur C, Bistervels IM, et al. Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism. N Engl J Med. 2019;380(12):1139-1149. Langlois E, Cusson-dufour C, Moumneh T, et al. Could the YEARS algorithm be used to exclude pulmonary embolism during pregnancy? Data from the CT-PE-pregnancy study. J Thromb Haemost. 2019; In Press Asymptomatic bacteriuria guidelines from the Infectious Disease Society of America (IDSA) Nicolle LE, Gupta K, Bradley SF, et...2019-07-0926 min

FOAMcast - An Emergency Medicine PodcastPsychogenic Non-epileptic Attacks (PNEA)We review the entity formally known as pseudoseizures and psychogenic non-epileptic seizures (PNES), now referred to as psychogenic non-epileptic attacks (PNEA). We discuss the history of PNEA as well as relevant literature on the diagnosis and treatment of this entity. Thanks for listening! Jeremy Faust and Lauren Westafer 2019-05-2425 min

FOAMcast - An Emergency Medicine PodcastEmergent Issues in Sickle Cell DiseaseWe review myths and reality in the management of patients with Sickle Cell Disease (SCD) Are these patients typically opioid seeking? (No) If the patient appears comfortable I should withhold proper analgesia. (No). Should IV fluids be a routine part of the cocktail for vaso-occlusive pain episodes? (No) We also review common emergencies in sickle cell disease that include Infections Acute chest syndrome Anemia (Aplastic crisis, splenic sequestration) Ischemia Strokes Avascular necrosis Renal, pulmonary, splenic infarctions Vaso-occlusive pain episodes Thanks for listening! Lauren Westafer and Jeremy Faust 2019-04-3027 min

FOAMcast - An Emergency Medicine PodcastMechanical CPR, Balloon Tamponade, and AdvocacyWe are at #SMACC in Sydney, Australia, thanks to the Rosh Review, delivering updates from the conference to your earbuds. Advocacy in Emergency Medicine - Esther Choo and Hugh Montgomery Mechanical CPR vs Manual CPR - Ken Milne vs Salim Rezaie Super sick massive GI bleeds and balloon tamponade - Sara Gray Thanks for listening! Jeremy Faust and Lauren Westafer 2019-03-2914 min

FOAMcast - An Emergency Medicine PodcastRoc vs Sux, Bougie vs Stylet, The Crashing Asthmatic at #SMACC We are at SMACC in Sydney, Australia, thanks to the Rosh Review, delivering updates from the conference to your earbuds. Today we cover resuscitation pearls. Bougie vs Standard Stylet in emergency department (ED) rapid sequence intubation (RSI) - Brian Driver vs Rich Levitan Rocuronium vs Succinylcholine Debate - Billy Mallon and Reuben Strayer The Crashing Asthmatic - Haney Mallemat Thanks for listening! Lauren Westafer and Jeremy Faust 2019-03-2816 min

FOAMcast - An Emergency Medicine Podcastanti-NMDA receptor encephalitis and communicating with patients at #smaccWe are at #smacc in Australia thanks to the Rosh Review! The opening session this morning was amazing and we can't do it justice on the podcast. Gill Hicks (@MadForPeace), a victim in the July 7, 2005 bombing attack on a London train spoke on how impactful everyone in the healthcare delivery system can be (from medics to detectives to nurses to physical therapists to physicians). Dr. Dara Kass delivered a powerful talk on vulnerability, responsibility, and lack of knowledge even in a super health care literate individual.....what it means to be a provider and a patient (and...2019-03-2710 min

TOTAL EM - Tools Of the Trade and Academic Learning in Emergency MedicinePodcast # 138 - EM ID: Diagnosing Spinal Epidural Abscess (SEA) with Lauren WestaferThanks to the talents of Patrick Bafuma (who also has the EM in Focus blog), we have a new series on the podcast called Emergency Medicine Infectious Disease (EM ID). The first podcast is with Lauren Westafer who also is part of the FOAMcast podcast and a FemInEM Speaker. These two brilliant minds got together to record a podcast on spinal epidural abscess (SEA).2019-03-1229 min

