FOAMcast - An Emergency Medicine Podcast
by FOAMcast
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?
Episodes
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New AHA/ACC Pulmonary Embolism Guidelines
This episode summarizes and breaks down the 54 pages of recommendations from the new American Heart Association/American College of Cardiology guidelines on diagnosis and treatment of PE. Show notes, graphics, and references: FOAMcast.org Thanks for listening! Lauren Westafer Disclosure: The…
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Pulmonary Embolism in Pediatric Patients - PERC-Peds
In this episode, we review the BEEPER study evaluating PERC-Peds to exclude pulmonary embolism in pediatric patients. References: FOAMcast.org Thanks for listening! Lauren Westafer
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Cervical Spine Clearance in Adult Blunt Trauma Updates
This episode reviews the basics of cervical spine clearance in adult blunt trauma patients including Deciding between clinical decision tools What to do in the intoxicated/obtunded patient What to do after a negative CT in a patient with persistent neck pain and no neurological symptoms…
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ACEP Thoracic Aortic Dissection Clinical Policy Update
In this episode, we review a new clinical policy from the American College of Emergency Physicians (ACEP) on the use of risk stratification tools and D-dimer to exclude non-traumatic thoracic aortic dissection. Shownotes: FOAMcast.org
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RhD Immunoglobulin (RhoGAM) After First Trimester Abortion
Historically, RhD immunoglobulin was recommended in Rh-negative patients presenting after spontaneous or induced abortion. However, guideline recommendations around the world have largely changed, and now recommend forgoing prophylaxis in most of these cases. We review the evidence and…
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Inhaled Corticosteroids for Asthma
This episode discusses asthma guidelines and a systemic review and network meta-analysis on the use of inhaled corticosteroids for asthma. Show notes and references: FOAMcast.org Thanks for listening! Lauren Westafer
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Acute Ischemic Priapism
In this episode, we discuss treatment of acute ischemic priapism, including some updates from the American Urological Association. Show notes and references: FOAMcast.org
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Topical Anesthetics in Corneal Abrasions - A Consensus Guideline from ACEP
In this episode, we review a consensus guideline from the American College of Emergency Physicians on the use of topical anesthetics in corneal abrasions. Show notes and references: FOAMcast.org Thanks for listening! Jeremy Faust and Lauren WEstafer
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Atrial Fibrillation Guideline Update from the AHA
This episode covers emergency medicine-related recommendations from the American Heart Association's (AHA) clinical guideline on atrial fibrillation: 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation Circulation. 2023 Show notes and references: FOAMcast.org...
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Tranfusion Thresholds in Myocardial Infarction
The AABB recently published updated recommendations for blood transfusion thresholds. This podcast reviews these recommendations and a recent study, the MINT trial, in which patients with anemia and a myocardial infarction were randomized to a restrictive strategy or liberal transfusion strategy....
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ACEP Clinical Policy: Sedation of the Agitated Patient
This epsiode reviews the new clinical policy from the American College of Emergency Physicians (ACEP) on medication for acutely agitated patients needing parenteral sedation. Show notes / references: FOAMcast.org Thanks for listening! Lauren Westafer
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REBOA: Resuscitative Endovascular Balloon Occlusion of the Aorta
In this episode, we review Resuscitative endovascular balloon occlusion of the aorta (REBOA), notably dissecting the recent Jansen et al trial in JAMA. Shownotes / References: FOAMcast.org Thanks for listening! Jeremy Faust & Lauren Westafer
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Naltrexone for Alcohol Use Disorder
Alcohol use disorder (AUD) is commonly encountered in the ED and visits related to alcohol are estimated to be ~4% of all ED visits in the US. Despite this, most EDs offer little support and harm reduction for patients with AUD. In this podcast, we review naltrexone, the first-line medication for...
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Steroids for Severe Community Acquired Pneumonia
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...
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CLOVERS Trial: Restricted vs Liberal Fluids in Sepsis-Induced Hypotension
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
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Management of Acute, Uncomplicated Diverticulitis
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
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The "Diamond of Death" in Trauma - Hypocalcemia
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…
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A Cardiac Arrest Story: Patient Interview
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...
