#FOAMed Review 60th Edition


Welcome to the 60th 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, including interesting and relevant evidence based medicine, that you can fit into your busy weekly schedule.


Supraglottic Airways: Their Evolution as Tracheal Tube Introducers

Anesthesiology News

Troubleshooting the clotted PEG tube

Procedurettes


   

The Interscalene Block

The Traffic Light Sign
The Traffic Light Sign Proper Probe Placement for Interscalene Block
Proper Probe Placement for Interscalene Block

Have a large abscess you have to drain on the upper extremity? Consider the interscalene block to provided dense anesthesia for expedient & painless drainage. Use a high frequency linear probe in a transverse plane at the level of the larynx and slide the transducer laterally until you identify the lateral border of the sternocleidomastoid. Here you can then identify the anterior and middle scalene muscles just deep to the SCM, with the nerve roots of C5-C7 running in between in a vertical fashion giving us a "traffic light" appearance. This will be your target.  Learn more about this procedure here


LITERATURE OF INTEREST 

   
  • An Age-Adjusted D-dimer Threshold for Emergency Department Patients With Suspected Pulmonary Embolus: Accuracy and Clinical Implications. PMID26320520
  • A Report of Adverse Drug Reactions in Pediatric Emergency Medicine PMID26324354
  • Double-Blind Prospective Randomized Controlled Trial of Dopamine Versus Epinephrine as First-Line Vasoactive Drugs in Pediatric Septic Shock PMID26323041
  • Bivalirudin or Unfractionated Heparin in Acute Coronary Syndromes PMID26324049
  • Conservative Versus Liberal Oxygenation Targets for Mechanically Ventilated Patients – a Pilot Multicenter Randomized Controlled Trial PMID26334785

MORE FOAMED

THE UNDIFFERENTIATED SICK INFANT [PODCAST]: Pediatric Emergency Playbook is a new kid on the blog block, putting out excellent content so far. Listen to the podcast here on how to approach the undifferentiated sick infant. 

THE PROBLEM WITH CALF CLOTS [PODCAST]: The management of isolated calf DVT in the ED has become quite an enigma. Rob Orman breaks down this topic on ER Cast to help us better understand the evidence and demystify this issue. 

CUTTING EDGE ACUTE ISCHEMIC STROKE CARE [LECTURE]: Dr. Melissa Motta, a neuro-critical care expert breaks down current best practice in acute ischemic stroke in an excellent talk at Maryland CC Project

EPIGLOTTITIS [BLOG]: While uncommon, this is a disease process we must be able to recognize. Learn the presentation and management of this disease process in the core content post at Core EM


SEE YOU NEXT WEEK

Online Advanced Ultrasound Education

Northwestern EM Residency Education Coming soon...

#FOAMed Review 59th Edition

Welcome to the 59th 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, including interesting and relevant evidence based medicine, that you can fit into your busy weekly schedule.


CORE CATEGORIES

Airway Preparation

EM in 5

Ultrasound Case

 56 year old male presents with right sided hemiparesis and expressive aphasia. 

Ultrasound of the Week

Procedure Pearl

Ear foreign body removal with modified suction setup.

ALiEM

 


LITERATURE OF INTEREST 

   
  • Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomized controlled trial Open Access
  • Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation PMID26095867
  • Noninvasive regional cerebral oxygen saturation for neurological prognostication of patients with out-of-hospital cardiac arrest: A prospective multicenter observational study PMID24606889
  • Does Albumin Infusion Reduce Renal Impairment and Mortality in Patients With Spontaneous Bacterial Peritonitis? PMID26234193
  • Vasopressors for the Treatment of Septic Shock: Systematic Review and Meta-Analysis PMID26237037

MORE FOAMED

ASTHMA MANAGEMENT [BLOG]: Excellent post describing the evidence behind 3 very frequently used treatments in the management of asthma. EM Lyceum

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CARDIAC TAMPONADE & CARDIOMYOPATHIES [LECTURE]: Dr. Lorrel Brown discusses cardiac tamponade physiology as well as a variety of cardiomyopathies in an excellent talk from Louisville Lectures. 

