FOAMfrat Podcast

Follow FOAMfrat Podcast
Share on
Copy link to clipboard

Podcast by Tyler Christifulli & Sam Ireland

Tyler Christifulli & Sam Ireland


    • May 17, 2025 LATEST EPISODE
    • monthly NEW EPISODES
    • 27m AVG DURATION
    • 188 EPISODES

    4.9 from 208 ratings Listeners of FOAMfrat Podcast that love the show mention: medics, critical care, ems, paramedic, transport, provider, tyler, sam, medicine, manner, material, based, understand, relevant, resource, sound, knowledgeable, topics, excellent, quality.


    Ivy Insights

    The FOAMfrat Podcast is a phenomenal resource for healthcare professionals, especially those in emergency medicine and critical care. As a nursing student with an interest in working in the emergency department, this podcast has been incredibly valuable to me. It is one of the easiest podcasts to listen to and is full of retainable information that I can apply to my studies and future career.

    One of the best aspects of this podcast is how it presents complex topics in a way that is easy to understand. The hosts, Tyler and Sam, are knowledgeable and skilled at breaking down concepts into digestible pieces. They provide evidence-based medicine and practical strategies that can be immediately applied in practice. Additionally, they regularly bring on expert guests who offer different perspectives and insights. The content is relevant, up-to-date, and covers a wide range of topics that are applicable to EMS providers as well as hospital-based healthcare professionals.

    While it is difficult to find any major flaws with this podcast, one minor downside is that some episodes may be more focused on specific areas or specialties within emergency medicine, which may not resonate with every listener. However, considering the wide array of topics covered in other episodes, this can easily be overlooked.

    In conclusion, The FOAMfrat Podcast is a must-listen for anyone in the medical field who wants to stay current on best practices and expand their knowledge base. It provides accessible information that encourages critical thinking among providers rather than relying solely on "cookbook" approaches. The quality of the podcast is exceptional in terms of sound production and content delivery. I highly recommend this podcast for healthcare professionals looking to enhance their skills and continue their learning journey.



    Search for episodes from FOAMfrat Podcast with a specific topic:

    Latest episodes from FOAMfrat Podcast

    Podcast 183 - Cardiac Ultrasound w/ Dr. Weimersheimer

    Play Episode Listen Later May 17, 2025 76:42


    In this conversation, Dr. Peter Weimersheimer discusses various techniques and tips for performing cardiac ultrasound in emergency medicine. He emphasizes the importance of understanding probe movements such as sliding, fanning, and rocking to optimize cardiac views. The discussion also covers troubleshooting common challenges in cardiac imaging, the critical role of gel in obtaining clear images, and the transition between different cardiac views. Dr. Weimersheimer emphasizes the importance of identifying cardiac pathologies through ultrasound and shares techniques for obtaining the apical four-chamber view. The conversation concludes with insights into the impact of ultrasound on patient care and decision-making in emergency situations. In this conversation, Dr. Peter Weimersheimer shares his expertise on cardiac ultrasound techniques, with a focus on the apical four-chamber view and the importance of understanding ventricular shape and function. He discusses practical tips for navigating ultrasound views in critical situations, optimizing imaging techniques, and utilizing patient physiology to enhance imaging quality. The conversation also covers the interpretation of right ventricular size in cardiac arrest and differentiating between the inferior vena cava (IVC) and aorta during ultrasound imaging.

    Podcast 182 - AHORA Spanish Stroke Assessment

    Play Episode Listen Later Apr 29, 2025 34:11


    Stroke assessment tools like BEFAST are crucial for swiftly identifying symptoms and expediting treatment. However, language barriers can hinder prompt care for non-English speakers, particularly in the Hispanic community. Developed through a collaborative effort, AHORA adapts the traditional stroke assessment to be culturally and linguistically appropriate for the Spanish-speaking population. Designing Ahora The need for a specific tool became apparent when traditional tools like BEFAST were found to be ineffective for those who did not speak English. After discarding the complex "Rapido," Banerjee's team crafted Ahora, including Marcia Wilson, MD, and Remley Crowe, PhD. This tool was made to mirror BEFAST but is simplified for practical use within the Spanish-speaking population.

