#FOAMed Review 53rd Edition
Michael Macias
Welcome to the fifty-third edition of the #FOAMed Review! The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Each review will include highlights from the highest yield blog, podcast, video and web sources around. Over a year's span we will be sure to include topics from all core EM content areas...even the ones that may not be the coolest. Check out our indexing section #FOAMED REVIEW which allows you to view previous weekly reviews by edition or by selecting from CORD curriculum categories.
Onto the FOAMed
UNDERSTANDING THE BAG VALVE MASK [VIDEO]: If you use a bag valve mask, you need to know how it works. Excellent teaching videos from George Kovacs. Check you his Youtube page for more content.
Oxygen delivery using a Manual Resuscitator (aka bag-valve mask/BVM device) is commonly performed during resuscitation efforts. As the name implies it is assumes manually delivering breaths by squeezing the bag. Others have assumed that since it is a 'closed' system that as long as there is a good seal it can also passively deliver high concentrations of oxygen in the spontaneously breathing patient.
Understanding the mechanics of oxygen delivery using BVM requires an appreciation of its component valves. The first BVM Device has 5 valves, 3 at the rear and 2 in the front. The forward duckbill valve is a one way valve allowing flow to the patient.
ULTRASOUND CASE OF THE WEEK [BLOG]: A 38 year old male presents from jail with the pathology seen below. Which nerve block will facilitate drainage? Find out here at Ultrasound Of The Week.
EM/CC LITERATURE OF INTEREST
- Emergency Evaluation for Pulmonary Embolism, Part 1: Clinical Factors that Increase Risk
PMID: 25863772
- Emergency Evaluation for Pulmonary Embolism, Part 2: Diagnostic Approach
PMID: 25800524
- Safety of peripheral intravenous administration of vasoactive medication
PMID: 26014852
- Liquid Nicotine Toxicity
PMID: 26148101 FOAMED: EM Lit Of Note
- Mechanical ventilation of acute respiratory distress syndrome
PMID: 26045965
- Ultrasonography for the prediction of urological surgical intervention in patients with renal colic
PMID: 26177650
STABILIZING SUBLUXED TEETH [VIDEO]: None of us enjoy dealing with dental emergencies and we could always use a refresh. Check out the video below from The Dental Box on stabilizing a subluxed tooth. Be sure to also check out their Youtube page for more content.
This video is about stabilizing subluxed and luxated teeth with Coe Pak periodontal paste. This is an excellent method of temporarily stabilizing teeth that present to the emergency department or urgent care center. Definitive stabilization by a dental professional will need to be undertaken.
More FOAMed
TWO STEPS FORWARD, ONE STEP BACK
2015 ACEP TPA POLICY [PODCAST]: After some revisions to the 2015 ACEP tPA draft, the final version is in with some minor changes that you may or may not enjoy. Listen to a breakdown of the new policy here at FOAMCast. Be sure to also listen to Dr. Jerome Hoffman, an expert in clinical guidelines, as he sits down to discuss his thoughts on the matter.
MINOR HEAD TRAUMA + ANTICOAGULATION
MINOR HEAD TRAUMA IN ANTICOAGULATED PATIENTS: [BLOG]: Should they stay or should they go after a negative head CT? Read on here at Rebel EM.
INFECTIOUS DISEASE TRIO
MUCORMYCOSIS, WEST NILE VIRUS & ROCK MOUNTAIN SPOTTED FEVER: [BLOG]: Clinical practice updates that you should know about regarding these uncommon but cannot miss diagnoses. EM Docs
WHO NEEDS A KNEE X-RAY?
THE OTTOWA KNEE RULES [VIDEO]: Keep it simple, use this rule as a guide to deciding who needs a knee x-ray in the emergency department. A walkthrough with Dr. Ian Stiell.
This video features Dr. Ian Stiell, Professor in the Department of Emergency Medicine at the University of Ottawa, discussing the assessment of a knee injury using the Ottawa Knee Rules. For more information please see: http://www.emottawa.ca/assets/documents/research/cdr_knee_card.pdf Video edited and produced by Dr. Warren Cheung.
See you next week
Pilsen, Chicago