FOAMcast

emergency medicine podcast by @jeremyfaust @LWestafer #FOAMed

[FOAMcast @FOAMpodcast]

📷New ACEP clinical policy in July 2025 @annalsofem bringing some practice, changing recommendations for the evaluation of non-traumatic aortic dissection 📷listen on Spotify or wherever… References at https://t.co/RxbRNEonqh

[FOAMcast @FOAMpodcast]

Show notes: https://t.co/r6NXadO7GR Listen on spotify, https://t.co/vJn43rRTsf, or wherever you get your podcasts

[FOAMcast @FOAMpodcast]

FOAMcast is baaaaaack. A major thought on asthma....we can and should do better for the patients we discharge from the ED

[FOAMcast @FOAMpodcast]

A review of acute ischemic priapism and some treatment tips from recent guidelines (use phenylephrine up front!)
Post: https://t.co/Sgeqrn8Evp
Listen: https://t.co/u5K4CjN6dG (or spotify, etc)

[FOAMcast @FOAMpodcast]

A review of acute ischemic priapism and some treatment tips from recent guidelines (use phenylephrine up front!)
Post: https://t.co/Sgeqrn8Evp
Listen: https://t.co/u5K4CjN6dG (or spotify, etc)

[FOAMcast @FOAMpodcast]

New podcast on a consensus guideline on topical anesthetic use in 👁️ corneal abrasions fresh out in @annalsofem ☕🤏👀
Blog: https://t.co/za5Tu2dGKb
Podcast: https://t.co/LeIeqBT5kE
Listen on spotify, etc

[FOAMcast @FOAMpodcast]

The magnesium LOE was rated as high; but really 66% of patients came from a single study and most patients received digoxin (rather than CCB or BB). it may be an adjunct to use in difficult-to-control rates, but alone not a magic bullet with limited evidence

[FOAMcast @FOAMpodcast]

A review of the new AHA guidelines for atrial fibrillation
🌟 calcium channel blockers in HFrEF are OUT
🌟 review of the role of magnesium (and over-estimation of level of evidence)
Blog/show notes: https://t.co/ZxXp9TJy8V
Podcast: https://t.co/Ix6WL9XdA5 (or Spotify etc)

[FOAMcast @FOAMpodcast]

It is complicated. all of the estimates favor the liberal strategy. there were slightly ⬆️ adverse events (e.g. TACO) in the liberal group, but didn't increase death. for me (@LWestafer), this may ⬇️ my tranfusion threshold in some patients w/NSTEMI, ischemic sx, & anemia(3/)

[FOAMcast @FOAMpodcast]

Transfusion thresholds in acute myocardial infarction-
updates from AABB & MINT trial! 🩸
Ref: https://t.co/Q2V6GLz5tf
Podcast: https://t.co/NXkWYmGWIg (or spotify etc)
⭐️transfusions have risks so restrictive strategy (<7g/l) for most medical patients.but, what about MI? (1/x)

[FOAMcast @FOAMpodcast]

The MINT trial https://t.co/ZoQ7dwkqyL randomized patients w/MI (mostly NSTEMI) & anemia to transfusion if <7-8 g/dl vs transfusion to maintain hb of 10 g/dl.
the 95% CI for point estimates for primary outcome (death/MI) crossed 1.0. So, is it a negative trial? (2/)

[Lauren Westafer, DO MPH MS @LWestafer]

New..... @ACEPNow clinical policy on superior agent for sedation of acutely agitated patient requiring IV/IM sedation:
⭐droperidol (or another atypical antipsychotic) + midazolam is RAPID AND EFFICACIOUS (Level B rec)
📖 https://t.co/Vz1v0G17YT
🎧 https://t.co/G1DFJu2UKG
(1/3)

[FOAMcast @FOAMpodcast]

REBOA - a review of the new @JAMA_current RCT in trauma with both @jeremyfaust & @LWestafer
Podcast: https://t.co/cTR8gn3JFu (or Spotify, etc)
References: https://t.co/ZsFHpWKgFT

[Liz Goldberg MD ScM @LizGoldbergMD]

Emergency department patients with alcohol use disorder could benefit from interventions to help reduce alcohol use, but aren't routinely screened or treated.

A good discussion by @LWestafer on making the diagnosis & current treatment options.

#FOAM #addiction #alcohol

[FOAMcast @FOAMpodcast]

What do you do for patients with alcohol use disorder? Tx withdrawal? Detox? Meds to help reduce use & cravings?
⭐️Naltrexone is 1st line for alcohol use disorder and within purview of emergency clinicians
🎧 https://t.co/NT13iRrTSV
Ref: https://t.co/clRsyjEfwW

[FOAMcast @FOAMpodcast]

Steroids for community acquired pneumonia revisited! Reviewing a multicenter RCT of hydrocortisone in severe CAP
Podcast: https://t.co/YcWyyDTIvl (or Spotify, etc)
Blog: https://t.co/U2Sxy7QbGn

[FOAMcast @FOAMpodcast]

Early Restrictive vs Liberal fluids in sepsis-induced hypotension - our review of the CLOVERS trial
Podcast: https://t.co/gBzgBKxYc7
References etc: https://t.co/PyIpPaZNG6

[Rick Tumminello @RickTumminello]

Nice to have an @ACEPNow clinical policy supporting the use of high-dose nitrates for acute heart failure. Nitro gtt + NIPPV = closet thing to magic we have for some of the sickest looking patients presenting to the ED 🪄 🧙‍♂️

[FOAMcast @FOAMpodcast]

High-dose nitrates - a consensus recommendation due to low-quality evidence . some pearls on how to execute a bolus

[FOAMcast @FOAMpodcast]

New podcast on @ACEPNow clinical policy on acute heart failure with extra special emphasis on high-dose nitrates and more of a dive into the literature on that
Show notes/references: https://t.co/xSNPeI0UBg
Podcast: https://t.co/3kTiq5lTMU (& spotify etc)