    Podcast 181 - Discrepancies in Testing & Treatment

    Play Episode Listen Later Apr 15, 2025 53:02


    Does medicine have dangerous side effects for women? Are the "normal" values we have set for diagnostics possibly endangering specific populations? In this episode of the FOAMfrat podcast, Tyler sits down with Dr.Alyson McGregor, emergency physician and author of Sex Matters, and Tim Redding, EMS educator and lecturer, to discuss the discrepancies in medical testing, diagnosis, and treatment between male and female patients. Dr. McGregor shares her journey of discovering gender bias in medicine, particularly how women's symptoms are often dismissed or mislabeled as psychiatric in nature. The discussion explores how male-centric research has shaped clinical guidelines, leading to underdiagnosis and undertreatment of women across a wide range of conditions—from heart attacks to strokes and even pain management.

    Podcast 180 - MCI Collaboration w/ ATECMS & Travis County Star Flight

    Play Episode Listen Later Mar 14, 2025 49:36


    In this episode of the FOAMfrat podcast, join as we discuss mass casualty management with Chief Robert Luckritz of Austin Travis County EMS and Justin Soulier from Travis County Star Flight. Explore the strategies and challenges in mass casualty responses in one of the fastest-growing urban areas in the U.S.

    Podcast 179 - Your First 5 Minutes of an MCI w/ Rommie Duckworth

    Play Episode Listen Later Feb 7, 2025 41:32


    Join Rommie Duckworth and FOAMfrat as we discuss the mental framing and big-picture thought process behind the first five minutes of any mass casualty incident (MCI). Rommie Duckworth, a fire captain and shift commander, is a wealth of knowledge on this topic and speaks globally to prepare emergency responders for these events.

    Podcast 178 - ECPR Eligibility and Preparation w/ Alec Wilcox

    Play Episode Listen Later Jan 21, 2025 41:06


    In this episode, Alec Wilcox & I discuss ECPR eligibility & preparation. ECPR, or extracorporeal cardiopulmonary resuscitation, involves taking a patient in cardiac arrest, sucking blood from their venous system, oxygenating it externally, and then pumping it back into their arterial system. This procedure helps maintain blood circulation and oxygen delivery during cardiac arrest, serving as a bridge to further therapy. 

    Podcast 177 - Implementing Ultrasound w/ Allen Wolfe

    Play Episode Listen Later Dec 29, 2024 46:46


    The integration of point-of-care ultrasound (POCUS) is transforming emergency medical services (EMS) by enhancing diagnostic capabilities and improving accuracy in answering important clinical questions. Recently, I had the opportunity to discuss this topic extensively with Allen Wolfe, the Senior Director of Education at Life Link III. A significant challenge in incorporating ultrasound technology within EMS has been overcoming initial barriers to adoption. Many programs, burdened by cost concerns and technological intimidation, have historically relegated ultrasound units to the back shelves. However, as Allen outlined, strategic changes in accessibility and training can dramatically alter this landscape.

    Podcast 176 - Pediatric TBI Protcol w/ Dr. Banerjee

    Play Episode Listen Later Dec 10, 2024 29:39


    In this episode, Dr Banerjee and I discuss a new traumatic brain injury (TBI) protocol his department is trialing for pediatric patients with moderate to severe TBI in collaboration with Arnold Palmer Hospital. This protocol involves administering Keppra and 3% saline in the pre-hospital setting.

    pediatric tbi banerjee arnold palmer hospital
    Podcast 175 - The Things We Do w/ PulmCCM

    Play Episode Listen Later Nov 26, 2024 56:46


    Matt Hoffman is the editor-in-chief of PulmCCM, a blog that frequently updates its readers on evidence and best practices in critical care medicine. I have always wondered how our work in the field affects a patient's care downstream. Do pulmonologists ever sigh to themselves and think, "God, I wish paramedics would just start/stop doing ____________?" It turns out that this is not the case, but the discussion was super interesting, and I thank Dr. Hoffman for coming to the show.  

