show episodes
 
Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it’s like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.
 
A podcast to provide continuing education and on-demand reviews for the Pararescue community. All medical providers with an interest in remote and austere medicine, and rescue in both the tactical and non-tactical settings will find value in the material posted here. PJs - you may log the hours you spend listening to the material in this podcast in your training folders.
 
We believe in the educational merits of Free Open Access Medical education (FOAM), which includes podcasts, blogs, articles on PubMed Central, conferences streamed for free and more. As a result, we would like to encourage others to move beyond quoting podcasts and into the realm of tying “cutting edge” FOAM to the core content. We’ll provide some review and references for listeners to go read. Why, indeed, should we FOAM it alone when FOAM can inspire us to go, read, think, and be excellent?
 
Welcome to the Current ECG Podcast! You listen to this podcast because you want to advance your ECG Interpretation skills and deliver a higher quality of patient care as a practitioner of Emergency Medicine. This content has been crafted for students and practicing Paramedics, Nurses, Physician Assistants, Physicians, Medical Students at all levels and scopes of practice and Emergency Medicine Educators. You will learn the basics to build a strong ECG foundation and more advanced topics like ...
 
Healthcare today is changing at an incredibly rapid pace and the stakes have never been higher. In order to weather this storm and come out on top, the industry needs to look at innovations, leaders, patient experiences and all around past successes and failures. This is what The Report Room is all about. Brian Weirich is himself a skilled and experienced nurse leader who wants to help those in the nursing field up their game in terms of patient care and experience. His passion is to see the ...
 
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show series
 
In this episode, Dave is joined by Brad Reid to discuss Medical Math and how you can be sure that you are making accurate calculations at 3 o'clock in the morning when you are hungry and tired! Brad is an Advanced Care Paramedic in Nova Scotia and currently is the Program Manager for Medavie HealthEd that delivers Primary and Advanced Care Paramedi…
 
In this episode, we review new registry data from the ACIP meeting on pregnant people who received an mRNA COVID-19 vaccine and discuss, in general, what we know about the COVID-19 vaccines in pregnancy. Show notes: FOAMcast.org Pregnancy Decision Aid Thanks for listening! Lauren Westafer and Jeremy Faust…
 
Contributor: Peter Bakes, MD Educational Pearls: Necrotizing Enterocolitis (NEC) Presents in the first few days of life (often in the NICU) to 3 weeks old Risk factors include prematurity, excess feeding, neonatal sepsis Pneumatosis Intestinalisis on abdominal xray caused by bacterial translocation into the bowel wall Treated with NG tube, bowel re…
 
Contributor: Aaron Lessen, MD Educational Pearls: Meta-analysis of 57,420 COVID+ patients evaluated mortality after intubation 45% mortality rate for all patients in the study 84.4% mortality in patients over 80 years old POSITIONED Trail assessed need for intubation in patients awake self-proning compared to not Risk of intubation and mortality wa…
 
Constipation as a diagnosis can be dangerous, mainly because it is a powerful anchor in our medical decision-making. Chances are, you’d be right to chalk up the pain to functional constipation — 90% of pediatric constipation is functional, multifactorial, and mostly benign — as long as it is addressed. We’re not here for “chances are“; we’re here f…
 
Woman, I see you! If you’re walking around feeling exhausted and drained and wondering where you’ll get the energy to just make it through the next day, then I used to be you! You are doing so much and you are doing GREAT! I’m sending out this love letter to all of the Alpha Females out there who are busy making everything happen. Leave fear in the…
 
We’ve all felt the slump that this past year has brought. So many of us have felt stuck. Whether in our jobs, our homes, our workouts, or maybe in our relationships, we’ve felt like things have stopped. When Dr. Michelle Quirk started feeling this, she decided to build some momentum and get moving. She’s an avid runner and has built a coaching busi…
 
So this month we've got a cardiac-arrest-fest for you! With 3 papers centered on the management of cardiac arrest, with some key points that will help inform and improve our practice. First up we have a think about where patients with a presumed cardiac cause of their arrest should be transported to. Trauma networks in the UK have changed destinati…
 
Neonatal sepsis can be subtle, especially early on. It can rapidly progress to multisystem organ failure, meningitis, and death. Given the real dangers of neonatal sepsis, we will focus on 10 key points to remember when evaluating for this lurking terror.
 
Contributor: Jared Scott, MD Educational Pearls: Differential Diagnosis: non-accidental trauma, febrile seizure, meningitis, hyponatremia, epilepsy Convulsions with gastroenteritis is a known entity to cause seizures in infancy Predominantly occurs in ages 6 months to 3 years Occur with diarrheal episodes No electrolyte abnormalities associated wit…
 
Contributor: Nick Tsipis, MD Educational Pearls: Epinephrine: alpha-1, alpha-2, beta-1, and beta 2 agonist - used in cardiac arrest with positive effects on ROSC in prehospital and peri-hopsital setting Norepinephrine: alpha-1 and beta-1 agonist - used in septic shock to increase cardiac output and peripheral vasoconstriction Phenylephrine: alpha-1…
 
I recently had a listener write in and ask me to expand on ways to avoid burnout, before it even happens. Graduation is just around the corner for many med students and one thing your degree doesn’t cover is the effects of burnout and how to avoid it. When I received the request to go over this topic from Taylor, I thought it was an amazing idea. S…
 
