Recommendations for the use of steroids in community-acquired pneumonia have been mixed. This episode reviews a large multicenter randomized trial in the New England Journal of Medicine by Dequin et al on hydrocortisone for severe community-acquired pneumonia.  References/show notes: FOAMcast.org  Thanks for listening! Lauren Westafer

Recommendations for the use of steroids in community-acquired pneumonia have been mixed. This episode reviews a large multicenter randomized trial in the New England Journal of Medicine by <a href="https://www.nejm.org/doi/10.1056/NEJMoa2215145" rel="noopener nofollow" target="_blank">Dequin et al</a> on hydrocortisone for severe community-acquired pneumonia.  References/show notes: <a href="http://www.foamcast.org" rel="noopener nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Lauren Westafer

Steroids for Severe Community Acquired Pneumonia

In this episode we review the CLOVERS trial, a randomized trial of early (first 24 hours) restrictive versus liberal fluids.  Show notes/references: FOAMcast.org Thanks for listening! Jeremy Faust + Lauren Westafer

In this episode we review the <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2212663" rel="noopener nofollow" target="_blank">CLOVERS trial</a>, a randomized trial of early (first 24 hours) restrictive versus liberal fluids.  Show notes/references: <a href="http://FOAMcast.org" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Jeremy Faust + Lauren Westafer

CLOVERS Trial: Restricted vs Liberal Fluids in Sepsis-Induced Hypotension

This episode reviews guideline recommendations and literature on the management of acute, uncomplicated diverticulitis - highlighting the recommendations to only prescribe antibiotics to select patients. References/Show Notes: FOAMcast.org Thanks for listening! Lauren WEstafer

This episode reviews guideline recommendations and literature on the management of acute, uncomplicated diverticulitis - highlighting the recommendations to only prescribe antibiotics to select patients. References/Show Notes: <a href="http://www.foamcast.org" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Lauren WEstafer

Management of Acute, Uncomplicated Diverticulitis

This episode reviews a shift from the "lethal triad" in trauma to the "diamond of death," exploring the role of calcium in hemostasis and critically ill patients. We review the literature that is available on hypocalcemia and trauma patients References/show notes: FOAMcast.org Thanks for listening! Lauren Westafer

This episode reviews a shift from the "lethal triad" in trauma to the "diamond of death," exploring the role of calcium in hemostasis and critically ill patients. We review the literature that is available on hypocalcemia and trauma patients References/show notes: <a href="http://www.foamcast.org" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Lauren Westafer

The "Diamond of Death" in Trauma - Hypocalcemia

This episode is a departure from the typical FOAMcast clinical content, we will be back with strictly clinical content soon. In May 2022, I came across a fellow passenger and stranger in cardiac arrest in the airport. A small team of strangers, including an emergency medicine resident, Dr. Jason Tanner, and an emergency department technician, Angel, assembled to treat this passenger. Billy Frolick, a writer and our patient that day, shares his perspective on his case with us.  In addition, we highlight important clinical pearls, notably the importance of continuous chest compressions and early defibrillation. For more on not doing pulse checks, see this podcast:  https://foamcast.org/2022/09/04/pulse-checks-during-cardiopulmonary-resuscitation/ .

This episode is a departure from the typical FOAMcast clinical content, we will be back with strictly clinical content soon. In May 2022, I came across a fellow passenger and stranger in cardiac arrest in the airport. A small team of strangers, including an emergency medicine resident, Dr. Jason Tanner, and an emergency department technician, Angel, assembled to treat this passenger. Billy Frolick, a writer and our patient that day, shares his perspective on his case with us.  In addition, we highlight important clinical pearls, notably the importance of continuous chest compressions and early defibrillation. For more on not doing pulse checks, see this podcast: <a href="https://foamcast.org/2022/09/04/pulse-checks-during-cardiopulmonary-resuscitation/" rel="nofollow" target="_blank"> https://foamcast.org/2022/09/04/pulse-checks-during-cardiopulmonary-resuscitation/</a> .