    Podcast 174 - "I Rolled My Ambulance" Interview w/ Kyle Rice

    Play Episode Listen Later Oct 27, 2024 45:06


    In this episode of FOAMfrat, Tyler speaks with paramedic Kyle Rice to discuss a deeply personal and eye-opening experience—rolling his ambulance after running a red light. Kyle shares the lessons he learned about complacency, crew resource management, and the often-overlooked dangers of driving with lights and sirens. Together, they explore how EMS providers can stay vigilant behind the wheel, adopt safer driving practices, and shift their mindset when responding to emergencies. If you're an EMS provider, this episode is a must-listen for understanding the real-life risks of complacency and how to prevent accidents.

    Podcast 173 - Rethinking Lights & Sirens w/ Jeff Jarvis & Jonathon Jenkins

    Play Episode Listen Later Oct 6, 2024 41:30


    In this episode, I sit down with Dr. Jeffrey Jarvis, author of a fascinating paper on the impact of lights and siren (L&S) use in EMS responses. If you're like most of us, when you hear those blaring sirens and see flashing lights, you think, “Wow, someone's really in trouble!” But the truth, according to Dr. Jarvis' study, might surprise you.

    Podcast 172- Hamilton T1 Hacks & Strategies w/ Joe Hylton

    Play Episode Listen Later Sep 16, 2024 60:16


    In this podcast, we discuss the nuances and strategy of the T1 ventilator with RRT, Joe Hylton. Whether you're a paramedic or a healthcare professional involved in critical care transport, understanding the nuances of this advanced ventilator is essential to safe and effective patient transport. We break down the pressure-controlled ventilation with volume adaptive options and offer practical guidance on managing obstructive lung conditions like asthma during transport. Plus, we cover essential troubleshooting techniques to help you address common issues when things don't go as planned.

    Podcast 171 - Thoracic Dissection Goals w/ Alex Greene

    Play Episode Listen Later Aug 25, 2024 24:42


    Thoracic dissections are surgical emergencies that require precise temporizing measures until surgery can be performed. In this session, participants will gain critical knowledge on recognizing key symptoms such as ripping back pain and unequal pulses, indicative of thoracic dissections. The discussion will focus on anti-impulse therapy, emphasizing using beta-blockers like esmolol and calcium channel blockers like nicardipine to control blood pressure and prevent further damage. Pain management strategies and the selective use of nitroprusside will also be explored. The class will address the unique challenges of managing blood pressure in prehospital settings, stressing the importance of a well-prepared plan.

    Podcast 170 - Finger Thoracostomy w/ Dr. Cynthia Griffin

    Play Episode Listen Later Jul 2, 2024 33:46


    In this conversation, Tyler and Dr. Cynthia Griffin discuss the finger thoracostomy procedure. They cover topics such as when to choose finger thoracostomy over needle decompression, the equipment needed for the procedure, the technique for performing the procedure, and potential complications and tips for success. They also touch on the use of chest tubes and the management of tension physiology. Overall, the conversation provides a comprehensive overview of the finger thoracostomy procedure.  

    Podcast 169 - EVD Transport Logistics w/ Alaina Martini

    Play Episode Listen Later Jun 20, 2024 45:39


    Alaina Martini, a flight nurse at Allegheny Life Flight, shares her expertise on transporting patients with external ventricular drains (EVDs). She explains the indications for EVD insertion, such as aneurysmal subarachnoid hemorrhage and obstructive hydrocephalus. Alaina discusses the importance of assessing the color and texture of the cerebrospinal fluid (CSF) to detect changes and potential rebleeding. She also explains the process of inserting the EVD and how it is guided by CT scans to avoid damaging important brain tissue. Alaina emphasizes the need to know if the aneurysm is secure before adjusting the EVD drain level, as opening it too low can increase the risk of rebleeding. She also discusses the use of hypertonic saline and osmotic therapy to manage increased intracranial pressure. Tyler and Alaina discuss various aspects of managing patients with external ventricular drains (EVDs) during transport in this conversation. They cover topics such as the clamping of EVDs, positioning the patient's head, troubleshooting common issues, and securing the EVD during transport. Alaina provides insights and recommendations based on her experience as a neurocritical care nurse.

