Rich Levitan on the Surgical Airway
Michael Macias
Learn how to make the decision to obtain a definitive surgical airway and get to know your patient's neck anatomy with the 'laryngeal handshake.'
Read MoreBlog
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Michael Macias
“Cross-clamping” the aorta from the inside. That’s Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
Read More#FOAM Review 4th edition
Michael Macias
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 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 Here
Original Article: Randomized Controlled Trial of Intravenous Antivenom Versus Placebo for Latrodectism
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.
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.
Tell the world what you use to intubate!
Michael Macias
By Michael Macias
Pollster was designed to ask the big questions in emergency medicine that all practicing EM physicians/personnel want to know! The goal is to use create extremely brief surveys and utilize social media to spread the word and gather as much data as possible! We will then use this data to generate info-graphics to make interpretation of the data easy, fun and lead to generation of new discussions! This week we want to know how you intubate! Nuance excluded! Let us know what you are most likely to use. We understand that every airway is different but want to get a sense about what you think of first! Tell us and share with the world your go to technique! Let us know anything particular in the additional comments box!
How do you Intubate?
Thank you, we look forward to all of your responses!
Non Operative Treatment of Acute Appendicitis. A possible new paradigm shift?
Michael Macias
A significant amount of data has slowly been trickling into the surgical literature that in many of the cases of appendicitis, rushing the gurney to the OR may not actually be what is best for the patient. This is where non operative treatment of acute appendicitis (NOTA) is born.
Read More#FOAM Review 3rd Edition
Michael Macias
Welcome to the third 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.
FOAMed.
TIPS FOR PASSING A BOUGIE [VIDEO]: Advice from an expert in airway management , John McGill at HQMedEd, on troubleshooting when the bougie wont pass.
MULTIORGAN US FOR PULMONARY EMBOLISM [VIDEOCAST]: Does your patient need a CTA? Or is there another option? Let the US learning begin at ultrasoundpodcast on the evidence behind this hot topic.
GREATER AURICULAR NERVE BLOCK [BLOG]: A better way to obtain anesthesia of the outer rim of the ear (helix) and ear lobe for laceration repair...US guided nerve block style at Highland Emergency Ultrasound.
HIGH VS LOW BLOOD PRESSURE TARGET IN PATIENTS WITH SEPTIC SHOCK [BLOG]: TheBottomLine reviews the SEPSISPAM trial: In patients with septic shock does a high target mean arterial pressure (MAP), compared to a low target MAP, improve mortality?
More FOAMed.
Renal & GU
URETEROLITHIASIS [INFOGRAPHIC]: Tell your patient what there chance of passing their renal stone is based on location and size at Clinicalem.
UTI [BLOG]: Take 5 minutes to learn how to distinguish between asymptomatic bacteriuria, uncomplicated UTI, and complicated UTI in the elderly and how to treat these different presentations at ALiEM.
Endocrine, Metabolic & Nutrition:
THYROID STORM [BLOG]: Excellent review on the up-to-date presentation and treatment of thyroid storm at emDocs. Don't forget to check a TSH in new decompensated CHF or arrhythmia!
Infectious Disease:
SKIN & SOFT TISSUE INFECTIONS [GUIDELINES]: The new IDSA guidelines are out for diagnosis and treatment of skin and soft tissue infections. Read them and impress your attending.
Toxicology:
TOXICOLOGY PEARLS [BLOG]: High yield synopsis of toxicology pearls from ICEM 2014 including: the approach to the poisoned patient, antidotes in overdose and the utility of decontamination at EmergencyPedia.
See you next week.
#FOAM review is brought to you by Michael Macias. Click on the letter icon at the bottom of the page if you want to recommend content you think should be added to our curriculum.