A Cardiac Arrest Story: Patient Interview

This episode covers the 2022 American College of Emergency Physicians (ACEP) clinical policy on acute heart failure syndromes with a special focus on high dose nitrates References and Show Notes: FOAMcast.org Thanks for listening! Lauren Westafer

This episode covers the 2022 American College of Emergency Physicians (ACEP) clinical policy on acute heart failure syndromes with a special focus on high dose nitrates References and Show Notes: <a href="http://www.foamcast.org" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Lauren Westafer

ACEP Heart Failure Clinical Policy & High Dose Nitrates

In this episode, we review the largest trial of double sequential external defibrillation (DSED) and vector change (VC) defibrillation for refractory ventricular fibrillation (VFib): Cheskes S, Verbeek PR, Drennan IR, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022;387(21):1947-1956. Show notes, references, &amp; infographics: FOAMcast.org Thanks for listening! Jeremy Faust &amp; Lauren Westafer

In this episode, we review the largest trial of double sequential external defibrillation (DSED) and vector change (VC) defibrillation for refractory ventricular fibrillation (VFib): Cheskes S, Verbeek PR, Drennan IR, et al. <a href="https://www.ncbi.nlm.nih.gov/pubmed/36342151" rel="noreferrer noopener nofollow" target="_blank">Defibrillation Strategies for Refractory Ventricular Fibrillation</a>. N Engl J Med. 2022;387(21):1947-1956. Show notes, references, &amp; infographics: <a href="http://www.foamcast.org" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Jeremy Faust &amp; Lauren Westafer

Refractory Ventricular Fibrillation & Double Sequential Defibrillation

The American College of Cardiology released a new consensus statement endorsing several signs on the electrocardiogram (ECG) as "STEMI Equivalents." In this podcast, we review these signs. Show notes / graphics / references: FOAMcast.org Thanks for listening! Lauren Westafer

The American College of Cardiology released <a href="https://pubmed.ncbi.nlm.nih.gov/36241466/" rel="nofollow" target="_blank">a new consensus statement</a> endorsing several signs on the electrocardiogram (ECG) as "STEMI Equivalents." In this podcast, we review these signs. Show notes / graphics / references: <a href="http://www.foamcast.org" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Lauren Westafer

STEMI Equivalent Update - 2022 ACC Consensus Statement

Since 2010, the American Heart Association guidelines for cardiopulmonary resuscitation (CPR) have de-emphasized pulse checks - such that they recommend against routine pulse checks. Despite this recommendation, may individuals and institutions continue to perform pulse checks. This episode reviews the recommendations and the literature. References/show notes: FOAMcast.org Thanks for listening! Lauren Westafer

Since 2010, the American Heart Association guidelines for cardiopulmonary resuscitation (CPR) have de-emphasized pulse checks - such that they recommend against routine pulse checks. Despite this recommendation, may individuals and institutions continue to perform pulse checks. This episode reviews the recommendations and the literature. References/show notes: <a href="http://www.foamcast.org" rel="noopener nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Lauren Westafer

Pulse Checks During Cardiopulmonary Resuscitation

There is a global outbreak of human monkeypox virus cases. In this episode we provide a quick summary of monkeypox to date. Check out our two more in-depth episodes on the topic.  References/Show notes: FOAMcast.org Thanks for listening! Jeremy Faust &amp; Lauren Westafer

There is a global outbreak of human monkeypox virus cases. In this episode we provide a quick summary of monkeypox to date. Check out our two more in-depth episodes on the topic.  References/Show notes: <a href="http://www.foamcast.org/" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Jeremy Faust &amp; Lauren Westafer

Monkeypox Quick Summary

We  believe in the educational merits of Free Open Access Medical education (FOAM), which includes podcasts, blogs, articles on PubMed Central, conferences streamed for free and more.  As a result, we would like to encourage others to move beyond quoting podcasts and into the realm of tying “cutting edge” FOAM to the core content.  We’ll provide some review and references for listeners to go read.  Why, indeed, should we FOAM it alone when FOAM can inspire us to go, read, think, and be excellent?

Thanks so much for keeping up with updates/evidence ! Very appreciative!

Covid

Information is usually useful. Could do without sarcastic anti-American comments.