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NEUROTRAUMA [PODCAST]: This talk focuses on traumatic brain injury, particularly on traumatic subarachnoid hemorrhage and transfusion threshold in traumatic brain injury. Intensive Care Network

NICOTINE TOXICITY, A NEW TREND IN TOX [BLOG]: Nicotine toxicity is becoming more common in light of the era of e-cigarettes and other nicotine replacement. Learn about this evolving toxidrome that may end up in your ED. Boring EM 


SEE YOU NEXT WEEK 

  Lake Shore Drive, Chicago

Lake Shore Drive, Chicago

 

#FOAMed Review 58th Edition

Welcome to the 58th 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, including interesting and relevant evidence based medicine, that you can fit into your busy weekly schedule.


CORE CATEGORIES

Successful Tracheal Intubation In Children With Difficult Airways: Seven Secret Techniques

Anesthesiology News

Ultrasound Cases:

Not your Normal Cystitis

CMT = PID...Not Always

10 Ways to Reduce a Shoulder Dislocation: Video How-To

Larry Mellick


EMERGENCY MEDICINE/CRITICAL CARE LITERATURE OF INTEREST

       
    • Identifying Patients Suitable for Discharge After a Single-Presentation High-Sensitivity Troponin Result: A Comparison of Five Established Risk Scores and Two High-Sensitivity Assay PMID26260100
    • More Than One Third of Intubations in Patients Transferred to Burn Centers are Unnecessary: Proposed Guidelines for Appropriate Intubation of the Burn Patient PMID26284640
    • The Early Repolarization Pattern: A Consensus Paper PMID26205599
    • Overdiagnosis of Pulmonary Embolism by Pulmonary CT Angiography PMID26204274
    • Electrolyte and Acid-Base Disturbances in Patients with Diabetes Mellitus PMID26244308

    MORE FOAMED 

    THE EVOLUTION OF PAIN MANAGEMENT IN THE ED [PODCAST]: Listen to the full-length Grand Rounds recording of Sergey Motov, a pain expert, who discusses the evolving treatment of pain management in the ED hosted by Core EM

    SHORTNESS OF BREATH AND ST SEGMENT ELEVATION [BLOG]: A middle aged man with history of MI presented by EMS for the sudden onset of difficulty breathing. Read more, here at Dr. Smith's ECG Blog.

    Screen Shot 2015-07-29 at 12.35.41 PM.png

    EARLY VENT WEANING TO HFNC IN HYPOXEMIC RESPIRATORY FAILURE [BLOG]: A proposal for extubation to HFNC in patients with hypoxic respiratory failure from Josh Farkas at Pulm Crit. While this may not yet be ready for primetime it has promising appeal. 

    RESUSCITATIONIST'S TOOLBOX:

    What you need for an ED Thoracotomy

    By Scott Weingart

    Mechanical Circulatory Support for the Emergency Physician

    By Felipe Teran



    SEE YOU NEXT WEEK 

      The Grand Tetons, Wyoming

    The Grand Tetons, Wyoming

     

    #FOAMed Review 57th Edition

    Welcome to the fifty-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 indexing section #FOAMED REVIEW which allows you to view previous weekly reviews by edition or by selecting from CORD curriculum categories.


