Time once again for your mid-week blast of FOAMy goodness from
around the interwebs. There’s no particular subject today; instead we’re going
to highlight some of the better podcasts/vodcasts that updated this week. Podcasts
are great. They break up the monotony of reading (and the monotony of mundane
things like laundry, grocery shopping, training for this damn marathon…). For
the more distractible among us, they usually come in easily-digestible 20-30
minute morsels. They expose you to different presentation styles, and allow you
to match a face and a voice with the big names in FOAMed. Most of them also
feature written show notes with references as well, which allows you both to
reinforce the things you learned while listening, and also to dig deeper into
topics you’re interested in.
Fun for the whole family!
Three Stars:
1. I think FOAMcast, authored by residents and EM social
media savants Jeremy Faust and Lauren Westafer, might be the first example of “metaFOAM.”
They peruse the FOAM world for interesting recent posts, then integrate that
information with relevant material from the most popular EM textbooks (i.e., “Rosenalli”),
other relevant blogs/podcasts, primary literature, and even Rosh Review
questions. This week they use a post from ALiEM on calcium channel blockers vs beta blockers for A-Fib as a jumping-off point for a discussion on ED management of A-Fib and A-Flutter. There’s links to vodcasts from Scott
Weingart and Amal Mattu on narrow-complex tachydysrhythmias, and plenty of
cited references from the primary literature (including one from our own Brian
Cohn!). It’s good stuff.
2. Speaking of the Godfather of ED EKG, Dr. Mattu has two quick
cases for you to ponder. Remember: T-wave inversion does not always mean
cardiac ischemia!
Remember: Gotta think tox in a seemingly unprovoked wide complex tachycardia!
3. Steve Carroll at EM Basic provides an excellent analysis of the ED management of asymptomatic hypertension, including references to the relevant ACEP Clinical Policy document and other FOAMed resources.
Oldie But Goodie:
Chris Nickson, creator and administrator of Life in the
Fast Lane, gave an excellent talk at the original SMACC conference in March
2013 with the confidence-inspiring title, “All Doctors are Jackasses.” Why are
we jackasses? Because we don’t do enough to understand how we think and how we
make decisions, and this leads us to make errors. Watch Nickson’s lecture and
begin to understand how to remedy this situation.
(EXTRA CREDIT: Links in the show notes to the other SMACC
talks in the “Mind of the Resuscitationist” plenary by Weingart, Cliff Reid,
and Simon Carley.)
F(FN)OAMed:
By this point you guys all know how awesome EM:RAP is, but
this week is particularly relevant because Herbert & Co. just released an “EM:RAP
Mini” segment about the newly-published “Ultrasonography versus Computed
Tomography for Suspected Nephrolithiasis” trial in the New England Journal. For those of you that aren’t familiar, this
was a study in which we participated, and our own Drs. Aubin and Griffey are authors
on the paper! An excellent summary of this paper is found on the Emergency Medicine Ireland blog, with a link to download the EM:RAP Mini segment in the show
notes.
The Gunner Files:
1. Time to synthesize the knowledge you gained about
non-surgical management of pediatric appendicitis at Journal Club last month.
Dr. Cohn is back with another excellent EMJClub podcast along with Drs. Trehan
and Horst, summarizing the primary literature.
2. EMin5 is back at it with a review of
the four types of shock, in a little over four minutes.
3. From the Maryland Critical Care Project, an excellent
lecture from Neuro Critical Care and ED intensivist Dr. Wendy Chang describing the
ED management of status epilepticus. She covers the gamut from first-line
benzos to second-line AEDs and third-line agents for initiation of therapeutic
coma.
4. The good people at the All NYC EM blog posted a
lecture given during their conference day by the FOAMed superstar Dr. Haney Mallemat.
He covers all the basics of ultrasound evaluation of pericardial effusion and tamponade, even ultrasound-guided pericardiocentesis.
5. In case you’re not familiar, US Air Force Pararescuemen,
a.k.a. “PJs,” are the ultimate badasses. Just look at it this way: think
becoming a SEAL is tough? PJ training has an even higher failure rate. But I
digress.
Former PJ and critical care flight retrieval medic Mike
Lauria is now in medical school, and is making a bit of a splash in the FOAMed
community as an expert on training, thinking, and operating in high-stress
environments. Scott Weingart recently interviewed him on EMCrit about the
concept of “mental toughness,” how that translates from the combat realm to the
ED, and how to incorporate it into physician training. Really interesting
stuff.
That Others May Live,
Sam Smith, PGY-3
No comments:
Post a Comment