Stick with medical teaching

FOAMcast -  An Emergency Medicine Podcast

This week we review a post by Brent Reed on Academic Life in EM, covering pharmacologic management of atrial fibrillation.   Then, we delve into core content Emergency Medicine cardiology using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover atrial fibrillation, atrial flutter, and, everyone's favorite, multifocal atrial tachycardia. Key Texts: Tintinalli (7e): Ch ; Rosen's (8e) Ch  As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

This week we review a post by Brent Reed on Academic Life in EM, covering pharmacologic management of atrial fibrillation.   Then, we delve into core content Emergency Medicine cardiology using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover atrial fibrillation, atrial flutter, and, everyone's favorite, multifocal atrial tachycardia. Key Texts: Tintinalli (7e): Ch ; Rosen's (8e) Ch  As always, visit <a href="http://www.foamcast.org/" rel="nofollow" target="_blank">foamcast.org </a>for show notes and the generously donated Rosh Review questions.

Episode 15 - Atrial Fibrillation/Flutter

Over 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

Over at the Pulmcrit blog, Dr. Josh Farkas has proposed the use of <a href="https://emcrit.org/pulmcrit/phenobarbital-reloaded/#comment-274039" rel="noopener nofollow" target="_blank">phenobarbital monotherapy</a> 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

Episode 77 - Alcohol Withdrawal

We cover a post by Dr. Rory Spiegel, EMNerd: The Case of Differing Perspectives, on the results of the ATACH-2 trial on blood pressure control in intracranial hemorrhage (ICH). This study sought to determine the safety and efficacy of the Population: adults (&gt;18 y/o) with ICH on CT scan, GCS ≥ 5 and

We cover a post by Dr. Rory Spiegel, <a href="http://emcrit.org/emnerd/46147/" rel="nofollow" target="_blank">EMNerd: The Case of Differing Perspectives</a>, on the results of the ATACH-2 trial on blood pressure control in intracranial hemorrhage (ICH). This study sought to determine the safety and efficacy of the Population: adults (&gt;18 y/o) with ICH on CT scan, GCS ≥ 5 and

Episode 53 - Intracranial Hemorrhage

We 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.

We have previously podcasted on tachyarrythmias (<a href="https://foamcast.org/2015/09/09/episode-34-tachyarrhythmias/" rel="nofollow" target="_blank">Episode 34 Tachyarrhythmias)</a>, 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 <a href="https://app.figure1.com/rd/images/555e3aad61f42f4c6fb6ae6d?utm_source=figure1share&amp;utm_medium=Web&amp;utm_campaign=copylink" rel="nofollow" target="_blank"> Figure 1</a> for supporting this episode. We do not make money off of this podcast, this support is just for operational costs associated with the podcast.

Supraventricular Tachycardia Treatment Controversies

This week we review Dr. Josh Farkas's PulmCrit blog posts, Renal microvascular hemodynamics in sepsis: a new paradigm and Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications in which he posits that renal protection in sepsis may prove beneficial for patients.   Then, we delve into core content pearls on acute kidney injury using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) as a guide.   As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

This week we review Dr. Josh Farkas's PulmCrit blog posts,<a href="http://toxtalk.org/archives/347#.VHFPhZPF_6Q" rel="nofollow" target="_blank"> </a><a href="http://www.pulmcrit.org/2014/12/renal-microvascular-hemodynamics-in.html" rel="nofollow" target="_blank">Renal microvascular hemodynamics in sepsis: a new paradigm</a> and <a href="http://www.pulmcrit.org/2014/12/renoresuscitation-sepsis-resuscitation.html" rel="nofollow" target="_blank">Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications</a> in which he posits that renal protection in sepsis may prove beneficial for patients.   Then, we delve into core content pearls on acute kidney injury using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) as a guide.   As always, visit<a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> foamcast.org</a><a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> </a>for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 21 - Acute Kidney Injury

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 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

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 the NEJM article by <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2007016?query=featured_coronavirus" rel="nofollow" target="_blank"> Grien et al</a> on the compassionate use of remdesivir in COVID-19  Show notes: <a href="http://www.foamcast.org/" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening, Lauren Westafer and Jeremy Faust *Recorded 4.10.20

COVIDcast - Remdesivir

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

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

Olanzapine + Benzodiazepines - What is the FDA warning about?