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ACEP Heart Failure Clinical Policy & High Dose Nitrates
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
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Refractory Ventricular Fibrillation & Double Sequential Defibrillation
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…
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STEMI Equivalent Update - 2022 ACC Consensus Statement
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
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Pulse Checks During Cardiopulmonary Resuscitation
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…
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Monkeypox Quick Summary
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 & Lauren Westafer
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Monkeypox - Clinical Manifestations, Treatments, & Vaccination
There is a global outbreak of human monkeypox virus cases. In this episode (the second of a 2 part series), we summarize clinical manifestations, complications, and vaccination. References/Show notes: FOAMcast.org Thanks for listening! Jeremy Faust & Lauren Westafer
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Monkeypox - Virology, Epidemiology, and Transmission
There is a global outbreak of human monkeypox virus cases. In this episode (the first of a 2 part series), we summarize some brief virology, epidemiology, and review the transmission of this virus. References/Show notes: FOAMcast.org Thanks for listening! Jeremy Faust & Lauren Westafer
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Management of Hemmorhoids
We review the Anorectal emergencies: WSES-AAST guidelines on complicated hemorrhoids that include some practice-changers References: FOAMcast.org Thanks for listening! Lauren Westafer
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The End of Diphenhydramine
Diphenhydramine (Benadryl) and other first-generation antihistamines are commonly used, despite decades of data that there are safer and effective alternatives. In this podcast, we review the guidelines / data behind common indications. References at FOAMcast.org Thanks for listening! Lauren...
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Urticaria
In this episode we review acute urticaria and new guidelines related to the treatment of urticaria. We review additional relevant trials Palungwachira et al and Barniol et al. References/Show notes: FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer
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Intramuscular Agents for Severe Agitation
In this podcast we discuss onset of action of various intramuscular agents for chemical sedation for severely agitated patients. This includes a study by Barbic et al on ketamine, the onset of action of midazolam (and association with length of stay), and is droperidol really magic? (Cole et al)...
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Primary Care Management of Pulmonary Embolism
Outpatient management of pulmonary embolism for low-risk patients has been encouraged for several years. However, little is known about pulmonary embolism diagnosed and managed exclusively in the outpatient setting. In this study, Vinson et al describe the course of patients diagnosed with PE and...
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Lit Update: Pulmonary Embolism Diagnosis Update
The diagnostic algorithm for pulmonary embolism (PE) has evolved over the past few years to include probability or risk-adjusted D-dimer. The YEARS algorithm includes an elevated D-dimer threshold for some risk groups and has been found to be safe and reduce imaging in several studies, including…
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Lit Update: Bougie vs Stylet for Endotracheal Intubation
A seminal single-center study in 2018 by Driver et al found a 98% first-pass success in patients undergoing endotracheal intubation in the Emergency Department. This multi-center randomized control trial examines bougie vs stylet in a wider array of settings Show notes/references: FOAMcast.org...
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Subsegmental Pulmonary Embolism
Subsegmental pulmonary embolism (SSPE) is a controversial entity as they have uncertain clinical significance. As a result, the Chest Guidelines and ACEP guidelines state that a very select group of patients with isolated SSPE and no deep vein thrombosis may be managed with surveillance rather…
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COVID-19 Vaccine in Children Ages 5-11
We review the FDA briefing document from Pfizer as well as from the CDC Advisory Council on Immunization Practices that approved the Pfizer-BioNTech COVID-19 vaccine in children ages 5-11. References and show notes: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust
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Febrile Infants 8-60 days Old - AAP Guidelines
We previously covered the management of young febrile infants in a 2017 podcast but now we have updated guidance from the AAP. In this podcast, we review the 2021 AAP Guidelines for the management of well-appearing febrile infants 8-60 days old, highlight practice-changing recommendations. Show...
