Hey all, Some great FOAM from the past few weeks. Was on vacation so some stuff got backed up. Enjoy! Great overview of work up and treatment of Pulmonary Hypertension: http://www.emdocs.net/the-crashing-pulmonary-hypertension-patient/ A couple good posts on management of massive hemoptysis: https://first10em.com/2015/03/24/massive-hemoptysis/ http://www.tamingthesru.com/blog/ebcp/hemoptysis In depth review of bronchiolitis from EMRAP: https://www.emrap.org/episode/july2014/notesfromthe https://www.emrap.org/episode/august2014/notesfromthe Or, shorter overview post …
Category: Pulmonology
Mar 21
FOAM of the Week – Pneumothorax, Chest Trauma
Lot of great FOAM stuff on pneumothoraces and chest trauma from this past week’s lectures: Use US to find your next pneumothorax: http://rebelem.com/ultrasound-detection-pneumothorax/ Pigtail and discharge that pneumo? Maybe soon: http://www.aliem.com/2014/aliem-annals-em-journal-club-spontaneous-pneumothorax-pigtail-catheters-outpatient-management/ Trying to decide if that trauma patient needs a chest CT? Consider using the new NEXUS Chest CT rules: https://www.emrap.org/episode/feb2016emrap/linsessionnexus Thoracotomy Review from EMRAP: https://www.emrap.org/episode/crackingthe/traumasurgeons …
Mar 14
FOAM of the Week – Shock and Fluid Responsiveness, Asthma
Got some great posts and podcasts on shock and asthma from lecture this week: A series of podcasts on assessing fluid responsiveness in patients with shock from EmCrit: http://emcrit.org/podcasts/fluid-responsiveness-with-dr-paul-marik/ http://emcrit.org/podcasts/new-fluid-assessment-sepsis/ http://emcrit.org/podcasts/assessing-fluid-responsiveness/ Great overviews of asthma from REBEL EM, both mild/moderate exacerbation as well as the crashing patient: http://rebelem.com/management-of-mild-to-moderate-asthma-exacerbations/ http://rebelem.com/rebelcast-crashing-asthmatic/
FOAM of the Week – EtCO2 in Cardiac Arrest, PCP Pneumonia, Guillain Barre, Lactate Clearance
As always, some great FOAM topics from this week’s lectures. Expand your knowledge… Learn how to use End Tidal CO2 to improve your cardiopulmonary resuscitation: http://stemlynsblog.org/als-airway-breathing-c02/ Summary and various radiographic findings of PCP pneumonia: http://stemlynsblog.org/als-airway-breathing-c02/ A great summary of Guillain Barre from EMRAP: https://www.emrap.org/episode/april2006/guillainbarre Thoughts from Weingart on lactate clearance: http://emcrit.org/wee/lactate-clearance-flawed/
FOAM of the Week – TXA in Trauma, Submassive PE
Since there was no formal lecture today, I’ve included a couple pieces related to issues that have come up on recent shifts. Enjoy! TXA (tranexamic acid) in trauma – a nice review from emDocs. Of note, the reasons why you haven’t seen this given at Grady is because it’s stocked in the OR and the …