    Podcast 168 - Procedure Preppers (Needle Decompression) w/ Dr. Aho

    Play Episode Listen Later May 21, 2024 38:38


    Dr. John Aho discusses needle decompression and the procedure's indications, techniques, and potential pitfalls. He emphasizes the importance of high clinical suspicion and the limitations of external signs in diagnosing tension pneumothorax. The conversation also covers the choice of needle insertion sites, the use of ultrasound, and the need for proper training and practice. Dr. Aho provides insights into the anatomical considerations and common mistakes made during needle decompression. He also explores the possibility of instant feedback to confirm successful decompression. The conversation discusses the problem of needle decompression failure rates and the need for a reliable indicator of successful decompression. The guest introduced the Cap-No-Spot, a device that uses colorimetric indicator paper to detect CO2 and determine if a needle decompression procedure was successful. The device has been shown to have higher sensitivity and specificity than human judgment. The conversation also touches on the importance of proper training and the device's potential applications beyond pneumothorax detection.

    Podcast 167 - Placenta Previa w- Demi Wilkes

    Play Episode Listen Later May 6, 2024 18:00


    An iceberg typically shows only 10% of its mass above water. To appreciate the other 90%, you need to dive deep. That's precisely what we're doing in this series—discovering the deeper knowledge about obstetric topics. These topics can be massive, and much of the information is below the ‘surface-level' knowledge that EMS is presented with.  In this episode, Demi Wilkes & I will discuss Placenta Previa and the closely associated Placenta Accrete Spectrum.

    Podcast 166 - Transcutaneous Pacing & False Capture

    Play Episode Listen Later Apr 25, 2024 51:51


    The conversation is about a paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. They conducted a retrospective study and found that paramedics often mistakenly believe they have electrical capture when they do not. They emphasize the importance of confirming electrical capture before assuming mechanical capture. They also discuss the challenges of pulse palpation and the need for more rigorous research in EMS and ED settings. The conversation discusses the challenges and considerations in transcutaneous pacing, specifically focusing on the verification of mechanical capture. The speakers explore the use of various methods to confirm mechanical capture, such as feeling for a pulse, using pulse oximetry, and utilizing ultrasound. They also discuss the difficulty of accurately assessing mechanical capture and the potential for false electrical capture. The conversation concludes with a discussion on the transfer of pacing from one device to another and the importance of verifying capture during the process.

    Podcast 165 - Should Pressors Have A Max Dose?

    Play Episode Listen Later Feb 2, 2024 50:38


    In this episode we discuss whether the concept of having a "max dose" of your pressor has any evidence or physiological backing. Joining me in this discussion are Dan Rauh, Shane O'Donnell, and Shad Ruby.  

    Podcast 164 - Suicidal Ideation w/ James Boomhower

    Play Episode Listen Later Nov 18, 2023 32:35


    How do you talk to a patient experiencing suicidal ideation? What if you're the one having these thoughts? We're interviewing James Boomhower from Stay Fit 4 Duty in this episode. We discuss suicidal ideation, therapeutic communication, and verbal de-escalation.

    Podcast 163 - What Can We Learn From A Ketamine Infusion Clinic? w/ Chris Carlstrom

    Play Episode Listen Later Oct 30, 2023 18:09


    Chris Carlstrom is a flight nurse at Life Link III and also works part-time at a ketamine infusion clinic.  We've had some interesting conversations on shift regarding his experiences with ketamine in the clinic versus emergency medicine and I finally was able to get one of these conversations recorded for the podcast. Enjoy Podcast 163 - What Can We Learn From A  Ketamine Infusion Clinic? w/ Chris Carlstrom.

