Wednesday, July 8, 2015

@WUSTL_EM #EMConf: #FOAMed Supplement No. 7

Welcome to @WUSTL_EM #EMConf, the #FOAMed Edition. The purpose of this weekly column is to identify #FOAMed resources that reinforce and expand on the concepts/facts discussed during weekly conference.  Please e-mail to share additional resources (or just post them as comments below).

1.  Starting the year off with Approach to Chest Pain
- See this RebelEM post reviewing the HEART score to risk stratify chest pain patients in the ED.
- EM Literature of Note reviewed the HEART score in this post.
- Review Amal Mattu's approach to low risk chest pain in this excellent podcast by ERCAST
- For some primary literature, you can review Hess et. al. (2012) on employment of a Shared Decision Making Aid to reduce OBS admission for stress testing.
- Don't miss this  recent article by Weinstock et. al. on the low risk for cardiac events for patients admitted to the hospital with two negative troponins and non-concerning EKG changes.

2. Resuscitation Fluids: A Primer
- Didn't follow the Glycocalyx explanation on the first go around?  I don't think most people do.  Don't worry, Life in the Fast Lane has this explanation of the glycocalyx and its role in critical illness which you can access here.
- Our own Evan Schwarz reviews the importance of fluid choice in sepsis here.
- Dr. Wessman recommended several New England Journal of Medicine  articles during his talk, including this one on resuscitation fluids and this one on Albumin vs. Crystalloids.

3. EMS: Systems of Care
The PHARM blog did an excellent job compiling & summarizing the results of the best articles in prehospital medicine in 2014.  You can access this list here. Amongst these articles was this one on how Statewide Regionalization of Care can lead to improved outcome in Cardiac arrest patients.

Finally, please take the time and go here to sign a petition supporting an Air Ambulance for Northern Ireland in memory of the great Dr John Hinds, master of prehospital medicine, teacher of many and tireless advocate for improvement and support of prehospital care.

4. Ultrasound: eFAST
- check out this entertaining "clarification" of the eFAST by Cliff Reid and the Ultrasound podcast team.

5. Patient Satisfaction
- see Emergency Medicine Cases on Effective Patient Communication, Patient Centered Care and Patient Satisfaction.


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