#FOAMed Review 11th Edition

Welcome to the eleventh 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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On to the FOAMed.

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SUPRAGLOTTIC AIRWAY REVIEW [BLOG]: Get familiar with supraglottic airways that you will commonly see placed during prehospital care and maybe even place yourself if a difficult airway situation.

ORBITAL ULTRASOUND [VIDEOCAST]: Measuring optic nerve diameter, evaluating for retinal detachment, and more with this essential videocast from Chris Fox at Ultrasound Podcast. 

FOREIGN BODIES IN THE EAR [VIDEO]: Another education and entertaining video from Short, Sharp, Scratch Productions on management of foreign bodies in the ear. 

TPA for CVA [POST]: Ryan Radecki joins the Skeptics Guide to Emergency Medicine in an outstanding podcast/blog post on the evidence regarding tPA in cerebrovascular accidents. 

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More FOAMed.

Endocrine Disorders

DIABETIC KETOACIDOSIS:

• [BLOG] Answers to important questions in the management of DKA at EMLyceum.

• [VIDEO] Excellent video on the two-bag system for titrating your dextrose concentration during fluid management in DKA at the PEM Blog. 

Infectious Disease

DOUBLE GRAM-NEGATIVE COVERAGE W/ FLUOROQUINOLONES? [BLOG]: Great post from pulmCrit regarding adding on a fluoroquinolone for double gram-negative coverage. They may not be giving us as much extra coverage as we thought...

Metabolic Disorders

AN INTERESTING CASE OF NAGMA [BLOG]: A young female presenting with bilateral pedal edema and facial swelling now with a new severe NAGMA. Find out more with a great case presentation at The Blunt Dissection. 

Neurology 

SINUS HEADACHES [BLOG]: Do sinus headaches exist? What symptoms make the diagnosis of migraine more likely? Who needs neuroimaging? All this in a short podcast from Rob Orman at ERCast.

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#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 10th Edition

Welcome to the tenth 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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ATROPINE NOT NEEDED FOR RSI [BLOG]: Sean Fox over at Pediatric EM Morsels with discussion of why atropine should not be standard for all pediatric intubations.

CONFIRM INTUBATION WITH ULTRASOUND [VIDEO]: End-tidal CO2 is still the gold standard, but here is another adjunct to confirming tracheal intubation.

PITFALLS AND PEARLS OF CARDIAC PACING [BLOG]: Resus Review with a great post on what to think about when placing and troubleshooting a transvenous pacer. For a review on the procedure see this article in The Journal of Emergency Medicine. 

Temporary Transvenous Pacemaker Placement in the ED

FUROSEMIDE IN ACUTE PULMONARY EDEMA [BLOG]: The Swami on the physiology & management of acute cardiogenic pulmonary edema and how loop diuretics may not actually be that helpful in initial therapy. 

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More FOAMed. 

Toxicologic Disorders 

MANAGEMENT OF IRON TOXICITY [BLOG]: Thorough overview of iron toxicity including laboratory diagnostics and treatment at ALiEM. 

Thoracic & Respiratory Disorders

EKG CHANGES IN PE THAT MIMIC AN MI [BLOG]: These are EKG findings you can't misdiagnose! PulmCrit teaches us what you EKG findings that should make you think PE as opposed to sending a patient to the cath lab! 

Cardiopulmonary Arrest 

A NEW APPROACH TO PEA [BLOG/ARTICLE]: PEA is not a diagnosis but an umbrella term for multiple diagnoses. This new algorithm may help to delineate the etiology more efficiently during cardiac arrest by starting with the QRS morphology. Check it out!

HEENT 

TOPICAL TRANEXAMIC ACID [BLOG]: Tranexamic Acid use in the ED, is it time? Great post on case presentation and discussion of RCT regarding topical TXA use in epistaxis. 

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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 9th Edition

Welcome to the ninth 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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AWAKE FIBEROPTIC INTUBATION [VIDEO]: Excellent step by step of an awake nasopharyngeal fiberoptic intubation followed by real difficult airway case from Hennepin County Medical Center. 

INTUSSUSCEPTION [PODCAST]: Learn a thing or two about ultrasound in intussusception over at Ultrasound Podcast featuring Dr. Russ Horowitz and Dr. Andy Sloas.

Part 1        Part 2

INSERTING A BLAKEMORE TUBE [VIDEO]: While not available at many facilities, this is a procedure that all residents should know how to perform in cases of massive UGIB that are crashing in front of you.

OUR CLINICAL JUDGEMENT IN ACS [MULTIMODAL]: Interesting findings in a recent paper by Body et al on ruling out ACS in the ED. Turns out clinical judgement is not enough. Find blog post on this paper here, and excellent talk from SMACC Gold by Dr. Body himself here. 

View original article here. 

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More FOAMed. 

HEENT

TOPICAL OPHTHALMIC MEDS [VIDEO]: Great review on ophthalmic drops @ EM in 5 minutes! 

Immune System Disorders 

ITS (ALMOST) NEVER LUPUS [BLOG]: Interesting IM perspective on SLE and a few tips to help us figure out what is really going on in the ever so complicated lupus patient at The Original Kings of County. 

Pediatrics  

A SIMPLIFIED APPROACH TO ASTHMA IN KIDS [PODCAST]: Andrew Sloas at PEM ED breaks down what you need to know about initial diagnosis and management of pediatric asthma in this high yield podcast with accompanying easy to follow algorithm graphic. 

Traumatic Disorders  

DAMAGE CONTROL IN TRAUMA [PODCAST]: Outstanding and passionate talk by Brohi on key concepts in managing the acutely hemorrhaging trauma patient at Intensive Care Network. A good review of more FOAMed discussing the controversial 'permissive hypotension' concept that Brohi focuses on can be found here at emDocs. 

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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.