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COVID-19 Delta Variant and Vaccine Breakthrough Infections
In this episode, Jeremy discusses what we know about breakthrough infections in the delta variant era and what this may mean for COVID-19 vaccine boosters. Jeremy's takes can be found at Inside Medicine Show notes/references: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust
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COVID-19 Vaccine Boosters
In this episode, we discuss the current evidence (as of September 24, 2021) on COVID-19 vaccine boosters as well as the CDC recommendations and the details of the Advisory Council on Immunization Practices recommendations/vote. Show notes/References at FOAMcast.org Jeremy's takes can be found at...
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Pulmonary Embolism Risk Stratification - Right Ventricular Dysfunction
In this literature update podcast covering important papers of 2021, we cover Becattini et al on the assessment of right ventricular dysfunction in patients diagnosed with acute pulmonary embolism (PE). We review guidelines on PE risk stratification for severity and discuss this individual…
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Awareness With Paralysis in Mechanically Ventilated Patients
This is a quick literature update on practice-changing literature from 2021. Here we discuss Pappal et al in Annals of Emergency Medicine on awareness during paralysis in mechanically ventilated patients Show notes / References: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust
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Harm Reduction in Opioid Use Disorder: Take Home Naloxone
This is a quick literature update of important literature in 2021 covering take-home naloxone by Kilaru et al. In this episode, we discuss principles of harm reduction, including naloxone, as well as the study. Show notes, references, and resources: FOAMcast.org Thanks for listening! Lauren...
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Recurrent Low-Risk Chest Pain GRACE Guidelines
We review new clinical policy guidelines from SAEM on patients with recurrent (2 ED evaluations in 12 months) low risk (e.g. HEART score FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer
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Myocarditis and COVID-19 mRNA Vaccines
In this episode, we review the data on the association between myocarditis and the mRNA COVID-19 vaccines. Show notes / References: FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer
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Panscan after Out of Hospital Cardiac Arrest
In this quick literature update, we review a recent paper by Branch et al on early 'panscan' (head to pelvis CT scan ) in patients with return of spontaneous circulation after out of hospital cardiac arrest. Show notes/ references: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust
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Covidcast: Vaccine Induced Thrombotic Thrombocytopenia
In this episode we review what we know about vaccine induced thrombotic thrombocytopenia (VITT), which has been associated with the COVID-19 viral vector vaccines by AstraZeneca and Johnson & Johnson. Show notes/references: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust
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Cerebral Vein Thrombosis
In this podcast, we review Cerebral Vein Thrombosis (CVT) including clinical presentation, diagnosis, and management. Show notes: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust
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COVIDcast: Ivermectin
In this episode, we discuss ivermectin as a potential therapeutic for COVID-19 and review available randomized trials evaluating this drug. Chaccour et al E-Clinical Medicine Lopez-Medina et al. JAMA Schwartz et al (not yet published) IDSA guidelines NIH Treatment guidelines Show notes:...
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COVIDcast - Pregnancy & Vaccine Update
In this episode, we review new registry data from the ACIP meeting on pregnant people who received an mRNA COVID-19 vaccine and discuss, in general, what we know about the COVID-19 vaccines in pregnancy. Show notes: FOAMcast.org Pregnancy Decision Aid Thanks for listening! Lauren Westafer and...
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COVIDcast - Janssen (J&J) COVID-19 Vaccine
In this episode, we review the FDA briefing document on the Janssen (Johnson & Johnson) viral vector COVID-19 vaccine. Show notes: FOAMcast.org Thanks for listening! Lauren Westafer & Jeremy Faust
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Tranexamic Acid in Epistaxis
We have previously covered epistaxis on FOAMcast , including the use of tranexamic acid (TXA). Now, we cover a new, large RCT, the NoPac trial by Reuben et al, on TXA for epistaxis. Show notes: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust
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COVIDcast - Colchicine in COVID-19
There's been a lot of excitement over various drugs for COVID-19, including anti-inflammatory drugs. Colchicine, a medication long used for gout, fits that bill. In this podcast, we review 3 trials of colchicine including COLCORONA, GRECCO-19, and a study by Lopes et al. Show notes: FOAMcast.org...
About this show
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?
Hosted by
FOAMcast