FOAMcast - An Emergency Medicine PodcastSupraventricular Tachycardia Treatment ControversiesWe have previously podcasted on tachyarrythmias (Episode 34 Tachyarrhythmias), but in this episode, we focus specifically on the treatment of supraventricular tachycardia (SVT), specifically paroxysmal SVT. We discuss the treatment options of adenosine and calcium channel blockers, weighing in with the evidence, the guidelines, and some opinion. Thanks for listening! Lauren Westafer and Jeremy Faust Thanks to Figure 1 for supporting this episode. We do not make money off of this podcast, this support is just for operational costs associated with the podcast.2019-02-1828 min

FOAMcast - An Emergency Medicine PodcastFluoroquinolones and Aortic PathologyThe US Food and Drug Administration (FDA) recently released another warning for fluoroquinolones, this time regarding aortic dissection and aneurysm. We review the evidence behind this warning, including the following studies: Lee CC Risk of Aortic Dissection and Aortic Aneurysm in Patients Taking Oral Fluoroquinolone. JAMA Intern Med. 2015;175(11):1839-47. Lee CC Oral Fluoroquinolone and the Risk of Aortic Dissection. J Am Coll Cardiol. 2018;72(12):1369-1378. Pasternak B Fluoroquinolone use and risk of aortic aneurysm and dissection: nationwide cohort study. BMJ. 2018;360:k678. We then review the ACEP clinical policy on aortic dissection covering risk sco...2019-01-3125 min

FOAMcast - An Emergency Medicine PodcastACEP Non-ST Elevation Acute Coronary Syndrome GuidelinesWe cover the clinical policy from the American College of Emergency Physicians - Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes In adult patients without evidence of ST-elevation acute coronary syndrome, can initial risk stratification be used to predict a low rate of 30-day major adverse cardiac events? Use HEART score ≤3 In adult patients with suspected acute non–ST-elevation acute coronary syndromes, can troponin testing within 3 hours of emergency department presentation be used to predict a low rate of 30-day major adverse cardiac events?2018-12-2731 min

FOAMcast - An Emergency Medicine PodcastMedicated Assisted Treatment (MAT)We discuss Medicated Assisted Treatment (MAT) for opioid use disorder (OUD) including buprenorphine initiated from the emergency department. This show was sponsored by Figure 1, a free open access application for providers using images and cases Thanks for listening! Jeremy Faust and Lauren Westafer References: Berg ML, Idrees U, Ding R, Nesbit SA, Liang HK, and McCarthy ML. Evaluation of the use of buprenorphine for opioid withdrawal in an emergency department. Drug Alcohol Depend. 2007;86(2-3):239-44. doi:10.1016/j.drugalcdep.2006.06.014. Mattick RP, Breen C, Kimber J, Davoli M. Buprenorphine maintenance versus placebo o...2018-11-2026 min

FOAMcast - An Emergency Medicine PodcastMagnesium The Free Open Access Medical Education (FOAM) world is often obsessed with magnesium. In this show we address the use of magnesium for various applications. Magnesium for Acute Atrial Fibrillation with Rapid Ventricular Response (RVR) Bouida et al. LOw dose MAGnesium sulfate versus HIgh dose in the early management of rapid atrial fibrillation: randomised controlled double blind study. Acad Emerg Med. 2018 Jul 19. Ho KM, Sheridan DJ, Paterson T. Use of intravenous magnesium to treat acute onset atrial fibrillation: a meta-analysis. Heart. 2007;93(11):1433-40. Davey MJ, Teubner D. A randomized controlled trial of magnesium sulfate, in addition to u...2018-10-2231 min

FOAMcast - An Emergency Medicine Podcast2018 Literature UpdateIn this episode we highlight key articles in Emergency Medicine that came out, thus far, in 2018. D'souza et al. Effects of prophylactic anticholinergic medications to decrease extrapyramidal side effects in patients taking acute antiemetic drugs: a systematic review and meta-analysis Emerg Med J. 2018;35(5):325-331. Driver et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA. 2018;319(21):2179-2189. Atkinson PR, Milne J, Diegelmann L, et al. Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Pat...2018-10-1631 min

