Foamcast - Emergency Medicine Core Content

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. Rob Orman's ERCast episode, Is it really a sinus headache? Then, we delve into core content headache pearls with an ophthalmology bent using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide).  We cover temporal arteritis, acute angle closure glaucoma, idiopathic intracranial hypertension, and cerebral venous sinus thrombosis. Key Texts: Tintinalli (7e): Ch 159; Rosen's (8e) Ch 20, 103 As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

In this tiny episode, Jeremy gives his bottom line pearls for FOAMcast episodes 4-14.  You know, because spaced repetition is a good thing.  We've got anaphylaxis, heart failure, ebola, acid-base, and more. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

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 EM in 5's episode on the hand neuro exam. Then, we delve into core content hand pearls including flexor tenosynovitis, extensor tendon injuries, amputations, and more using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide). Key Texts: Tintinalli (7e): Ch 280, 295; Rosen's (8e) Ch 50 As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

This week we review Right Axis Deviation from Dr. Amal Mattu's ECG Video of the Week - Why You Should Care When Things are Totally RAD as well as EMCrit Episode 98 on TCA Overdose treatment Then, we delve into core content toxicology pearls regarding tricyclic antidepressants and sodium channel blockade using Rosenalli (Rosen's Emergency Medicine and Tintinalli's Emergency Medicine: A Comprehensive Review Guide) in addition to Goldfrank's Toxicology Key Texts: Tintinalli (7e): Ch 171; Rosen's (8e) Ch 151 Goldfrank Ch 73  As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

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 Mount Sinai Emergency Medicine Residency's blog post on Ebola. Then, we delve into core content infectious disease pearls on Airborne and Droplet isolation and infectious agents such as varicella using Tintinalli as our predominant reference. Key Texts: Tintinalli (7e): Ch 148, Ch 157; The CDC 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. Natalie May's brilliant post on the St. Emlyn's blog, "When Sick Means Sick: Emesemantics and Vomiting in Kids"  in which she dissects emesis descriptors such as bilious, projectile, and coffee-ground. Then, we delve into core content on Neonatal Jaundice and Intussusception. Key Texts: Tintinalli (7e) Chapters 111, 124 ; Rosen's (8e) Chapter 172 As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

  In this episode we review Dr. Scott Weingart's Practical Evidence Podcast #3 on Management of First Trimester Vaginal Bleeding and ACEP's 2012 Clinical Policy.  After a thrilling discussion of the discriminatory zone and ultrasound, we digress into core content covering bleeding in later pregnancy (placental abruption and previa), abdominal pain in pregnancy including septic abortion and chorioamnionitis, as well as eclampsia and pre-eclampsia. Key Texts: Tintinalli (7e) Chapters 102-105 ; Rosen's (8e) Chapter 178 As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

This tiny episode covers Hypernatremia - a supplement to our Episode 8 on acid-base and hyponatremia. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Key Texts: Tintinalli (7e) Chapters 19,21 ; Rosen's (8e) Chapters 124, 125 Thanks y'all!   -Jeremy Faust and Lauren Westafer

We review the FOAM from SMACC GOLD, Dr. David Story's "Is Chloride A Poison?" for a great primer on the Stewart method to acid-base.  The Strong Ion Difference (SID) is essentially Sodium minus Chloride (Na - Cl). Normal = 38; a higher SID indicates metabolic alkalosis and a lower SID indicates a metabolic acidosis.  "Normal Saline" has a whopping amount of chloride, which decreases the SID and has been associated with acidosis, renal insufficiency in critically ill patients, and, perhaps, mortality. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Key Texts: Tintinalli (7e) Chapters 19,21 ; Rosen's (8e) Chapters 124, 125 FOAM Resources: Acid-Base ala EMCrit I/II/III/IV, Hyponatremia - EMBasic, Hyponatremia-ERCast, Hyponatremia - EMCrit Thanks y'all! -Jeremy Faust and Lauren Westafer      

On this FOAMcastini (A tiny FOAMcast), we summarize our summaries of core content and free open access medical education (FOAM), covering: Episode 1 - Cyanide and Carbon Monoxide Toxicity Episode 2 - All things GU (Renal colic, urinary retention, infected stones) Episode 3 - ENT (Bullous myringitis, ruptured tympanic membranes, auricular hematomas, and more). This is our attempt at remembering these things ourselves and encouraging some spaced repetition. Thanks for listening and just remember, no need to FOAM it alone. -Jeremy Faust and Lauren Westafer