It’s amazing how vulnerable being clear with others can make you feel. Think about it. How often do you tell people how you truly feel? How often do you speak out with clarity and confidence about what you need? Kelli Thompson is a leadership coach who is passionate about helping women find their clarity and confidence. After spending years in corp…
 
Doc R was a Ranger turned Emergency Medicine Doc- went on to become a Ranger Bat and SOAR Bat Doc, then SOAR Med Director. Great story, discussion of memorable missions and lessons learned. Then we focus on tips for medics, med directors and in flight medical operations. Doc R shares his unique perspective as a Ranger turned SOF Doc with insightful…
 
Elevated intracranial pressure (ICP) was just discussed in our last podcast on head injuries. However, we briefly mentioned how there is a certain amount of controversy on this subject. This separate podcast is to act as a supplement to the Chapter 6 ATLS podcast on head trauma that was just covered. We find this particularly important given how lo…
 
There's been a lot of excitement over various drugs for COVID-19, including anti-inflammatory drugs. Colchicine, a medication long used for gout, fits that bill. In this podcast, we review 3 trials of colchicine including COLCORONA, GRECCO-19, and a study by Lopes et al. Show notes: FOAMcast.org Thanks for listening! Jeremy Faust and Lauren Westafe…
 
Contributor: Jared Scott, MD Educational Pearls: Small capsule pacemaker (2.5 cm, 1 ml volume) resides in the heart without any associated wires or leads like a traditional pacemaker The new version has a 6 year battery life, after which it can be deactivated and a traditional pacemaker put in place Cost is around 2-4 times that of a traditional pa…
 
Contributor: Peter Bakes , MD Educational Pearls: Pediatric Fever + Rash Differential: scarlet fever, measles, rubella, chicken pox, fifth’s disease, HHV-6, adenovirus, anaphylaxis, Kawasaki’s disease Kawasaki’s is diagnosed clinically with prolonged fever (>7 days fever in 5 days of fever >6 months with 4 of the following: Strawberry tongue/fissur…
 
With the lockdowns and added stress of the pandemic, it’s no wonder that alcohol intake has increased. Does this mean that alcoholism has increased or are we dealing with the ramifications of a very destructive coping mechanism? Angela Mascenik joins me to chat about her journey and why it is rarely about the alcohol itself and all about why you’re…
 
Dr. Susan Wilson has focused on peer support throughout her career, but when she had to quit medicine due to her own medical issues, she realized just how important it is. Listen as she shares her experience and why she’s so passionate about peer support and coaching today. When you’re spiraling through grief and depression due to some really terri…
 
OverviewNew to emergency medicine residency and trying to take that first step toward building your knowledge base? Maybe you're trying to optimize your study strategy? Look no further! The great thing about EM is that we LOVE medical education. Today we take a look at a variety of educational resources to help build a solid foundation of your medi…
 
Welcome back to the podcast and our next Roadside to Resus episode, this time we’re taking a look at Diabetic Ketoacidosis, DKA. In this episode we’ll be getting our heads around the pathophysiology that underpins DKA, consider the clinical picture and severity of patients that present and look at both the in-hospital and pre-hospital management of…
 
Early studies of tocilizumab, a monoclonal antibody that binds interleukin-6 , were disappointing. However, the REMAP-CAP trial recently reported a benefit to tocilizumab in non-critically ill hospitalized patients with COVID-19. Now, from the RECOVERY trial (the trial that brought us dexamethasone), we have more good news for tocilizumab - which w…
 
Contributor: Rachael Duncan, PharmD BCPS Educational Pearls: According to the Department of Public Health and Environment who puts out a weekly report on the influenza virus in Colorado, there appears to be less influenza in Colorado than previous years A milder influenza outbreak is likely due to mask wearing and social distancing practices There …
 
This episode of Mental Health Monthly we will be discussing drugs screens in the Emergency Department with Dr. Justin Romano and Eddie Carillo. Dr. Justin Romano is a current psychiatry resident and Eddie Carillo is a licensed mental health therapist. Check out their podcast Millennial Mental Health Channel on all major podcast platforms. Shout out…
 
Contributor: Aaron Lessen, MD Educational Pearls: Retrospective review of 5,021 patients over 65 with 2 or more rib fractures recently published 3577 (78 %) were admitted to non-ICU setting 1.1% of these patients had unexpected intubation or ICU transfer Findings raise questions regarding current guidelines for ICU admission in elderly patients wit…
 
Contributor: Aaron Lessen, MD Educational Pearls: Pyogenic liver abscesses can be caused by Intra-abdominal infection progressing to peritonitis which then drains into liver Bacteremia leading to hematogenous spead and seeding Local biliary infection with contiguous spread Patients typically present with signs of sepsis or septic shock and the absc…
 
We all know that female reproductive and general health has always been lower on the totem pole in the medical field. Only in recent years has the narrative begun to change and one of the big players in that is Dr. Teresa Irwin. She’s the vaginacologist and she’s here to share her story and why she’s so passionate about women’s health. So how did s…
 
Did you know that some of our listeners only listen to the Married to an Alpha Female episodes? It’s true! Thank you so much to everyone who listens to these because we love doing them. Okay, now to get into our discussion! Not much has been going on down on the farm. Craig has been taking grain to market, and no that does not include a horse and b…
 
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