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#FOAMed Review 54th Edition

Michael Macias

Welcome to the fifty-fourth 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

MECHANICAL VENTILATION TUTORIALS [VIDEOS]: If you want a refresh on mechanical ventilation principles, check out Respiratory Reviews multitude of brilliant videos on this topic. 

NO RESPECT FOR THE RIGHT VENTRICLE [PODCAST]: The boys from Ultrasound Podcast sit down with critical care guru, Dr. Haney Mallemat, to discuss the assessment of the right ventricle with ultrasound. Part 1 is here, look out for Part 2 in the coming weeks. 


  • Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised, placebo-controlled trial


  • Risk-benefit analysis of lumbar puncture to evaluate for nontraumatic subarachnoid hemorrhage in adult ED patients


  • Novel vagal maneuver technique for termination of supraventricular tachycardias


  • Prothrombin complex concentrate for reversal of vitamin K antagonist treatment in bleeding and non-bleeding patients


  • A Preprocedural Checklist Improves the Safety of Emergency Department Intubation of Trauma Patients


PROCEDURAL SEDATION RESOURCES [BLOG]: Core EM with an excellent resource page on procedural sedation medications and other useful links to pitfalls and pearls of this common emergency department skill. 

More FOAMed


AORTIC DISSECTION [SCREENCAST]: EM Basic brings us a high yield review of aortic dissection, including both common and uncommon presentation, imaging, treatment and more. Download the screencast here


AZITHROMYCIN DOES NOT CAUSE TORSADES OR INCREASE MORTALITY [BLOG]: Since the 2012 NEJM article on azithromycin we have become quite fearful of the potential life threatening cardiac side effects. Josh Farkas explores the evidence behind this correlation in depth and points out the lack of further studies able to replicate the earlier findings. Read on here


A SEPSIS SMACC-BACK [PODCAST]: If you were at SMACC 2015 you may have been confused after the sepsis expert panel discussion. If you weren't there, you still should listen to this discussion on sepsis 3.0. 


THE ADVENTURE OF THE IMPASSABLE STONE [BLOG]: The ongoing debate for alpha-blockers in large ureteral stones rages on. Should we just dump this treatment into our "pile of medical impotencies" or should we reconsider this therapy until further evidence bears out an answer. Read the post from EM Nerd here. 

See you next week 


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