    Podcast 162 - Multimodal Pain Management w/ Shane O' Donnell

    Play Episode Listen Later Sep 29, 2023 31:00


    Podcast 161 - EMT Pharmacology

    Play Episode Listen Later Aug 18, 2023 28:53


    Taking on pharmacology in EMT school is a big hurdle. We wanted to write something that not only explained the basics of the medications but also helped bridge the gap between what EMTs are taught and what paramedics learn when they go back over these medications in paramedic pharmacology. Each chapter discusses how the medications work, why they're given for specific indications, and the logistics of medication administration! We've also included medication profiles, tips and tricks from experienced providers, and flashcards for each medication to help you hone your med knowledge base! In this book, we're coving:   Oxygen   Albuterol and Atrovent Epinephrine   Aspirin Nitroglycerin   Naloxone   Oral Glucose Gel and Glucagon + Flashcards in the back!       This book is for students, EMTs, and paramedics who want an in-depth review of EMT medications! You can download the book for free at foamfrat.com

    Podcast 160 - Autism Communication w/ Joshua Chan & Matthew Yelton

    Play Episode Listen Later Aug 3, 2023 47:39


    I had the privilege to bring on two passionate fathers of children with Autism to help me better understand how to approach and communicate with a neuro-diverse child. This episode is chock-full of insight, tips, tricks, and logistics of approaching a child in the field with Autism. Josh Chan is a Life Link III flight paramedic/base lead and a Glenwood FD firefighter. Matthew Yelton is a flight paramedic/base lead for Mercy Flight Central and works as a fire captain at Constableville Ambulance Inc.

    autism chan josh chan
    Podcast 159 - Close Encounters of the Infectious Kind w/ Dr. Hudson Garrett

    Play Episode Listen Later Jun 14, 2023 43:48


    EMS providers encounter various infectious diseases daily and need to know the routes of exposure, risks, and preventive measures to protect themselves and their families. In this episode, We talk with Dr. Hudson Garrett, an infectious disease expert with the medical college of Louisville University, to discuss the practical points of infectious disease for the everyday provider. Want CE for this episode? Sign up for FOAMfrat Studio and access 300+ hours of continuing education for EMS & Nursing.  www.foamfrat.com

    Podcast 158 - RSI Cocktail w/ Heavy Lies The Helmet

    Play Episode Listen Later Apr 12, 2023 68:01


    In this episode, Dan Rauh & Mike Boone from Heavy Lies The Helmet join me to hash out our workflows and drugs of choice for four particular scenarios you may come across.   The combative head injury patient that needs to be intubated but has five firefighters holding them down and is actively trying to rip off his collar and IV.   The septic hypotensive patient is no longer protecting their airway but also needs resuscitation prior to induction.   The snoring head bleed with a BP of 220/140   The "almost dead, but needs a tube" population (induction med?)

    Podcast 157 - Ventilation & Cardiac Arrest w/ Tom Bouthillet

    Play Episode Listen Later Mar 3, 2023 46:02


    Moments after the heart stops the entire circulatory system finally has a chance to bring venous and arterial pressures to equilibrium. Cardiac arrest resuscitation requires the provider to have a strong mental model of physiology and the logistics to carry out a series of interventions crucial to preserving life. This class will serve not as a routine basic life support model, but as a deeper understanding and framework to guide resuscitation during your next cardiac arrest.

    Podcast 156 - Is using AI cheating? EMS and AI

    Play Episode Listen Later Feb 25, 2023 33:20


    AI will be integrated into everything we do in medicine, perhaps sooner than we think. It will help keep our patients safe, our providers informed, and our communications connected, and change how we think about how we care for patients (if implemented correctly).  Systems like ChatGPT are only the beginning, and many companies are already working on or have already integrated with other healthcare specialties. We will see the same integration happen with EMS. While the response to this might be fear of losing our knowledge base, over-automating decision-making, cheating on tests and papers, and the like, we could adopt a very different outlook. We could view this as an opportunity to improve patient safety, offload menial work, automate documentation and communications, and always have an intelligent partner in our pockets we can bounce ideas off of.  One day, we'll wonder how we ever lived without it.