We review the FOAM from The RAGE podcast (The Resuscitationist's Awesome Guide to Everything), "Episode 4" ,on impact apnea, the right heart and more.  Then we discuss the core content related to right ventricular myocardial infarctions and heart failure. As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions. Key Texts:  Tintinalli (7e) Chapters 53, 57; Rosen’s (8e) Chapters 78, 81 Thanks for listening!   -Jeremy Faust and Lauren Westafer

This episode is inspired by a tweet from Dr. Nick Genes who queried why there wasn't more focus on hepatic emergencies in FOAM  (Free Open Access Medical education).   We review the FOAM from Maryland's Critical Care Project ,"Chyle- coming to a paracentesis near you," on chylous ascites.  Then, we discuss core content liver emergencies, focusing on Spontaneous Bacterial Peritonitis, Hepatic Encephalopathy, and a smattering of hepatotoxic drugs. As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions. Key Texts: Tintinalli's Emergency Medicine: A Comprehensive Board Review(7e) Chapter83, Rosen’s Emergency Medicine (8e) Chapter 90 Thanks for listening! -Jeremy Faust and Lauren Westafer

We review the FOAM (Free Open Access Medical education) from Academic Life in Emergency Medicine, "Atypical Antispychotic Medication Re-initiation in the Emergency Department" and Dr. Casey Parker's Broome Docs Podcast "Optic Nerve Sheath Diameter."  Then, we discuss core content emergencies including a review of select psychiatric disorders and management of increased ICP. As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions. Key Texts: Tintinalli's Emergency Medicine: A Comprehensive Board Review(7e) Chapters 284, 254 Rosen’s Emergency Medicine (8e) Chapters 110, 29  Thanks for listening!   -Jeremy Faust and Lauren Westafer

We review the FOAM (Free Open Access Medical education) from Dr. Ryan Radecki's Emergency Medicine Literature of Note, "Infections & Transfusions" and "Grilling Injuries on Memorial Day."  Then, we discuss core content emergencies including transfusion reactions and ingested foreign bodies. As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions. Key Texts: Tintinalli's Emergency Medicine: A Comprehensive Study Guide (7e) Chapter 233 Rosen's Emergency Medicine(8e) Chapter 7 Thanks for listening!   -Jeremy Faust and Lauren Westafer

We review FOAM (Free Open Access Medical education), SMART EM "Pseudoaxioms 2 and Literature Update," in which Dr. David Newman discussesthe lack of benefit for tamsulosin in most renal colic.  Then, we discuss core content urologic emergencies including: Bullous Myringitis Perforated Tympanic Membrane Auricular Hematoma Necrotizing Otitis Externa (Malignant Otitis Externa) As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions. Key Texts: Tintinalli's Emergency Medicine: A Comprehensive Study Guide (7e) Chapter 237 Rosen's Emergency Medicine(8e) Chapter 92 Thanks for listening!   -Jeremy Faust and Lauren Westafer

We review FOAM (Free Open Access Medical education), The Skeptic's Guide to Emergency Medicine Episode #71, in which Dr. Milne discussesthe lack of benefit for tamsulosin in most renal colic.  Then, we discuss core content urologic emergencies including: Renal Colic Infected kidney stones Acute Urinary Retention As always, visit foamcast.org  for show notes and the generously donated Rosh Review questions. Key Texts: Tintinalli's Emergency Medicine: A Comprehensive Study Guide (7e) Chapters 95, 97 Rosen's Emergency Medicine(8e) Chapter 99 Thanks for listening!   -Jeremy Faust and Lauren Westafer

We review EMCrit Episode #122 in which Drs. Weingart and Nelson review a case of cyanide poisoning in a patient presenting in PEA arrest after a house fire.   Show notes and Rosh Review questions at foamcast.org Key Texts: Cyanide: Tintinalli (7e) Ch 198; Rosen's (8e) Ch 159 Carbon Monoxide: Tintinalli (7e) Ch 217; Rosen's (8e) Ch 159