FOAMcast - An Emergency Medicine PodcastMyths in imaging and pediatricsWe bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight: Myths in diagnostic imaging Torsion ultrasound is insensitive CTPA for PE is not perfect. There are false positives AND false negatives Myths in pediatrics Response to antipyretics does NOT make viral infection more likely Juice in kids with gastroenteritis is a great way to rehydrate them Kids don't have to wait 24 hours on antibiotics for strep throat before returning to school, if they got 50 mg/kg amoxicillin prior to 5pm the night before...2018-10-0311 min

FOAMcast - An Emergency Medicine PodcastErrors in CYA Medicine and BiomarkersWe bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight: Problems with CYA (Cover your a$$) medicine such as admissions Problems with lactate, procalcitonin, and other biomarkers Thanks for listening! Jeremy Faust and Lauren Westafer 2018-10-0315 min

FOAMcast - An Emergency Medicine Podcastsevere pediatric head trauma, aortic dissection diagnostics, and chest tubesWe bring you pearls from the American College of Emergency Physicians (ACEP) 2018 Scientific Assembly in San Diego, CA. In this episode we highlight: Severe pediatric brain injury, tips for management and preventing badness Aortic dissection diagnostics Chest tube pearls Thanks for listening! Jeremy Faust and Lauren Westafer 2018-10-0217 min

FOAMcast - 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 min

FOAMcast - An Emergency Medicine PodcastCorneal EmergenciesWe review one of the editors top picks from Annals of Emergency Medicine, which are free for 6 months from issue release. The article covered in this podcast is Waldman et al, is a study of tetracaine in corneal abrasions. We also review commonly encountered corneal emergencies: Corneal abrasions Corneal ulcers and herpes keratoconjunctivitis. Thanks for listening! Jeremy Faust and Lauren Westafer 2018-07-2030 min

FOAMcast - 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 Westafer 2018-06-1824 min

FOAMcast - An Emergency Medicine PodcastACEP Pulmonary Embolism Policy + Risk Stratifying PEWorkup for pulmonary embolism (PE) is common (perhaps too common) in the United States. The American College of Emergency Physicians has released a clinical policy on pulmonary embolism. We cover this policy as well as core content on PE risk stratification and "rule out" Thanks for listening, Jeremy Faust and Lauren Westafer 2018-05-1632 min

FOAMcast - An Emergency Medicine PodcastThe Lactating Emergency Department PatientWe cover the emergency department care of lactating patients including Medications during breastfeeding - who should "pump and dump"? (spoiler: very few people, check LactMed or InfantRisk) Mastitis & Breast Abscesses Emergency Department Support Thanks for listening! Jeremy Faust and Lauren Westafer 2018-05-0120 min

FOAMcast - 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 Westafer 2018-04-0112 min

FOAMcast - An Emergency Medicine PodcastEpisode 78 - InfluenzaWe tackle some free open access medical education from the CDC on the flu vaccine, including: Recommendations that individuals with any severity of egg allergy (including anaphylaxis) receive the flu vaccine. The only modification that needs to occur is patients with a history of true anaphylaxis to eggs should be given the flu shot in a setting where they can be monitored by a healthcare professional if needed (i.e. a doctor's office). It is very unlikely that the flu vaccine causes Guillan-Barre Syndrome (GBS). If there is any increase as a result of the flu shot, it i...2018-02-2424 min

FOAMcast - An Emergency Medicine PodcastEpisode 77 - Alcohol WithdrawalOver at the Pulmcrit blog, Dr. Josh Farkas has proposed the use of phenobarbital monotherapy for the treatment of ethanol withdrawal and we cover this protocol. We then dive into core content alcohol withdrawal using Rosen’s Emergency Medicine (9th ed) Chapter 142 , Tintinalli’s Emergency Medicine (8th ed) Chapter 292, and Goldfrank's Toxicologic Emergencies (10th ed) Chapter 81 as guides. Thanks for listening, Lauren Westafer and Jeremy Faust 2018-01-1424 min

FOAMcast - An Emergency Medicine PodcastEpisode 76 - Pneumoperitoneum, Gastritis, PUDWe discuss ultrasound diagnosis of pneumoperitoneum using a podcast from 5MinSono. Then we delve into core content on gastritis, PUD, and helicobacter pylori using Rosen's Ch 78 and Tintinalli's Ch 79 as guides. Thank for listening! Jeremy Faust and Lauren Westafer 2017-12-0522 min