    Podcast 155 - Pattern Recognition vs. Autopilot w/ Shaylah Montgomery

    Play Episode Listen Later Feb 15, 2023 26:20


    In this episode, Tyler is joined by Shaylah Montgomery to discuss decision-making, human factors, and mental shortcuts utilizing pattern detection. Shaylah is a flight nurse and paramedic for Pafford Air One and a member of the FOAMfrat team.

    Podcast 154 - ROSC Temp & Sedation w/ Dr. Leon Eydelman

    Play Episode Listen Later Feb 6, 2023 32:17


    0.9. When a patient is in shock, their volume of distribution changes, and peripheral blood flow is reduced. This means more blood is shunted to the brain,, and lower doses of sedation will give the agent therapeutic brain levels.

    Podcast 153 - Pediatric Arrest w/ Dr. Banerjee

    Play Episode Listen Later Jan 16, 2023 23:43


    We just finished re-recording our pediatric arrest class in Studio and decided to play the unedited version of my discussion with Dr. Paul Banerjee. Banerjee is a prolific researcher and medical director in Florida with a particular emphasis on pediatric arrest. Check out the class in Studio for more information on the logistics.

    Podcast 152 - CISM & Processing w/ Sam Henne

    Play Episode Listen Later Dec 12, 2022 56:03


    Sam Henne is the creator of Mind Over Medic and a co-worker of mine at Life Link III. In this episode, we discuss the components of critical incident stress and ways to reduce adrenaline during threat appraisal. Check out www.mindovermedic.com   

    Podcast 151 - Central Lines Access for EMS w/ Austin Brook

    Play Episode Listen Later Dec 2, 2022 30:33


    EMS is well-trained in peripheral intravenous as well as intraosseous access. However, central lines remain off-limits for many clinicians in various response areas. If accessing these types of lines is allowed, it's usually permitted when the patient is (nearly) dead. This isn't very surprising since the scope of practice of the EMS clinician usually focuses on emergent treatments. Unless it's learned during a critical care class, little thought is typically given to topics like central, dialysis, and PICC lines in EMS. Why not?

    Podcast 150 - Slishman Traction

    Play Episode Listen Later Nov 5, 2022 36:27


    Had the opportunity to talk with Dr. Sam Slishman, the inventor of the Slishman traction splint. We had a great conversation on the idea/concept of this splint, who to apply it on, and some additional questions, which we plan on having him back on to discuss. 

    Podcast 149 - P:F vs. A-a & Oxygenation Strategies

    Play Episode Listen Later Oct 21, 2022 28:18


    A-a gradient, a/A ratio, and P: F ratio - are all different views of the same item. These formulas do not have a complete view of oxygenation. Oxygenation is a huge topic, and there are more common values that we use: How well is the patient saturating? Is there dyspnea? How do the lungs sound (auscultation) or look (POCUS)? Where is the patient on the OHCD? What does the ABG show?

    Podcast 148 - Crashing PE Logistics w/ Shane & Brian

    Play Episode Listen Later Oct 4, 2022 36:50


    I ran some specific decision points when treating the REALLY BAD massiVE pulmonary embolism patient by Shane & Brian from the FOAMfrat Team. This discussion really focuses on the logistics and ideas when you are trying to get the patient from A to B without having to do CPR.

    Podcast 147 - NICU Q&A w/ Theresa Bowden

    Play Episode Listen Later Jul 14, 2022 32:04


    Theresa Bowden is a rockstar flight nurse who specializes in NICU transports. In this episode, you will listen in as Theresa explains anything and everything you have ever wondered about NICU interfacility transports. Topics include: Who gets prostaglandin? IO or IV catheter for UVC Cardiac vs. Respiratory Initial Vent Settings Get credit for this class by listening to it in FOAMfrat Studio.

