#FOAMed Review 8th Edition

Welcome to the eighth 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 #FOAMexplore which allows you to view previous #FOAMed review by edition or by selecting from CORD curriculum categories.

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Onto the FOAMed. 

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RSI & LARYNGOSCOPY [VIDEO]: This is a must watch for introduction to intubation in the emergency department! Concise walkthrough from positioning and pre-oxygenation to intubation medications and laryngoscopy. Also includes some nuance pearls in specific situations such as trauma and the acutely acidotic patient. Visit Seth Trueger @ MDaware for more great posts.

HIGH TENSION LACERATION REPAIR [VIDEO]: Excessive tension on a laceration during healing can affect its blood supply and lead to poor appearance. Learn trick of the trade at ALiEM with Dr. Brian Lin on transforming a V -> Y laceration for high tension repairs.

MAXILLOFACIAL EMERGENCIES [ARTICLE]: This article focuses on the emergency assessment, triage and non-specialist management of oral pain and odontogenic infections. Great read and review! Click below to check it out!

Original Article 

TRANS-ESOPHAGEAL ECHO [VIDEOCAST]: Yes you are reading this correctly. Hoping for a new age of echocardiography with the right test for the right indication. Three high quality videocasts from the masterminds at Ultrasoundpodcast. Continuous TEE during cardiac arrest! And yes this procedure is low risk! Definitely less than an intern putting in a central line!

Part 1        Part 2        Part 3

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More FOAMed. 

Toxicologic Disorders

ACUTE COCAINE TOXICITY [BLOG]: Interesting clinical case and management of cocaine induced dysrhythmia @ Dallas EM!

Resuscitation 

A CASE FOR PROLONGED CPR [PODCAST]: This is one case presented and discussed by Scott Weingart that may make you re-consider when to stop CPR. And lytics pushed after 45 minutes @ a cath center! It couldn't get more exciting! 

Cardiovascular Disorders  

AORTIC DISSECTION [PODCAST]: Improved strategies for picking up aortic dissection early and findings you may not previously consider as 'think aortic dissection.' Given by one of a kind educator Rob Rogers. 

Traumatic Disorders  

MRI in C-spine Clearance [BLOG]: EM Nerd with yet another creative discussion, this time on the literature regarding MRI for persistent C-spine tenderness after negative CT in trauma patients. Useful? Overdiagnosis? Check out his post here.  

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See you next week. 

#FOAMed review is brought to you by Michael Macias. If you want to recommend content you think should be added to our curriculum, send me an email, I would love to hear from you. 

#FOAMed Review 5th edition

Welcome to the fifth edition of the #FOAM Review! The idea of the FOAM 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. Look out for the #FOAM review curriculum and indexing page in the next few weeks as we continue to update the website! 

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AND NOW ONTO THE FOAMed.

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THE ICP TUBE [PODCAST]: As part of Scott Weingart's 'Laryngoscope as a Murder Weapon' series, learn the nuance to management of the airway in patients with presumed increased ICP.  

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BLUNT HEAD TRAUMA IN CHILDREN [BLOG]: Should all children with isolated LOC after head trauma get a CT? You may want to reconsider after reading EMNerd's post on new data from PECARN. This is definitely worth a read. 

Original Article Here

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TMJ DISLOCATION [VIDEO]: Fingers growing weak from that attempted TMJ reduction? Innovative trick of the trade = tire out the muscles of mastication. 

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ECHO WITH EXPERTS [VIDEO SERIES]: These 4 free echo videos are in a series provided by 123sonography and will make you a better person...or at least better at beside echo in the ED. Email address is required to receive videos but don't fear, they don't send spam. 

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More FOAMed.

Pediatrics

PEDIATRIC FEVER WITHOUT A SOURCE [PODCAST]: How do you deal with fever without a source in children and how do you sort through the diagnostic work up? Great talk at Emergency Medicine Cases. 

