#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. 

#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 7th Edition

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

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Before the FOAMed...

We still want to hear from you regarding what your go to pressor is for septic shock? Click on image below to fill out 30 second poll. So far we have responses from around the world!

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And now onto the FOAMed.

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DIGITAL INTUBATION [VIDEO]: Learn how to perform the scalpel finger bougie cricothyrotomy with Scott Weingart at PHARM. This technique is awesome!

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PNEUMONIA OR EFFUSION [VIDEO]: Hone your ultrasound skills with this short video on how to distinguish between consolidation and fluid on lung ultrasound. Soundtrack included. 

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HIGH SENSITIVITY TROPONINS [PODCAST]: Are high 'analytic' sensitivity troponins better for patient care? Understand the difference between analytic sensitivity and diagnostic sensitivity as well as the debate on this controversial topic at St. Emlyns. 

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EPISTAXIS [VIDEO]: Creative, humerous and educational video on the management of acute epistaxis that will leave you with some key nose bleed management pearls as well as a good laugh or two. 

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More FOAMed. 

Hematologic Disorders

VON WILLEBRAND DISEASE [BLOG]: A brief run through of the most common coagulopathy that we may encounter in the ED over at Pediatric EM Morsels. 

Cardiovascular Disorders

PERICARDITIS [BLOG]: The literature for colchicine in acute pericarditis looks enticing. Take a look at the discussion of the evidence over at Rebel EM which may push you to change your management. 

Neurology

INCREASED INTRACRANIAL PRESSURE [PODCAST]: New concepts in understanding increased intracranial pressure. We like to think its all about the arteries, but maybe we should be giving the venous system a little more love. Back to the Monro Kelly Doctrine and what we have learned from studying patients with HACE (High Altitude Cerebral Edema).

Toxicologic Disorders

SALICYLATE OVERDOSE [PODCAST]: Another excellent installment from EM Basic on the diagnosis and management of salicylate overdose. This is a must listen! 

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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. 

#FOAMed Review 6th Edition

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

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And now onto the FOAMed. 

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DELAYED SEQUENCE INTUBATION [PODCAST]: Understand the the concept, what patients this technique is useful for and more from two of our favorite experts, Ming Le Cong at PHARM and Scott Weingart at EMCrit. 

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PERICARDIOCENTESIS [VIDEOCAST]: What should you be looking for on ultrasound for diagnosing cardiac tamponade and how to perform a pericardiocentesis, all at Ultrasoundpodcast. Enough said. 

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ANAPHYLAXIS, HOW LONG TO OBSERVE [MULTIMODAL]: The incidence of biphasic reaction is extremely low, take a look at the evidence and decide what your practice should be. Also a great discussion here on this matter at Rebel EM with bonus on using total lymphocyte count as a surrogate for CD4 count. 

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ECHO IN SHOCK [VIDEOCAST]: 7 Diagnoses you can rapidly assess by echo in the hypotensive patient. Tips from critical care that can translate to your ED echo assessment. 

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More FOAMed.

Cardiology

LEFT MAIN OCCLUSION VS LEFT MAIN INSUFFICIENCY? [BLOG]: Learn to distinguish between these two entities based on EKG findings and get a better grasp on your ACS physiologic understanding.

Resuscitation 

ECPR = EXTRACORPOREAL CARDIOPULMONARY RESUSCITATION [MULTIMODAL]: The future of advanced resuscitation is near, find out what ECPR is and what the basics are. Also listen to a podcast on the CHEER Trial which is showing promising result for this innovative therapy. 

Endocrine, Metabolic and Nutritional 

ADRENAL INSUFFICIENCY [VIDEOBLOG]: A creative, fun and effective learning experience discussing adrenal insufficiency. Includes presentation, pathophysiology and treatment in the ED along with what else you should keep on your differential, all at Pondering EM. 

Signs & Symptoms: Abdominal Pain

AGE & ABDOMINAL PAIN [BLOG]: An unexpected bounce back and lessons on abdominal pain in the elderly from emDocs. 

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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.