We 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 Thanks for listening! Jeremy Faust and Lauren Westafer

We cover Free Open Access Medical Education (FOAM) from a recent <a href="https://emergencymedicinecases.com/uti-myths-misconceptions/" rel="nofollow" target="_blank">Emergency Medicine Cases podcast</a> and <a href="https://first10em.com/2017/04/15/uti-more-than-you-ever-wanted-to-know/" rel="nofollow" target="_blank">First10inEM blog post</a> 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: <ul> <li>UTI is a clinical diagnosis, a dirty urine does not mean the patient has a UTI</li> <li>Urinalyses are more complicated to interpret than we probably understand</li> </ul> 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 <a href="https://academic.oup.com/cid/article-lookup/52/5/e103" rel="nofollow" target="_blank">Treatment</a> and <a href="https://doi.org/10.1086/427507" rel="nofollow" target="_blank">Asymptomatic Bacteriuria</a> Thanks for listening! Jeremy Faust and Lauren Westafer

Episode 69 - Urinary Tract Infection

This week we cover posts from the Wessex ICS site, The Bottom Line, which is an excellent source for breakdown of recent and important trials. We cover their post on a systematic review of peripheral pressor complications (Loubani et al) and then we delve into a recent prospective trial by Cardenas-Garcia and colleagues that came up at SMACC. Then we review peripheral vasopressors using Tintinalli and Rosen's Emergency Medicine as a guide.  We have Rosh Review questions and more available on our website, FOAMcast.org. Thanks y'all! -Jeremy Faust and Lauren Westafer

This week we cover posts from the Wessex ICS site, The Bottom Line, which is an excellent source for breakdown of recent and important trials. We cover their post on a <a href="http://www.wessexics.com/The_Bottom_Line/Review/index.php?id=6892495633638977747" rel="nofollow" target="_blank">systematic review </a>of peripheral pressor complications (<a href="https://www.google.com/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=1&amp;cad=rja&amp;uact=8&amp;ved=0CB8QFjAAahUKEwjyivSZs_bGAhXFzIAKHZ5BDNU&amp;url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F25669592&amp;ei=vJCzVfK8EcWZgwSeg7GoDQ&amp;usg=AFQjCNHvLSheFwbFCSWPB0pVxsCpacK4vw&amp;sig2=yY6vGxlIRETkU7kR7aGQOA&amp;bvm=bv.98717601,d.eXY" rel="nofollow" target="_blank">Loubani et al</a>) and then we delve into a recent prospective trial by <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=26014852" rel="nofollow" target="_blank">Cardenas-Garcia</a> and colleagues that came up at SMACC. Then we review peripheral vasopressors using Tintinalli and Rosen's Emergency Medicine as a guide.  We have Rosh Review questions and more available on our website, <a href="http://www.foamcast.org" rel="nofollow" target="_blank">FOAMcast.org</a>. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 31 - Vasopressors

This week we review Dr. Salim Rezaie's REBEL Cast Episode 1 on Biphasic Anaphylaxis Then, we delve into core content allergy/immunology pearls on Anaphylaxis and Angioedema using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) Key Texts: Tintinalli (7e): Ch 27; Rosen's (8e) Ch 119 As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

This week we review <a href="rebelem.com/rebelcast-episode-1/" rel="nofollow" target="_blank">Dr. Salim Rezaie's REBEL Cast Episode 1</a> on Biphasic Anaphylaxis Then, we delve into core content allergy/immunology pearls on Anaphylaxis and Angioedema using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) Key Texts: Tintinalli (7e): Ch 27; Rosen's (8e) Ch 119 As always, visit <a href="http://www.foamcast.org/" rel="nofollow" target="_blank">foamcast.org </a>for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 12 - Back to Biphasics (Allergy Pearls)

We 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

We review recent discussions on the accuracy of cuff blood pressures including a meta-analysis <a href="https://www.ncbi.nlm.nih.gov/pubmed/28750701" rel="noopener nofollow" target="_blank">Picone et al</a> 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 <a href="http://www.foamcast.org" rel="nofollow" target="_blank">FOAMcast.org</a> Thanks for listening! Jeremy Faust and Lauren WEstafer

Episode 72 - Hypertension

We review thisa post from Dr. Charles Bruen of Resus Review on Malignant Hyperthermia and dantrolene. Then, we delve into core content pearls on polypharmacy -  serotonin syndrome, neuroleptic malignant syndrome, and extrapyramidal side effects.  We do this using Tintinalli and Rosen's as guides.  As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

