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 * Things change frequently and this may be out of date in days/weeks.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 hea r* 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 * Things change frequently and this may be out of date in days/weeks.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 hea r* In this episode, we are joined by Dr. Rory Spiegel ( EMNerd ) and discuss what we are seeing in COVID-19 and various theories. Atypical ARDS picture HAPE: Solaimanzadeh Hemoglobinopathy-type of picture: Liu et al Show notes: FOAMcast.org Thanks for listening, Lauren Westafe...
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 *Things change frequently and this may be out of date in days/weeks.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 are joined by Dr. Rory Spiegel ( EMNerd ) and discuss the ROX index predicting failure of HFNC and any applicability to COVID-19 Derivation: Roca O, Messika J, Caralt B, et al. Predicting success of high-flow nasal cannula in pneumonia patients with hypoxe...
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 *Things change frequently and this may be out of date in days/weeks.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 us* In this episode, we discuss emerging evidence for high flow nasal cannula Wang et al . Ann Intensive Care. 2020 10(37) Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust Recorded 4.3.20...
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 *Things change frequently and this may be out of date in days/weeks.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 us* In this episode, we discuss the theory (there is no great evidence) of hypercoagulability in severe COVID-19 Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust Recorded 4.2.20
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 *Things change frequently and this may be out of date in days/weeks.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 us* In this episode, we cover The Brescia-COVID Respiratory Severity Scale (BCRSS) / Algorithm ICU outcomes in Washington State - Bhatraju et al . Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust Recorded 3.31.20...
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 us* Recorded 3.30.20 In this episode, we cover Awake proning: Sun et al and Ding et al Hydroxychloroquine/Azithromycine update: Gautret et al. Neonatal update: Zeng et al. Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust...
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 us* Recorded 3.28.20 In this episode, we cover Air samples from hallways and rooms contain SARS-CoV-2 [ Santarpia et al - Pre-print ] Convalescent plasma for the treatment of COVID-19 [ Shen et al - JAMA ] Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust...
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 us* Recorded 3.27.20 In this episode, we cover Vertical transmission in pregnancy High flow nasal cannula with a mask Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust
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 us* Recorded 3.25.20 In this episode, we cover Incubation period Disease timeline Viral shedding Re-infection Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust
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 us* Recorded 3.23.20 In this episode, we cover Anosmia / dysgeusia Gastrointestinal symptoms Policy updates Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust
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 us* In this episode, we cover Transmission of SARS-CoV-2 (including stability on surfaces / aerosols) Cloth masks - do they work? UV light decontamination Recorded 3.22.20 Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust...
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 us* In this episode, we cover High flow nasal cannula in COVID-19 Cytokine storm Asymptomatic transmission and Ro of Sars-CoV2 Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust
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 us* In this episode, we cover the Society of Critical Care Medicine, Surviving Sepsis Guidelines for COVID-19 Show notes: FOAMcast.org Thanks for listening, Lauren Westafer and Jeremy Faust...
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. In this episode we review: guidance for pregnant and breastfeeding patients and healthcare workers experimental treatments that are all the craze: remdesivir, chloroquine, hydroxychloroquine, lopinavir-ritonavir Show notes: FOAMcast.org Thanks for listening! Lauren Westafer and Jeremy Faust...
We are going to try to bring you updates regarding COVID-19 on a regular basis. These podcasts will likely be out of date in a few days, so check back for updates. This episode features: Co-infections (extended respiratory panel positive and positive for Sars-CoV-20 Epidemiology of pediatric infections Ibuprofen and ACE-inhibitor use Recorded 3.18.20 Thanks for listening, Lauren Westafer and Jeremy Faust
We review the evaluation and management of Community-Acquired Pneumonia (CAP) as well as the Infectious Disease Society of America (IDSA) / American Thoracic Society (ATS) 2019 guidelines for CAP . Shownotes and references at FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer
We cover some top articles of 2019, including the following: Roc vs Sux : Guihard B et al. Effect of rocuronium vs succinylcholine on endotracheal intubation success rate among patients undergoing out-of-hospital rapid sequence intubation: A randomized clinical trial. JAMA 2019 Dec 17; 322:2303. ( https://doi.org/10.1001/jama.2019.18254 ) Targeted Temperature Management after Cardiac Arrest: Lascarrou JB, Merdji H, Le gouge A, et al. T argeted Temperature Management for Cardiac Arrest with Nonsh...
The VITAMINS trial by Fujii et al has been published in JAMA and provides insight into the performance of the "metabolic cocktail" (Vitamin C + thiamine + hydrocortisone) in ICU patients with septic shock. We review this trial in the context of prior literature. Show notes and references at FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafer
We review the American College of Emergency Physicians (ACEP) clinical policy on headache from June 2019 , most of which revolves around the diagnosis of subarachnoid hemorrhage. Show notes and references at FOAMcast.org 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
In this episode covering the American College of Emergency Physicians (ACEP) 2019, we cover common black box warnings including fluoroquinolones midazolam droperidol NSAIDs and more Thanks for listening! Jeremy Faust and Lauren Westafer
We are at ACEP 2019 in Denver and cover pearls from interesting lectures. Today, that included concussion and VP shunts.
Vaping associated lung injury (VALI) has become a frequent topic in the news in the United States (US). In this episode we review the epidemiology, presumed pathophysiology, and new recommendations from the Centers for Disease Control (CDC) in the US. Thanks for listening! Jeremy Faust and Lauren Westafer FOAMcast.org References: Morbidity and Mortality Weekly Report (MMWR). 2019; 68(40) Layden JE, Ghinai I, Pray I, et al. Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - ...
In this episode we briefly review hyperkalemia and the principles of emergent treatment. Then we explore, in-depth, the role of insulin and dextrose including the incidence of hypoglycemia and pearls to reduce this side effect. Pearls: 10-20% of patients treated with insulin/dextrose for hyperkalemia get hypoglycemic Consider giving 5 units insulin instead of 10 units Check the glucose for hours (dextrose lasts <1 hr, insulin lasts ≥2 hours) Beware of insulin in patients with renal insufficie...
We discuss the US Food & Drug Administration's black box warning for droperidol and the evidence behind this warning. We then discuss the use of butyrophenones such as droperidol and haloperidol for the treatment of agitation, headaches, nausea and vomiting, and gastroparesis/cannabinoid hyperemesis. Thanks for listening! Jeremy Faust and Lauren Westafer
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
In this episode, we discuss important and "hot" articles thus far in 2019. These articles include: Testing for pulmonary embolism in pregnant patients Van der pol LM, Tromeur C, Bistervels IM, et al. Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism . N Engl J Med. 2019;380(12):1139-1149. Langlois E, Cusson-dufour C, Moumneh T, et al. Could the YEARS algorithm be used to exclude pulmonary embolism during pregnancy? Data from the CT-PE-pregnancy study . J Thromb Haem...
We review the entity formally known as pseudoseizures and psychogenic non-epileptic seizures (PNES), now referred to as psychogenic non-epileptic attacks (PNEA). We discuss the history of PNEA as well as relevant literature on the diagnosis and treatment of this entity. Thanks for listening! Jeremy Faust and Lauren Westafer
We review myths and reality in the management of patients with Sickle Cell Disease (SCD) Are these patients typically opioid seeking? (No) If the patient appears comfortable I should withhold proper analgesia. (No). Should IV fluids be a routine part of the cocktail for vaso-occlusive pain episodes? (No) We also review common emergencies in sickle cell disease that include Infections Acute chest syndrome Anemia (Aplastic crisis, splenic sequestration) Ischemia Strokes Avascular necrosis Renal, p...
