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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?
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FOAMcast - An Emergency Medicine Podcast
1
Steroids for Severe Community Acquired Pneumonia
11:33
11:33
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11:33
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…
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FOAMcast - An Emergency Medicine Podcast
1
CLOVERS Trial: Restricted vs Liberal Fluids in Sepsis-Induced Hypotension
20:38
20:38
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20:38
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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FOAMcast - An Emergency Medicine Podcast
1
Management of Acute, Uncomplicated Diverticulitis
18:19
18:19
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18:19
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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FOAMcast - An Emergency Medicine Podcast
1
The "Diamond of Death" in Trauma - Hypocalcemia
16:12
16:12
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16:12
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…
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FOAMcast - An Emergency Medicine Podcast
1
A Cardiac Arrest Story: Patient Interview
29:10
29:10
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29:10
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…
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FOAMcast - An Emergency Medicine Podcast
1
ACEP Heart Failure Clinical Policy & High Dose Nitrates
25:59
25:59
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25:59
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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FOAMcast - An Emergency Medicine Podcast
1
Refractory Ventricular Fibrillation & Double Sequential Defibrillation
27:06
27:06
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27:06
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, referenc…
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FOAMcast - An Emergency Medicine Podcast
1
STEMI Equivalent Update - 2022 ACC Consensus Statement
14:15
14:15
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14:15
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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FOAMcast - An Emergency Medicine Podcast
1
Pulse Checks During Cardiopulmonary Resuscitation
14:48
14:48
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14:48
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…
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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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FOAMcast - An Emergency Medicine Podcast
1
Monkeypox - Clinical Manifestations, Treatments, & Vaccination
15:14
15:14
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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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FOAMcast - An Emergency Medicine Podcast
1
Monkeypox - Virology, Epidemiology, and Transmission
11:05
11:05
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11:05
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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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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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 Westafer…
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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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FOAMcast - An Emergency Medicine Podcast
1
Intramuscular Agents for Severe Agitation
21:30
21:30
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21:30
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) Shownotes/References: FOAMcast.org Thanks for listeni…
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FOAMcast - An Emergency Medicine Podcast
1
Primary Care Management of Pulmonary Embolism
14:02
14:02
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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 managed in the outpatient setting in an integrated h…
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FOAMcast - An Emergency Medicine Podcast
1
Lit Update: Pulmonary Embolism Diagnosis Update
8:20
8:20
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8:20
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 in pregnant patients. Now, this multicenter trial by …
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FOAMcast - An Emergency Medicine Podcast
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Lit Update: Bougie vs Stylet for Endotracheal Intubation
8:51
8:51
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8:51
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 Thanks for listening! Lauren Westafer…
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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 than anticoagulation. In this podcast we review SSPE an…
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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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FOAMcast - An Emergency Medicine Podcast
1
Febrile Infants 8-60 days Old - AAP Guidelines
19:09
19:09
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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 notes/references: FOAMcast.org Thanks for listening! L…
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FOAMcast - An Emergency Medicine Podcast
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COVID-19 Delta Variant and Vaccine Breakthrough Infections
11:08
11:08
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11:08
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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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 Inside Medicine Thanks for listening! Lauren Westafer…
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FOAMcast - An Emergency Medicine Podcast
1
Pulmonary Embolism Risk Stratification - Right Ventricular Dysfunction
15:50
15:50
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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 patient meta-analysis. Show notes/references: FOAMcast.org …
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