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Posts tagged #FoAMed

Video

Your next patient…
When the patient is crashing, "good enough" isn't enough! Stabilize ABCs and use BiPAP to offload the heart/lungs immediately. While peripheral pressors work in a pinch, these high-acuity cases need a central line for reliable, high-concentration access. #ICU #Shock #FOAMed

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🚨 New Post Alert!
Syncope is common in the ED—but which decision rule do you trust?
⚡ San Francisco Syncope Rule = fast but fallible
🧩 Canadian Syncope Risk Score = comprehensive but complex
🩺 Neither replaces clinical judgment
👉 Read here: https://wp.me/pdrP8b-5pF
#FOAMed #EMIMCC #MedSky

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Why VAFEI is the ultimate Plan B
If a standard blade fails, don't repeat the mistake. Pivot to Video-Assisted Flexible Endoscopic Intubation (VAFEI). Use VL to create space while the scope navigates the corner. Precision delivery with a mechanical advantage! 🎯 #DifficultAirway #FOAMed

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Sivelestat and ARDS After Cardiovascular Surgery This randomized clinical trial evaluates the efficacy of postoperative sivelestat vs placebo in reducing the incidence of acute respiratory distress syndrome (ARDS) and associated complications among ...

jamanetwork.com/journals/jam...

So a drug that “halves” the incidence of post cardiotomy ARDS just appears and no one talks about it?

Single centre and overly large effect size should raise eyebrows. I’ll wait for the multicentre trial

#foamed #ccsky

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School ager who fell on an outstretched hand+has elbow pain

Lateral radiograph of elbow shows elevation of anterior+ posterior fat pads of elbow. There is a very small bone fragment just superior to coronoid process of ulna.

#FOAMed #MedEd #FOAMRad #radiology #Ortho #Orthopedics #EmergencyMedicine

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Five Big Ideas to Improve the Care of the Critically Ill Patient In this JAMA film, Derek C. Angus, MD, MPH, of the University of Pittsburgh School of Medicine and a JAMA Senior Editor, discusses 5 areas of research that could benefit care for critically ill patien...

Five big ideas to improve the care of the critically ill patient (by Derek Angus)

#foamed #foamcc #meded #medsky #emimcc

jamanetwork.com/journals/jam...

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#CPR:

EMS placing an arterial line (under US guidance) during CPR to guide resuscitation is a gangster move!

Respect!

#foamed #foamcc #meded #medSKY #emimcc

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▶️ https://youtu.be/-uE52jo8X4A

When is #ADH still ⬆️ in #hyponatremia?

Low #EABV overrides osmotic suppression via baroreceptor signaling

🧠 ADH physiology
💧 Hyponatremia

🔬 For immersive educational experience www.abckidney.com

#RenalPhysiology #NephSky #MedEd #FOAMed

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The plantaris muscle is a small, thin muscle in the posterior compartment of the leg

Read: wikism.org/Plantaris_Mu...

#Anatomy #ATC #SportsMedicine #Orthopedics #Radiology #PhysicalTherapy #AthleticTraining #Rehab #InjuryPrevention #Physio #SportsInjury #SportsRehab #PhysioTherapy #Meded #FOAMed

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Patient with cardiogenic shock, EF <10%. Micro axial flow device is placed. Is there loss of the Windkessel effect due to the micro axial device?

#emimcc #critcare #FOAMed #Physiology

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Obturator sign is a clinical finding that can help support the diagnosis of appendicitis.

Read: wikism.org/Obturator_Sign

Watch: www.youtube.com/watch?v=qlsD...

#medicine #Surgery #generalsurgery #emergencymedicine #meded #MedicalEducation #FOAMed #clinicalpearls

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POCUS diastology in the ED = 1 question: Is LAP elevated now?
Measure E/e’ (mitral inflow E ÷ annular e’).
≥14 suggests elevated LAP/cardiogenic edema; ≤8 argues against; 8–14 indeterminate.
https://loom.ly/DbZddQc
#FOAMed

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Video

Intubation used to be a lot scarier 😱
Relying on a straight line of sight meant difficult anatomy often left you flying blind. Modern VL turns scary surprises into manageable procedures. Don't risk it—relying on your eyes alone is an unnecessary risk in 2026. #AirwayManagement #FOAMed

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#RareDisease: Dysmorphism - cleft palate - loose skin https://gamuts.net/x/34249 #radiology #FOAMed #FOAMrad

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Premature newborn with respiratory distress

CXR shows hazy ground glass opacity throughout left lung. Right lung is hyperexpanded+has multiple circular bubbly+branching interstitial lucencies that radiate from right hilum