    Podcast 146 - IVC Assessment w/ Shane O'Donnell

    Play Episode Listen Later May 22, 2022 26:22


    Does IVC assessment have a role in pre-hospital ultrasound? This week we talk to one of the newest members of FOAMfrat, Shane O'Donnell.

    shane o foamfrat
    Podcast 145 - Pediatric Bags

    Play Episode Listen Later Apr 17, 2022 32:31


      Do specialized pediatric jump bags alienate the pediatric population? They typically don't get used as much, and introducing a foreign bag into a low volume population may add to the stress of running a pediatric call anyway. In this episode, Sam & Tyler discuss the case against the pediatric jump bag.

    bags pediatric sam tyler
    Podcast 144 - VR & EMS Education

    Play Episode Listen Later Feb 3, 2022 26:00


    The FOAMfrat podcast is back in 2022 with a discussion on how virtual reality can be used in EMS education. We did our first VR class a few weeks ago and here's what we learned and what we plan to do with it!

    Podcast 143 - Thyroid Disorders

    Play Episode Listen Later Dec 23, 2021 47:16


    The thyroid is a butterfly-shaped gland. But for some, it can be more like a bullet to the neck. The number of systems that our thyroid helps regulate truly is incredible, and an over or under-active thyroid can cause a whole host of acute and chronic issues. On the one hand, imagine a patient who has a thyroid history and is cold, weak, and has a depressed level of consciousness. Why is this occurring, and what's the diagnosis and treatment? On the other hand, imagine an anxious, hyperpyrexic patient in atrial fibrillation. Both patients have thyroid issues, but why do these patients present so differently? Let's see what happens when the scales tip either way for a few of the systems that the thyroid helps control!

    Podcast 142 - EBM Guide To RSV w/ Natalie May

    Play Episode Listen Later Dec 11, 2021 59:46


    I reached out to @medtwitter asking for help finding a guest to talk about the respiratory syncytial virus (RSV). It may seem weird to be talking about RSV when everyone is thinking about the current pandemic, but I find the virology and mechanism of symptoms of RSV exciting.   Twitter did not let me down, my friend Ashley Liebig recommended Natalie May from Sydney, HEMS. Natalie is an EM, and Pediatric-EM trained UK doctor working in Prehospital & Retrieval Medicine in Australia. I was very excited to have a chance to speak with Dr. May regarding RSV & Bronchiolitis and what the current evidence suggests for treatment.

    Podcast 141 - Adrenal Emergency

    Play Episode Listen Later Dec 4, 2021 44:52


    A young pediatric patient is having nausea and vomiting at school and is said to not be 'staying awake very well.' You discover assessment findings such as hypotension, hypoglycemia, and maybe even peaked T waves on the ECG. You receive information indicating that the child has something called "CAH". Or, perhaps... An older patient is having dizziness upon standing, and persistent hypotension. You note a somewhat jaundiced appearance. They become unconscious in their kitchen while searching for a salty snack, and they appear rather sick. Or... A middle-aged patient has suddenly stopped taking their high-dose prednisone for their asthma and is now feeling very weak and cannot stand. We already know what this episode is about - adrenal insufficiency. However, what if those scenarios up above were in the form of a test question? Or worse yet, a real patient? Would we be aware of what's causing the signs and symptoms, and what the appropriate treatment is? Endocrinology does not get the respect it deserves in EMS, probably due to its low volume - we just do not see that many patients with endocrine emergencies outside of diabetes. Or do we, and we just don't notice?

    Podcast 140 - "We Removed Nitro From Our STEMI Guideline" w/ Matt Schneider

    Play Episode Listen Later Nov 27, 2021 50:05


    In this episode, we talk with Matt Schneider, a Battalion Chief and Paramedic for the Mequon fire department in Ozaukee County. Sam and I had the privilege of sitting in on a guideline update presented by Matt a few weeks ago. One of the guidelines that caught our attention was the decision to remove nitroglycerin from the STEMI guideline. Listen in as Matt describes how their guideline committee arrived at this decision.     "Matt's views, comments, and opinions expressed in this segment do not represent the position of his employer(s), or associated agencies/institutions".

