Compiled by Eric Tang MD
A list of FOAMed from my RSS feed reader for the month of October
Skip Ahead
- π Core Knowledge
- π Evidence-Based Medicine (EBM) Updates
- π Critical Care
- π POCUS and Procedures
- π ECG
- βοΈ Med Malpractice
- πΆ Pediatrics
π Core Knowledge
- Appendicitis and Diverticulitis Management
- Drug Abuse and Stroke
- Eclampsia
- EM Cases Quick Hits
- ESBL UTI
- Gastric Lavage
- Maxillofacial Trauma
- Migraines
- SAEM Clinical Image Series
- Case 1: Not Your Average Ear Infection β‘οΈΒ View Case 1
- Case 2: Blistery Mystery β‘οΈ View Case 2
- Case 3: Doubly Double Vision β‘οΈ View Case 3
- Case 4: Unidentified Intrauterine Object β‘οΈ View Case 4
- Case 5: Didnβt See That Coming β‘οΈ View Case 5
- Sinus Tachycardia
- Thromboembolic Disease in Pregnancy
- Toxic Alcohols
An update on current best practices for managing appendicitis and diverticulitis in the ED, including diagnostic strategies and treatment recommendations.
π Read the Update
An article discussing the correlation between drug abuse and increased risk of stroke, with a focus on emergency assessment and management.
A focused discussion on the identification, risks, and management of eclampsia in the emergency setting, addressing key symptoms and treatment protocols.
π Listen Here
A collection of brief clinical pearls covering various emergency medicine topics, including critical updates and practical tips for the ED.
π Read the Highlights
This article reviews the management of urinary tract infections caused by extended-spectrum beta-lactamase (ESBL) producing organisms, highlighting antibiotic options and treatment challenges.
π Read the Summary
A breakdown of the role, technique, and indications for gastric lavage in poisoning and overdose cases, discussing evidence and current best practices.
π Read More
This article provides a comprehensive approach to the assessment and management of maxillofacial trauma, covering key techniques and potential complications.
π Explore Here
A podcast episode covering migraine management in the ED, with a focus on evidence-based treatment protocols and considerations for pain control.
π Listen Here
A series of visual diagnosis cases presenting unique and challenging clinical images for ED practitioners.
This podcast episode examines a mental model for assessing and managing unexplained sinus tachycardia, discussing differential diagnoses and practical steps.
π Listen Here
An overview of thromboembolic disease in pregnancy, including diagnostic and therapeutic approaches and unique considerations for pregnant patients in the ED.
π Explore the Topic
A review of toxic alcohol ingestion, including diagnosis, clinical signs, and treatment options for methanol, ethylene glycol, and other toxic alcohols.
π Learn More
π Evidence-Based Medicine (EBM) Updates
Journal Feed is free for students & residents
- Cavernous Venous Thrombosis
- D-dimer and Acute Aortic Syndrome
- Defibrillator Pad Placement for OHCA
- Diagnostic Approach to Syphilis
- Do Discharged Patients with Severe HTN Have Poor Outcomes?
- EMCrit: The Happen Trial
- First10EM: October 2024 Research Roundup
- How Common Are Serious Adverse Reactions to Antibiotics?
- How to Treat Hypertensive Emergency
- Inhaled Corticosteroids for Asthma in the ED
- Intranasal vs. IV Ketamine for Pain
- Ketamine vs. Etomidate for RSI
- LR vs. NS for Sickle Cell Pain Crisis
- New AHA Statement on Asymptomatic Hypertension
- New Topical Antiseptic for Bacterial Vaginosis
- Systematic Review on HINTS Exam Accuracy
This article provides an overview of cavernous venous thrombosis, covering key symptoms, diagnostic steps, and management options.
π Explore Here
A study examining the use of D-dimer in diagnosing acute aortic syndromes, discussing its accuracy and clinical utility.
π Read SGEM Summary
Research into the effects of defibrillator pad placement on survival outcomes for out-of-hospital cardiac arrest patients.
π Read Article
This article outlines the diagnostic approach for syphilis, focusing on key clinical signs and testing protocols.