HEENT

ACUTE EPIGLOTTITIS [BLOG]: Epiglottitis in adults is a real thing! Great case presentation and discussion of management at Boring EM.

Environment

HYPOTHERMIA [BLOG]: What do you know about hypothermia? Did you know 'they aren't dead until they're warm and dead?' Do you even know what I am talking about? Click here to learn more about hypothermia pearls. 

Obstetrics & Gynecology

POST PARTUM HEMORRHAGE [VIDEO]: PPH can be quite the scary subject. Take 5 minutes of your busy day to watch this high yield resource on etiology and management of post partum hemorrhage at EM in 5. Don't be afraid to use manual compression if all else fails! 

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See you next week.

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#FOAM review is brought to you by Michael Macias. If you want to recommend content you think should be added to our curriculum, send me an email, I would love to hear from you. 

#FOAM Review 4th edition

Welcome to the fourth edition of the #FOAM Review! The idea of the FOAM 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. Look out for the #FOAM review curriculum and indexing page in the next few weeks as we continue to update the website! 

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BUT FIRST A QUICK TANGENT! If you haven't already, let us know what is YOUR 'go to' tool and meds for the standard intubation! Click on image to the left and share your practice with the world! We will publish interactive info-graphic next week with the results!

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AND NOW ONTO THE FOAMed.

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INTUBATION CHECKLISTS [MULTIMODAL]: We intubate in the emergency room daily. and often encounter the difficult airway. Do you use a checklist/algorithm for when @$!^@ hits the fan? Check out some approaches from experts below: 

• EM Crit Intubation Checklist and Failed Airway Algorithm
• The Vortex Approach
• EM Updates Intubation Checklist

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ANKLE-BRACHIAL INDEX [VIDEO/BLOG]: Patient presenting with a cold leg? Oh and by the way, they mention they have diabetes, HTN and 40 pack year smoking history. You should probably check their pulses, or an ABI if you can't palpate anything. High yield video on the technique here and excellent pocket resource regarding acute limb ischemia on ALiEM. 

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POCUS IN SOB [BLOG]: POCUS for respiratory complaints may improved likelihood of diagnosis at 4 hours but does it improve patient outcomes? Read two different posts from St. Emlyns & EM Literature of Note on the recent Lancet article regarding POCUS in patients with respiratory symptoms. Or get in on the twitter discussion here. 

Original Article Here

Original Article: Point-of-Care Ultrasonography in Patients Admitted With Respiratory Symptoms: a Single-Blind, Randomised Controlled Trial

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LATRODECTUS ANTIVENOM: [BLOG]: The RAVE-II study is out in the Annals of EM may be practice changing. We enjoyed the succinct review at EBM Wild. Read it for yourself

Original Article Here

Original Article: Randomized Controlled Trial of Intravenous Antivenom Versus Placebo for Latrodectism

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More FOAMed.

Environment

MANAGEMENT OF DOG BITES [BLOG]: Do we still need to allow dog bites to heal by secondary intention? Should antibiotic prophylaxis be standard of care? Take a look at the evidence at Rebel EM. 

Resuscitation 

FLUID MANAGEMENT [PODCAST]: There has been quite a bit of talk regarding maintaining the glycocalyx during fluid resuscitation. Listen to the SMACC lecture by Jeremy Cohen, hosted on The Intensive Care Network, and think about what your strategy should be.

Neurology:

VERTIGO [PODCAST]: The HINTS exam is your friend when a patient presents with vertiginous symptoms. Tips to distinguish between central and peripheral etiology at The Washington University Emergency Medicine Journal Club. 

Trauma:

BURNS [BLOG]: Step by step breakdown on key questions you need to answer about major burn management at LITFL. Minor burns need love too so check out the bottom line need to know at Don't Forget the Bubbles. 

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See you next week.

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#FOAM review is brought to you by Michael Macias. If you want to recommend content you think should be added to our curriculum, send me an email, I would love to hear from you.