    Podcast 139 - Tracheostomy Management

    Play Episode Listen Later Nov 21, 2021 37:24


    Nothing is scarier than watching an awake patient struggle to breathe with a trach. Do you have an approach to troubleshoot? Make sure you watch to the end to see our first FOAMfrat reaction video!

    Podcast 128 - Bad & Bougie

    Play Episode Listen Later Nov 12, 2021 31:20


    In this episode, Tyler & Sam discuss everything you need to know about the Bougie. Traditional use Modified pre-loaded techniques Common pitfalls.

    Podcast 137 - Glucose (Outer Limits)

    Play Episode Listen Later Oct 6, 2021 38:05


    Welcome to the fourth and final installment of this metabolic panel series, where we're exploring what happens when these lab values hit their limits, or beyond.

    Podcast 136 - Intranasal Delivery (or not)

    Play Episode Listen Later Sep 23, 2021 20:46


    One of my first calls as a paramedic was to our local ski hill for a 26-year-old guy who crashed into a tree while snowboarding. The ski patrol brought him down to the patrol room and we met them inside. The guy was literally screaming in pain and saying: "just put me out, man!" I could see his leg was obviously deformed below the knee. Now, this dude was covered in gear, and starting an IV was going to take a little while. I looked at my partner and remembered we had just got this new gadget that connects to the end of a syringe and lets you inject medication into someone's nose. It was called a mucosal atomizer device (MAD). I pulled up 100 mcg (2 ml) and gave 1 ml per nare. I told the guy that he would be feeling reeeeallll good anytime now. we waited.. and waited..

    Podcast 135 - Renal Labs! (Outer Limits)

    Play Episode Listen Later Sep 15, 2021 35:12


    Welcome to the third installment of this metabolic panel series, where we're exploring what happens when these lab values hit their limits, or beyond. Previously we've explored Cations (located here) and Anions (located here), but don't feel like you need to read these in any particular order. These blogs are meant as a reference for you to come back to. There's a lot of information in each, so they might be better absorbed in chunks. I'm writing these as the reference I wish I had when I started learning lab values. This week we're going to tackle the renal values on our chemistry panel! Renal physiology can be more than a little intimidating, but you're going to totally understand these labs by the time we're done! Because this renal section is a little different than the other sections, I'm going to start us off with a little refresher on the nephron, using a couple of illustrations.

    Podcast 134 - When Gall Bladders Attack w/ Cynthia Griffin

    Play Episode Listen Later Sep 9, 2021 20:04


    What does jaundiced skin, right upper quadrant pain, and a fever mean? In this episode, Dr. Cynthia Griffin and I discuss everything gall bladder and biliary colic! Check out the blog post here: https://www.foamfratblog.com/post/when-gall-bladders-attack

    Podcast 133 - Outer Limits: Anions

    Play Episode Listen Later Sep 1, 2021 33:55


    Welcome to the second installment of this metabolic panel series, where we're exploring what happens when various lab values reach their outer limits (or beyond). Each part in the series can be read on its own, but if you want to start at the beginning, go check out the first blog on cations HERE. This series of blogs and podcasts are meant as a reference for you to come back to. There is a lot of information on each one of the lab values we'll cover, so it might be best to read it in parts. As I mentioned in the last blog, I'm writing these as the reference that I wish I had when I started learning to interpret lab values. In this portion of the series we'll be discussing anions - the negative changes in the serum. We'll be starting off with chloride, which accounts for the majority of the negative charge in our blood!

    Claim FOAMfrat Podcast

    In order to claim this podcast we'll send an email to with a verification link. Simply click the link and you will be able to edit tags, request a refresh, and other features to take control of your podcast page!

    Claim Cancel