Cover image of FOAMcast -  Emergency Medicine Core Content
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Education
Science & Medicine
Higher Education
Medicine

FOAMcast - Emergency Medicine Core Content

Updated 14 days ago

Education
Science & Medicine
Higher Education
Medicine
Read more

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?

Read more

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?

iTunes Ratings

132 Ratings
Average Ratings
122
8
1
0
1

Excellent review

By Grant010 - Aug 22 2017
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Concise, accurate, practical.

Great core content

By Lily122006 - Aug 10 2017
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This has been one of my favorite podcasts throughout residency, relevant and to the point. Thanks!

iTunes Ratings

132 Ratings
Average Ratings
122
8
1
0
1

Excellent review

By Grant010 - Aug 22 2017
Read more
Concise, accurate, practical.

Great core content

By Lily122006 - Aug 10 2017
Read more
This has been one of my favorite podcasts throughout residency, relevant and to the point. Thanks!
Cover image of FOAMcast -  Emergency Medicine Core Content

FOAMcast - Emergency Medicine Core Content

Updated 14 days ago

Read more

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?

Rank #1: Episode 50 - Seizures

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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

May 25 2016
24 mins
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Rank #2: Thromboelastography (TEG) Guided Resuscitation

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We 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

Jul 31 2019
22 mins
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Rank #3: Sepsis: Redefined

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We bring you breaking news on the updated sepsis definition from the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine.

SIRS and Severe Sepsis?   Out.

qSOFA (HAT - Hypotension, AMS, Tachypnea)?  In.

Septic Shock?  Sepsis + Vasopressors needed to maintain MAP >65 mmHg + Lactate >2 mmol/L (*after adequate fluids)

Feb 21 2016
19 mins
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Rank #4: Episode 53 - Intracranial Hemorrhage

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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 (>18 y/o) with ICH on CT scan, GCS ≥ 5 and

Jul 17 2016
23 mins
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Rank #5: Episode 31 - Vasopressors

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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

Jul 25 2015
17 mins
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Rank #6: Episode 46 - Pneumothorax

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We cover a podcast from HEFT EMcast  demonstrating that needle decompression at the 2nd intercostal space at the midclavicular line (2ICS MCL) is likely to fail.  They review a systematic review and meta-analysis by Laan et al in 2015 that suggests the fifth intercostal space at the anterior axillary line (5ICS AAL) is less likely to fail.

Then we delve into core content on pneumothoraces and empyemas using Tintinalli and Rosen's Emergency Medicine as a guide.

Thanks for listening,

Jeremy Faust and Lauren Westafer

Mar 20 2016
23 mins
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Rank #7: Episode 47 - Left Bundle and Pacers

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In this episode we cover a post from Dr. Smith's ECG blog investigating ways to read ischemia on a ventricular paced ECG:  A Patient with Ischemic symptoms and a Biventricular Pacemaker.

Then we delve into core content on the Sgarbossa/modified Sgarbossa criteria as well as pacers and implantable defibrillators and their complications.

Thanks for listening!

Jeremy Faust and Lauren Westafer

Apr 09 2016
23 mins
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Rank #8: Episode 41 - Vertigo

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We cover two bits of FOAM,Emergency Medicine Literature of Note - Dr. Ryan Radecki - on the use of meclizine for vertigo and EMcrit - Dr. Scott Weingart on the HiNTs exam.

Then we delve into some of the problems with the HiNTs exam including it can only be performed on patients with continuous vertigo and that external validity is a major issue with HiNTs.

Then, we delve into core content on vertigo using Rosen’s Medicine (8e) Chapter 19,  and Tintinalli’s Emergency Medicine: A Comprehensive Study Guide  (7e) Chapter 164 “Vertigo and Dizziness."

Thanks for listening!

Jeremy Faust and Lauren Westafer

Jan 11 2016
18 mins
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Rank #9: Magnesium

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 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)

  1. 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.
  2. 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.
  3. 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

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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

Oct 22 2018
31 mins
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Rank #10: Episode 29 - Hyperglycemia

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We review this  post from Dr. Anton Helman of Emergency Medicine Cases on Pediatric DKA

Then, we delve into core content pearls on hyperglycemia including Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State.  We do this using Tintinalli and Rosen's as guides. 

As always, visit foamcast.org for show notes and the generously donated Rosh Review questions.

Thanks y'all!

-Jeremy Faust and Lauren Westafer

May 29 2015
21 mins
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Rank #11: Episode 34 - Tachyarrythmias

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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

Sep 07 2015
19 mins
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Rank #12: Episode 59 - Syncope (including the PESIT trial)

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The PESIT study in the New England Journal of Medicine stirred up controversy in the FOAM world earlier in October 2016.  In this episode we cover the following posts on this article on pulmonary embolism in syncope:

Then, We delve into core content on syncope usingRosen's Emergency Medicine (8th edition) and Tintinalli's Emergency Medicine (8th edition) Chapter 52

Thanks for listening!

-Jeremy Faust and Lauren Westafer

Oct 31 2016
23 mins
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Rank #13: Episode 7 - Heart Failure

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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

Jul 07 2014
22 mins
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Rank #14: Best Pearls and Biggest Trends of 2015

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In 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:

Michelle Lin

  • Merging of FOAM with traditional journals 
  • Merging of FOAM resources into conglomerates
  • More medical education FOAM (ex: ICEnet, EMin5)

Rob Orman

Thanks for listening!

Jeremy Faust and Lauren Westafer

*Chosen by people smarter than we are.

(nb: Lauren initially wrote "smarter than us," but I fixed it. You're welcome, universe. -JF)

Jan 04 2016
19 mins
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Rank #15: ACEP Pulmonary Embolism Policy + Risk Stratifying PE

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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

May 16 2018
32 mins
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Rank #16: Episode 28 - Neuroleptic Malignant & Serotonin Syndrome

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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

May 02 2015
19 mins
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Rank #17: Episode 72 - Hypertension

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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

Aug 18 2017
21 mins
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Rank #18: Episode 77 - Alcohol Withdrawal

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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

Jan 14 2018
24 mins
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Rank #19: Episode 55 - Petechiae & Purupra

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We cover several excellent post on rashes, including:

Next, we dive into core content on platelet problems including problems caused by drugs, immune thrombocytopenic purpura (ITP/idiopathic thrombocytopenic purpura) and thrombotic thrombocytopenic purpura (TTP) using Tintinalli Chapter 233 (8th ed) and Rosen's Chapter 122 (7th ed) as a guide.

Thanks for listening!

Jeremy Faust and Lauren Westafer

Aug 23 2016
23 mins
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Rank #20: Episode 58 - Ophthalmology Basics

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We cover an incredible ophthalmology resource, OphthoBook.com, by Dr. Tim Roots.  This resource has a free book and excellent free video lectures.  Specifically, we detail a hilarious video on eye exam tricks, especially targeting individuals who "can't see."

We previously reviewed eye trauma in this podcast. In this episode, we review ophthalmology basics using Tintinalli’s Emergency Medicine (8e), Chapter 241

Visit FOAMcast.org for more and Rosh Review questions. Thanks for listening! 

Jeremy Faust + Lauren Westafer

Oct 09 2016
24 mins
Play

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