We review thisa post from Dr. Charles Bruen of <a href="http://www.resusreview.com" rel="nofollow" target="_blank">Resus Review</a> on <a href="http://resusreview.com/2015/dantrolene-malignant-hyperthermia/" rel="nofollow" target="_blank">Malignant Hyperthermia and dantrolene</a>. Then, we delve into core content pearls on polypharmacy -  serotonin syndrome, neuroleptic malignant syndrome, and extrapyramidal side effects.  We do this using Tintinalli and Rosen's as guides.  As always, visit<a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> foamcast.org</a><a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> </a>for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 28 - Neuroleptic Malignant & Serotonin Syndrome

We 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

We discuss ultrasound diagnosis of pneumoperitoneum using a podcast from <a href="http://5minsono.com/pneumoperitoneum/" rel="noopener nofollow" target="_blank">5MinSono.</a> 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

Episode 76 - Pneumoperitoneum, Gastritis, PUD

Workup 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

Workup for pulmonary embolism (PE) is common (perhaps too common) in the United States. The American College of Emergency Physicians has released a <a href="https://www.acep.org/patient-care/clinical-policies/acute-venous-thromboembolic-disease/" rel="nofollow" target="_blank"> clinical policy</a> 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

ACEP Pulmonary Embolism Policy + Risk Stratifying PE

This week we review the Taming the SRU podcast, "Ketamine Cagematch" (iTunes) in which Drs. Minh Le Cong and Chris Zammit banter about the use of ketamine in patients with traumatic brain injury (TBI).  Then, we delve into core content pearls on concussion/mild TBI including diagnosis, treatment, and complications using Tintinalli 254 but to be honest, Rosenalli is lacking on this topic so we've turned to the ACEP clinical policy, AAN guidelines, Ontario Pediatric Guidelines, and the  AAP guidelines on the topic. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

This week we review the Taming the SRU podcast, "<a href="http://www.tamingthesru.com/blog/prehospital-medicine/ketamineintbi" rel="nofollow" target="_blank">Ketamine Cagematch</a>" (<a href="https://itunes.apple.com/us/podcast/tamingthesru/id732952768" rel="nofollow" target="_blank">iTunes</a>) in which Drs. Minh Le Cong and Chris Zammit banter about the use of ketamine in patients with traumatic brain injury (TBI).  Then, we delve into core content pearls on concussion/mild TBI including diagnosis, treatment, and complications using Tintinalli 254 but to be honest, Rosenalli is lacking on this topic so we've turned to the <a href="http://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Decisionmaking-in-Adult-Mild-Traumatic-Brain-Injury-in-the-Acute-Setting/" rel="nofollow" target="_blank">ACEP clinical policy</a>, <a href="http://www.neurology.org/content/80/24/2250.full" rel="nofollow" target="_blank">AAN guidelines</a>, <a href="http://onf.org/system/attachments/266/original/GUIDELINES_for_Diagnosing_and_Managing_Pediatric_Concussion_Recommendations_for_HCPs__v1.1.pdf" rel="nofollow" target="_blank">Ontario Pediatric Guidelines</a>, and the  AAP guidelines on the topic. As always, visit<a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> foamcast.org</a><a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> </a>for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 24 - Concussion/Mild Traumatic Brain Injury

This week we review Dr. Rory Spiegel's EMNerd blog post, A Case of Identity Part Two, on dual antiplatelet therapy for ACS and MI.   Dual antiplatelet therapy, often aspirin + P2Y12 inhibitors, although commonly used, do not affect mortality and have questionable benefit but are associated with risks of bleeding.  Then, we delve into core content pearls on anticoagulation including aspirin, ibuprofen, and novel oral anticoagulants using Rosenalli  (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) and Goldrank (10th ed) Chapter 60 and EMPractice October 2013 as a guide.   As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

This week we review Dr. Rory Spiegel's <a href="http://emnerd.com/" rel="nofollow" target="_blank">EMNerd</a> blog post,<a href="http://toxtalk.org/archives/347#.VHFPhZPF_6Q" rel="nofollow" target="_blank"> </a><a href="http://emnerd.com/case-identity-part-two/" rel="nofollow" target="_blank">A Case of Identity Part Two</a>, on dual antiplatelet therapy for ACS and MI.  <ul> <li>Dual antiplatelet therapy, often aspirin + P2Y12 inhibitors, although commonly used, do not affect mortality and have questionable benefit but are associated with risks of bleeding.</li> </ul> Then, we delve into core content pearls on anticoagulation including aspirin, ibuprofen, and novel oral anticoagulants using Rosenalli  (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) and Goldrank (10th ed) Chapter 60 and EMPractice October 2013 as a guide.   As always, visit<a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> foamcast.org</a><a href="http://www.foamcast.org/" rel="nofollow" target="_blank"> </a>for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 20 - Anticoagulation