A review of outcomes in patients with severe hypertension discharged from the ED, including potential long-term impacts.
π Read Article
A summary of findings from the Happen Trial, covering critical care strategies and their effects on patient outcomes in the ICU.
π Explore the Trial
This roundup highlights recent studies in emergency medicine, offering brief overviews of their findings and clinical implications.
π Read More
This article reviews the incidence and types of serious adverse reactions associated with common antibiotics.
π Learn More
A guide detailing recommended management protocols for hypertensive emergencies in the ED.
Analysis of recent evidence regarding the use of inhaled corticosteroids for acute asthma exacerbations in emergency settings.
π Read More
A comparison of the efficacy and administration routes of intranasal versus intravenous ketamine for pain relief in the ED.
π Explore the Study
An overview of the effects and outcomes of ketamine and etomidate as induction agents for rapid sequence intubation.
A study comparing lactated Ringerβs and normal saline for fluid management in patients with sickle cell pain crises.
π Read More
The American Heart Associationβs latest guidelines on managing asymptomatic hypertension, including recommended practices and interventions.
Research on a novel antiseptic for treating bacterial vaginosis, examining its effectiveness and potential use cases.
A systematic review evaluating the HINTS exam's effectiveness in identifying central causes of dizziness and guiding appropriate care.
π Learn More
π Critical Care
- Acute Liver Failure Part 1
- Eye Trauma - Orbital Compartment Syndrome
- Intubation of the Neurologically Injured Patient
- Sepsis vs. Hypothyroidism
- OHCA - Who Goes to the Cath Lab?
- ETCO2 in Cardiac Arrest
- Using APRV
- Does Chest Tube Size Matter?
Overview of the initial approach and management strategies for patients presenting with acute liver failure, focusing on stabilization and key diagnostics.
π Read EMCrit Summary
A guide on the recognition and emergency management of orbital compartment syndrome, emphasizing the importance of timely intervention.
π Read EMCrit Guide
Video demonstration of techniques and considerations for intubating patients with neurological injury, covering airway management strategies specific to this group.
π Watch CriticalCareNow Video
A comparison of clinical presentations and initial diagnostic steps to differentiate between sepsis and severe hypothyroidism in critical settings.
π Watch CriticalCareNow Video
Discussion on criteria for selecting out-of-hospital cardiac arrest (OHCA) patients for catheterization, with insights on current guidelines and clinical judgment.
π Watch CriticalCareNow Video
Explanation of end-tidal CO2 (ETCO2) monitoring during cardiac arrest, including its role in assessing resuscitation effectiveness and predicting outcomes.
π Watch CriticalCareNow Video
A tutorial on airway pressure release ventilation (APRV) settings and adjustments for optimizing respiratory support in critical care patients.
π Watch CriticalCareNow Video
Review of the evidence on chest tube sizing for various indications, including trauma and pneumothorax, and its impact on patient outcomes.
π POCUS and Procedures
- A-line Setup
- Elbow Reduction by Leverage Technique
- Halo Sign for Basilar Skull Fracture
- LP Paramedian Approach
- Nephrostomy Tube Irrigation
- Nursemaid Elbow - Hyperpronation
- POCUS: Orbital Abscess
Step-by-step guide on setting up an arterial line for continuous blood pressure monitoring and blood sampling in critical care patients.
π Watch EM:RAP Video
Demonstrates the leverage technique for elbow reduction, including tips for optimal positioning and force application.
π Watch EM:RAP Video
Overview of using the "halo sign" as a diagnostic indicator for basilar skull fractures, highlighting how to recognize cerebrospinal fluid leakage.
π Watch EM:RAP Video
Video demonstration of the paramedian approach for lumbar puncture, covering positioning, technique, and needle placement tips to improve success rates.
π Watch EM:RAP Video
Detailed instructions for irrigating a nephrostomy tube to manage obstructions and ensure proper drainage in.
π Watch EM:RAP Video
Demonstration of the hyperpronation technique for reducing nursemaidβs elbow, emphasizing gentle manipulation to prevent injury.
