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!
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!
AND NOW ONTO THE FOAMed.
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:
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.
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: Point-of-Care Ultrasonography in Patients Admitted With Respiratory Symptoms: a Single-Blind, Randomised Controlled Trial
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: Randomized Controlled Trial of Intravenous Antivenom Versus Placebo for Latrodectism
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.
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.
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.
See you next week.
#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.