In this episode, we cover the St. Emlyn's team's post on the REVERT trial, which added a new spin to the traditional (and traditionally ineffective) Valsalva maneuver for stable supraventricular tachycardia (SVT). In this post, Dr. Rick Body goes through the trial covering not only the results and also drops pearls on methodology. Then, we cover core content pearls on supraventricular tachycardia and ventricular tachycardia. Visit foamcast.org for more as well as generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

In this episode, we cover the <a href="http://stemlynsblog.org/" rel="nofollow" target="_blank">St. Emlyn's</a> team's <a href="http://stemlynsblog.org/the-revert-trial/" rel="nofollow" target="_blank">post</a> on the <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=26314489" rel="nofollow" target="_blank">REVERT trial</a>, which added a new spin to the traditional (and traditionally ineffective) Valsalva maneuver for stable supraventricular tachycardia (SVT). In this post, Dr. Rick Body goes through the trial covering not only the results and also drops pearls on methodology. Then, we cover core content pearls on supraventricular tachycardia and ventricular tachycardia. Visit <a href="http://www.foamcast.org" rel="nofollow" target="_blank">foamcast.org</a> for more as well as generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 34 - Tachyarrythmias

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

We review the FOAM video by Dr. Anna Pickens of <a href="http://EMin5.com" rel="nofollow" target="_blank">EMin5.com</a> on "<a href="https://emin5.com/2016/05/01/special-seizures/" rel="nofollow" target="_blank">Special Seizures</a>" including hyponatremia, isoniazid toxcitiy, alcohol withdrawal, and eclampsia. Then we review core content on seizures using Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review. Thanks for listening! Jeremy Faust and Lauren Westafer

Episode 50 - Seizures

This week we review Dr. Scott Weingart's EMcrit episode, The First Prehospital REBOA Then, we delve into core content pearls on the spleen using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover splenic trauma and lacerations, post-splenectomy sepsis, and splenic sequestration. Key Texts: Rosen's Chapter 46, 134 and Tintinalli Chapter 260. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

This week we review Dr. Scott Weingart's EMcrit episode,<a href="http://blog.ercast.org/really-sinus-headache/" rel="nofollow" target="_blank"> </a><a href="http://emcrit.org/podcasts/emcrit-podcast-133-first-prehospital-reboa/" rel="nofollow" target="_blank">The First Prehospital REBOA</a> Then, we delve into core content pearls on the spleen using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover splenic trauma and lacerations, post-splenectomy sepsis, and splenic sequestration. Key Texts: Rosen's Chapter 46, 134 and Tintinalli Chapter 260. As always, visit <a href="http://www.foamcast.org/" rel="nofollow" target="_blank">foamcast.org </a>for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

Episode 17 - The Spleen!

 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 usual care, for rate control in atrial fibrillation. Ann Emerg Med. 2005;45(4):347-53.  Magnesium for Migraine  Corbo J, Esses D, Bijur PE, Iannaccone R, Gallagher EJ. Randomized clinical trial of intravenous magnesium sulfate as an adjunctive medication for emergency department treatment of migraine headache. Ann Emerg Med. 2001;38(6):621–7. Bigal ME, Bordini CA, Tepper SJ, Speciali JG. Intravenous magnesium sulphate in the acute treatment of migraine without aura and migraine with aura. A randomized, double-blind, placebo-controlled study. Cephalalgia. 2002;22(5):345-53. 1Cete Y, Dora B, Ertan C, Ozdemir C, Oktay C. A randomized prospective placebo-controlled study of intravenous magnesium sulphate vs. metoclopramide in the management of acute migraine attacks in the Emergency Department. Cephalalgia. 2005;25(3):199–204. Shahrami A, Assarzadegan F, Hatamabadi HR, Asgarzadeh M, Sarehbandi B, Asgarzadeh S. Comparison of therapeutic effects of magnesium sulfate vs. dexamethasone/metoclopramide on alleviating acute migraine headache. J Emerg Med. 2015;48(1):69–76. Orr SL, Friedman BW, Christie S, Minen MT, Bamford C, Kelley NE, et al. Management of Adults with Acute Migraine in the Emergency Department: The American Headache Society Evidence Assessment of Parenteral Pharmacotherapies. Headache. 2016;56(6):911–40.  Magnesium for Acute Asthma Exacerbation Griffiths B, Kew KM. Intravenous magnesium sulfate for treating children with acute asthma in the emergency department. Cochrane Database Syst Rev. 2016;4:CD011050. Kew KM, Kirtchuk L, Michell CI. Intravenous magnesium sulfate for treating adults with acute asthma in the emergency department. Cochrane Database Syst Rev. 2014;(5):CD010909.   Thanks for listening! Jeremy Faust and Lauren Westafer