π Watch EM:RAP Video
A guide on using point-of-care ultrasound (POCUS) to detect orbital abscesses, highlighting key sonographic features and image interpretation tips.
π ECG
- emDOCs ECG Pointers - Approach to Tachydysrhythmias
- Dr. Smithβs ECG Blog Cases
- Case 1: Acute artery occlusion insights β‘οΈ Read Case 1
- Case 2: Computerized ECG limitations β‘οΈ Read Case 2
- Case 3: Chest pain in a healthy adult β‘οΈ Read Case 3
- Case 4: Post-ROSC with V-fib β‘οΈ Read Case 4
- Case 5: VT in a critically ill patient β‘οΈ Read Case 5
- Case 6: Left main artery occlusion β‘οΈ Read Case 6
- Case 7: Importance of careful interpretation β‘οΈ Read Case 7
- Case 8: Case of altered mental status β‘οΈ Read Case 8
- Case 9: Elderly patient with chest pain β‘οΈ Read Case 9
- Case 10: Two patients with RBBB and chest pain β‘οΈ Read Case 10
- Case 11: Queen of Hearts and ECG interpretation β‘οΈ Read Case 11
A two-part series offering a structured approach to tachydysrhythmias, covering key patterns, differential diagnosis, and management strategies.
π Read Part 1 | Read Part 2
A collection of case-based ECG analyses, each highlighting a unique diagnostic challenge and clinical pearls for interpreting complex ECGs.
βοΈ Med Malpractice
- Groin Pain and Swelling
- Cardiomegaly on X-ray
A case study of a rare presentation of groin pain involving necrotizing fasciitis, diabetes, and appendicitis, with malpractice insights on diagnostic delays.
π Read the Case Study
This article discusses a malpractice case involving an overlooked cardiomegaly on X-ray, emphasizing the importance of thorough radiology review in ED settings.
π Read More
πΆ Pediatrics
- Acute Scrotal Pain in the Pediatric ED
- Bacterial Tracheitis
- Caring for Children After Kidney Transplant
- Corticosteroids for Croup
- Electrical Injuries in Children
- Gianotti-Crosti Syndrome
- Hyperosmolar Therapy in Pediatric TBI
- LWBS Before Triage in Pediatric EDs
- Oral vs. IV Antibiotics in Pediatric Bone & Joint Infections
- Pediatric Volvulus
- Tic Primer for Pediatric Patients
This article discusses the differential diagnosis and management of acute scrotal pain in pediatric patients, focusing on emergent conditions requiring timely intervention.
Overview of the presentation, diagnosis, and treatment of bacterial tracheitis in children, emphasizing early recognition to avoid respiratory compromise.
π Read emDOCs Summary
Guide for managing pediatric kidney transplant patients in the ED, covering common complications and considerations for immunocompromised children.
π Read More
Evidence-based recommendations for using corticosteroids in treating pediatric croup, discussing dosage and potential effects on symptom duration.
π Read Full Guide
Summary of assessment and treatment for electrical injuries in pediatric patients, highlighting the potential for delayed complications.
π Explore Here
An introduction to Gianotti-Crosti syndrome, a benign rash in children, including its typical presentation and supportive care options.
π Read Morsels Article
This article covers the use of hyperosmolar therapy in managing traumatic brain injury in pediatric patients, discussing indications and monitoring.
π Read More
Analysis of factors contributing to children leaving without being seen (LWBS) in the ED, with recommendations for reducing LWBS rates.
π Read the Analysis
Provides evidence supporting the effectiveness of oral antibiotics as a treatment option for pediatric bone and joint infections, compared to IV antibiotics.
An article outlining the diagnosis and emergency management of volvulus in pediatric patients, with a focus on timely intervention.
π Review the Findings
A brief overview of tics in children, including common presentations, differential diagnosis, and when to consider further evaluation.
π Learn More
Disclaimer: The content on this page, including summaries and linked articles, is intended for educational purposes only and does not constitute medical advice. Readers are encouraged to consult the primary literature referenced in the linked summaries for a comprehensive review.