FOAMcast - An Emergency Medicine PodcastEpisode 75 - Mass Casualty IncidentsWe cover Free Open Access Medical Education (FOAM) on mass casualty incidents, an unfortunate reality in the current United States climate (and elsewhere). There is a must read (truly, emergency providers really should read this) in EP Monthly by Dr.Kevin Menes, “How One Las Vegas ED Saved Hundreds of Lives After the Worst Mass Shooting in U.S. History”. He details his process in running the Emergency Department that evening. We cover pearls from other great resources include a post on the St. Emlyn's blog, "Mass Casualty Incidents: Lessons from the AAST" and a free EBMedicine articl...2017-11-2022 min

FOAMcast - An Emergency Medicine PodcastACEP 2017 - In flight emergencies, CT scans, and pedsWe bring you pearls from the American College of Emergency Physicians (ACEP) 2017 Scientific Assembly. We cover in-flight emergencies, need for contrast enhanced CT scans, bronchiolitis and sucrose for infants Thanks for listening! Jeremy Faust and Lauren Westafer 2017-11-0414 min

FOAMcast - An Emergency Medicine PodcastACEP 2017 - Critical Care Updates and Pediatric PitfallsWe cover top pearl from the American College of Emergency Physicians (ACEP) Scientific Assembly 2017. Dr. Michael Winters - Critical Care Updates Dr. Tim Horeczko - Pediatric Pitfalls Thanks for listening! Jeremy Faust and Lauren Westafer 2017-10-3012 min

FOAMcast - An Emergency Medicine PodcastEpisode 74 - Physostigmine and Anticholinergic ToxidromeWe review this blog post by Bryan Hayes, an ED pharmacist (@PharmERToxGuy), on the use of physostigmine in anticholinergic toxicity. We then review anticholinergic toxidrome using Rosen's, Tintinalli's, and Goldfrank's as a guide. Thanks for listening! Lauren Westafer and Jeremy Faust 2017-09-1521 min

FOAMcast - An Emergency Medicine PodcastEpisode 73 - Gastroparesis & Biliary PathologyWe review gastroparesis treatment with haloperidol including a recent study by Ramirez and colleagues. This study had significant methodologic limitations but provides some interesting insight into a practice that many providers have adopted - using haloperidol for gastroparesis. A tiny RCT by Roldan and colleagues also looked at this practice and found promising results, although the study was very small. Haloperidol has also been used in cannabinoid hyperemesis but literature on this is limited to case reports/series. We also cover core content on biliary pathology using Tintinalli and Rosen's as guides. Thanks for listening!2017-09-0123 min

FOAMcast - 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 WEstafer 2017-08-1821 min

FOAMcast - An Emergency Medicine PodcastEpisode 71 - OpioidsWe cover Free Open Access Medical Education on opioids. The Poison Review podcast reviews papers on the opioid epidemic, including a paper by Rudd et al demonstrating an increase in opioid-related deaths over the past five years as well as the following paper by Shah and colleagues. The Dantastic Mr. Tox and Howard, a new podcast on the scene, also covers multiple topics on opioids, including common misconceptions of tramadol. Then we cover core content on opioid overdose and withdrawal using Rosen's Emergency Medicine (9th ed) Chapter 156 and Tintinalli's Emergency Medicine (8th ed), Chapter 186 as a guide.2017-07-3128 min

FOAMcast - An Emergency Medicine Podcast#dasSMACC - Dunning-Kruger, Ultrasound, and Critical CareWe are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference. Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn't wait. We cover... One of the major themes of #dasSMACC has been - we are more overconfident in our knowledge, skills, ability, and good behavior than we actually demonstrate. We cover the Dunning-Kruger effect and how to help combat the notion that "this happens to other people, not me." Dr...2017-06-2915 min