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) <ol> <li>Bouida et al. <a href="https://www.ncbi.nlm.nih.gov/pubmed/30025177" rel="noopener nofollow" target="_blank">LOw dose MAGnesium sulfate versus HIgh dose in the early management of rapid atrial fibrillation: randomised controlled double blind study</a>. Acad Emerg Med. 2018 Jul 19.</li> <li>Ho KM, Sheridan DJ, Paterson T. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2016911/" rel="noopener nofollow" target="_blank">Use of intravenous magnesium to treat acute onset atrial fibrillation: a meta-analysis</a>. Heart. 2007;93(11):1433-40.</li> <li>Davey MJ, Teubner D. <a href="https://www.ncbi.nlm.nih.gov/pubmed/15795711" rel="noopener nofollow" target="_blank">A randomized controlled trial of magnesium sulfate, in addition to usual care, for rate control in atrial fibrillation</a>. Ann Emerg Med. 2005;45(4):347-53.</li> </ol> Magnesium for Migraine <ol> <li>Corbo J, Esses D, Bijur PE, Iannaccone R, Gallagher EJ. Randomized clinical trial of intravenous magnesium sulfate as an adjunctive medication for emergency department treatment of migraine headache. Ann Emerg Med. 2001;38(6):621–7.</li> <li>Bigal ME, Bordini CA, Tepper SJ, Speciali JG. <a href="https://www.ncbi.nlm.nih.gov/pubmed/12110110" rel="noopener nofollow" target="_blank">Intravenous magnesium sulphate in the acute treatment of migraine without aura and migraine with aura. A randomized, double-blind, placebo-controlled study</a>. Cephalalgia. 2002;22(5):345-53.</li> <li>1Cete Y, Dora B, Ertan C, Ozdemir C, Oktay C. A randomized prospective placebo-controlled study of intravenous magnesium sulphate vs. metoclopramide in the management of acute migraine attacks in the Emergency Department. Cephalalgia. 2005;25(3):199–204.</li> <li>Shahrami A, Assarzadegan F, Hatamabadi HR, Asgarzadeh M, Sarehbandi B, Asgarzadeh S. Comparison of therapeutic effects of magnesium sulfate vs. dexamethasone/metoclopramide on alleviating acute migraine headache. J Emerg Med. 2015;48(1):69–76.</li> <li>Orr SL, Friedman BW, Christie S, Minen MT, Bamford C, Kelley NE, et al. Management of Adults with Acute Migraine in the Emergency Department: The American Headache Society Evidence Assessment of Parenteral Pharmacotherapies. Headache. 2016;56(6):911–40.</li> </ol> Magnesium for Acute Asthma Exacerbation Griffiths B, Kew KM. I<a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Do+magnesium+sulfate+infusions+reduce+the+need+for+hospital+admission+in+children+with+acute+asthma%3F" rel="noopener nofollow" target="_blank">ntravenous magnesium sulfate for treating children with acute asthma in the emergency department</a>. Cochrane Database Syst Rev. 2016;4:CD011050. Kew KM, Kirtchuk L, Michell CI. <a href="https://www.ncbi.nlm.nih.gov/pubmed/24865567" rel="noopener nofollow" target="_blank">Intravenous magnesium sulfate for treating adults with acute asthma in the emergency department</a>. Cochrane Database Syst Rev. 2014;(5):CD010909. Thanks for listening! Jeremy Faust and Lauren Westafer

Magnesium

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