#FOAMed #MedEd #radiology #pediatrics #NICU #Neonatology #radiologia

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Dynamic left ventricular outflow tract obstruction Dynamic left ventricular outflow tract obstruction (LVOTO) is not a condition I learned about during residency, and it is not a condition I have diagnosed regularly, although I have probably missed it many many times. On First10EM, I usually prefer to start with a presenting symptom than a diagnosis, because that is how patients present. In fact, that is exactly how I started with LVOTO - in&hellip;

Dynamic left ventricular outflow tract obstruction
A diagnosis I have certainly missed in my career - what about you? #FOAMed

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Norepinephrine isn’t work – now what?? (Management of refractory shock) Most resuscitation is pretty straightforward. No matter how sick the patient is, we select from a fairly limited list of interventions. Hypoxia: does the patient need facemask oxygen, highflow, BiPAP, or intubation? Hypotension: fluids, blood, vasopressors? This basic, well used menu serves us incredibly well for the vast majority of resuscitation. It is simple, which helps manage stress in inherently high stress situations.

Norepinephrine isn't work - now what??
A #FOAMed guide to the assessment and management of refractory shock

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Hypervascular prostate lesion: #Radiology diagnosis https://gamuts.net/x/17646 #FOAMed #DDx

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The active compression test evaluates for AC joint and glenoid labral injuries.

Read: wikism.org/Active_Compr...

Watch: www.youtube.com/watch?v=oCFm...

#MedicalEducation #MedEd #Physio #ATC #Orthopedics #SportsMedicine #PhysicalTherapy #AthleticTraining #Rehab #PhysioTherapy #FOAMed

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Teenager after motor vehicle accident

Axial CT with contrast of the abdomen (above left) shows an extensive laceration of the left kidney with an associated low density retroperitoneal hematoma surrounding the left kidney.

#FOAMed #MedEd #radiology #PedSurg #SoMe4PedSurg #EmergencyMedicine

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Station not full code. #FOAMed

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EMCrit 244 - Incredibly Important Wrinkles to Titrated Vasopressors during CPR in Cardiac Arrest with PO Berve We've been doing it all wrong--mysteries solved thanks to PO Berve

To round out the HD-CPR thread: read the curves, not just the digital numbers! EMCrit has two perfect deep-dives on this. One on targeting A-line DBP > 35, and another on reading true 'Pre-Tidal' EtCO2 curves during compressions. #FOAMed

emcrit.org/emcrit/dbp-c...

emcrit.org/emcrit/preti...

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Hemodynamics during mechanical CPR | Per Olav Berve | Big Sick 2018
Hemodynamics during mechanical CPR | Per Olav Berve | Big Sick 2018 YouTube video by scanFOAM

Following up on the HD-CPR post: here is Per Olav Berve at Big Sick 2018 explaining exactly why monitors lie to us during mechanical CPR. If you want to understand "pre-tidal" CO2 and true diastolic pressure, watch this.

#CritCare #FOAMed #emimcc

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Schöne Sache, aber ich wünsche mir hier eher #FOAMed
Schade

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From blind intubations to RSI
From jamming tubes down noses to 4K video, medicine has evolved. Modern meds like Sux and a "menu" of VL/DL tools make airway management safer and more humane. Don't take current tech for granted! #MedHistory #FOAMed #AirwayManagement

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Newborn with respiratory distress

CXR AP shows multiple loops of small bowel that are minimally filled with air in the lower left hemithorax. There is mediastinal shift to the right.

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #NICU #Neonatology #radiologia #pediatria #pediatrie #radiologie

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School ager with VP shunt+new headache

AP radiograph of skull(left) shows break in VP shunt tubing just above right orbit. AXR(right) shows remaining VP shunt tubing coiled in pelvis

#FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #NeuroRad #Neurology #Neurosurgery

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The extensor digitorum brevis is a small intrinsic muscle on the dorsolateral foot

Read: wikism.org/Extensor_Dig...

#Anatomy #ATC #SportsMedicine #Orthopedics #Radiology #PhysicalTherapy #AthleticTraining #Rehab #InjuryPrevention #Physio #SportsInjury #SportsRehab #PhysioTherapy #Meded #FOAMed

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Obrien’s needle test is a historical exam technique used to evaluate for Achilles tendon rupture.

Read: wikism.org/Obrien_Needl...

Watch: www.youtube.com/watch?v=iIbG...

#MedicalEducation #MedEd #Physio #ATC #Orthopedics #SportsMedicine #PhysicalTherapy #PhysioTherapy #FOAMed

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Save the Ceftriaxone. Check out this week’s KASIC pearl to learn about Higher Cefazolin Urine Breakpoint kymdro.org/kasic/?p=8879

#IDsky #AntimicrobialResistance #antimicrobialstewardship #rxsky #pharmacy #FOAMed #NPs #PAs

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