FOAMcast - An Emergency Medicine Podcast#dasSMACC - PE with Right Heart Thrombus, Pediatric Cardiology Emergencies, and TEE in Cardiac ArrestWe are in Berlin for #dasSMACC and have lots of pearls to share from the speakers at this amazing conference. Talks will be released for free on the SMACC podcast over the next year, but this podcast holds some pearls that we thought couldn't wait. We cover... Dr. Leanne Harnett on Pulmonary Embolism with Right Heart Thrombus (PE with RHT) Dr. Michele Domico on Pediatric Cardiology Emergencies Dr. Haney Mallemat (@CriticalCareNow) on Transesophageal Echocardiography (TEE) during Cardiac Arrest Thanks for listening! Jeremy Faust and Lauren We...2017-06-2828 min

FOAMcast - 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 Westafer 2017-06-2717 min

FOAMcast - 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 Faust 2017-06-0512 min

FOAMcast - 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 Faust 2017-05-1523 min

FOAMcast - An Emergency Medicine PodcastEpisode 69 - Urinary Tract InfectionWe cover Free Open Access Medical Education (FOAM) from a recent Emergency Medicine Cases podcast and First10inEM blog post by Dr. Justin Morganstern regarding urinary tract infections (UTIs). This podcast and blog tackle common issues in UTI diagnosis and treatment, including the following points: UTI is a clinical diagnosis, a dirty urine does not mean the patient has a UTI Urinalyses are more complicated to interpret than we probably understand Then we cover core content from Rosen’s Emergency Medicine (8th ed), Chapter 99; Tintialli's Emergency Medicine (8th ed), Chapter 91; IDSA Guidelines for Treatment and Asymptomatic Bacteriuria 2017-05-0629 min

FOAMcast - 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 Faust 2017-04-2626 min

FOAMcast - 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 min

FOAMcast - 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 Faust 2017-03-1229 min

FOAMcast - An Emergency Medicine PodcastEpisode 65 - Contrast Induced Nephropathy and Genitourinary Trauma We cover Free Open Access Medical Education (FOAM) on Contrast-Induced Nephropathy (CIN). Recent interes The American College of Radiology (ACR) Manual on Contrast Induced Nephropathy This Emergency Medicine Literature of Note post covers the AMACING trial, which looks at intravenous fluid administration (0.9% NaCl) versus usual care in patients "at risk" for CIN undergoing contrast-enhanced CT scan. The study found a difference of -0.1% (95% CI -2.25 to 2.06), which was below the non-inferiority margin. Prior literature shows similar results, with no clear-cut efficacy from prevention strategies for CIN. This post by Dr. Joel Topf...2017-02-2822 min

FOAMcast - An Emergency Medicine PodcastEpisode 64 - Lumbar Punctures and MeningitisUltrasound is gaining popularity in assisting lumbar punctures (LPs). We review this technique as well as Free Open Access Medical Education (FOAM) from the following sites: 5 Min Sono, Sinai EM, and PEM pearls from ALiEM. We then delve into core content on meningitis, encephalitis, and antiNMDA receptor encephalitis using Rosen's Chapter 109 and Tintinalli's Chapters 117 and 174 as a guide. Thanks for listening! Jeremy Faust and Lauren Westafer 2017-02-1828 min

FOAMcast - An Emergency Medicine PodcastEpisode 63 - BradycardiasWe cover FOAM on transvenous pacing from Ultrasound Podcast, Dr. Jason Nomura, and Dr. Al Sachetti Then, we delve into basics on bradycardias using Rosen's Emergency Medicine and Tintinalli's as a guide. Thanks for listening! Jeremy Faust and Lauren Westafer 2017-01-2423 min

FOAMcast - 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 Westafer 2017-01-1918 min

FOAMcast - An Emergency Medicine PodcastBest Pearls and Biggest Trends of 2015In this special episode we review some of the top items of 2015* David Newman: Opioids for back pain - falling out of favor. Risk stratifying (and testing) low risk chest pain. Haney Mallemat: Peripheral vasopressors may be ready for prime time FAST guided resuscitative thoracotomy (No cardiac activity and no effusion? No thoracotomy). Movement towards less volume in sepsis (ex: in PROMISE trial average patient got 6L over 72 h) Michelle Lin Merging of FOAM with traditional journals Merging of FOAM resources into conglomerates More medical education FOAM (ex: ICEnet, EMin5) Rob O...2016-01-0419 min