    Onto the FOAMed 


    THE AIRWAY MANAGEMENT ROUNDTABLE [ARTICLE]: Read a great piece from the anesthesia world regarding 7 questions on the current state of airway management answered by 6 airway experts. Anesthesiology World

    RIGHT HEART ULTRASOUND PEARLS [PODCAST]: The guys from Ultrasound Podcast sit down with Haney Mallemat to discuss key questions in right heart ultrasound. Make sure to also listen to Part 1 of this series here

    EM/CC LITERATURE OF INTEREST

    • Repeated emergency department visits among children admitted with meningitis or septicemia: a population-based study

    PMID25458981

    • Idarucizumab for Dabigatran Reversal

    PMID26095746

    • The influence of music during mechanical ventilation and weaning from mechanical ventilation: A review

    PMID26227333

    • Sexually Transmitted Disease Guidelines 2015

    Guidelines: CDC.gov

    • The ultrasound-guided "peripheral IJ": internal jugular vein catheterization using a standard intravenous catheter

    PMID22579025

    INCISION & LOOP DRAINAGE [BLOG]: A novel technique for abscess I&D that you may want to check out for yourself, featured at Laceration Repair.  


    More FOAMed

    NIGHT SHIFT WOES [PODCAST]: Two of your favorite podcast voices, Rob Orman & Haney Mallemat, sit down in a heart to heart to discuss managing finding your niche in EM, the issues we face with nightshifts and more. ER Cast 

    STATUS EPILEPTICUS [PODCAST]: Scott Weingart discusses key clinical questions regarding management of status epilepticus with Tom Bleck, a neurointensivist from Rush Medical College. A must listen here at EM Crit. 

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    SEVERE COMMUNITY AQCUIRED PNEUMONIA [BLOG]: Pulm Crit discusses the evidence behind advanced treatment of severe community acquired pneumonia. Check out the post here to optimize your treatment strategy. 

    Screen Shot 2015-07-14 at 7.40.42 PM.png

    TUBO-OVARIAN ABSCESS [BLOG]: Failure to recognize this PID complication can lead to irreversible damage to the tubal and ovarian structures. Read about the pearls and pitfalls here at EM Docs


    See you next week 

      Tokyo, Japan

    Tokyo, Japan

     

    #FOAMed Review 56th Edition

    Welcome to the fifty-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 indexing section #FOAMED REVIEW which allows you to view previous weekly reviews by edition or by selecting from CORD curriculum categories.


    Onto the FOAMed


    PLAN A [BLOG]: Free high yield airway resources from the CCAM airway course on approach to laryngoscopy

    ULTRASOUND CASES OF THE WEEK [BLOG]: 

    EM/CC LITERATURE OF INTEREST

    • Can Vasopressors Safely Be Administered Through Peripheral Intravenous Catheters Compared With Central Venous Catheters?

    PMID26210381

    • Mechanical Ventilation and ARDS in the ED: A Multicenter, Observational, Prospective, Cross-sectional Study

    PMID25742126

    • Gestational Age and D-Dimer Levels

    PMID24828148     FOAM: EM Lit Of Note 

    • Adnexal torsion in adolescents: update and review of the literature

    PMID26204167

    • Prevalence and predictors of bacterial meningitis in young infants with fever without a source

    PMID25461476

    OWN THE BACKSLAB! [BLOG]: A practical guide to pediatric and adult splinting including excellent video tutorials. Check out this resource here.


    More FOAMed 

    POST INTUBATION SEDATION FOR PREGNANT PATIENTS [BLOG]: You've intubated the seizing eclamptic patient now what? Rebel EM discusses the literature on post intubation sedation for this patient whom you will hopefully never have to encounter. 

    UTILITY OF PRE-4 HOUR ACETAMINOPHEN LEVEL IN ACUTE OVERDOSE [BLOG]: Should we check the acetaminophen level right when our acute overdose patient's present? Bryan Haynes at ALiEM discusses the literature on this topic here

    CONGESTIVE HEART FAILURE [BLOG]: Core EM brings us an excellent summary of the diagnosis and management of congestive heart failure in the ED in its rapidly growing core content section. 

    Screen Shot 2015-08-12 at 11.28.46 AM.png

    STEMI, BRUGADA OR NEITHER? [BLOG]: An excellent ecg case that will teach you to always keep your differential open when reviewing ECGs. Make sure to apply your findings to the clinical situation at hand. Dr. Smith's ECG Blog 


    See you next week

      Oak Street Beach, Chicago 

    Oak Street Beach, Chicago