FOAMfrat Podcast

My buddy Jay Nance and I went on the Mind Body Medic podcast with absolutely no agenda (I typically don't do those). The conversation was excellent and minimal banter makes it tolerable.

The whole FOAMfrat team loves listening to audio books. Last week, Austin Quillet pitched the idea of turning our blogs into a audio book style format. So we figured, why not give it a shot? We put this audio blog into a story format with some sound effects and voiceovers to help you visualize yourself on the call (and sometimes provide a little comedy relief). We are always looking for feedback from you guys, so please let us know how we could improve - audio blogs are obviously something brand new to us. We'll be selecting the blogs that best fit the format for audio blogs, and then you'll see them show up on the same feed and the main podcast. As we continue to find new ways to tell our stories we really appreciate all of the support that you, the listeners and readers, provide. Thanks for your support! We look forward to hearing what you think! - The FOAMfrat Team

A few months ago in our weekly team meeting, Mike Brown(@FireMedicFPC) and Jared Patterson(@OneRadMedic) pitched the idea of starting a podcast that takes questions from clinicias all around the world and answers them in five minutes or less. I initially was skeptical to the idea because of all the EMS podcasts surfacing. What would make this show different? After some thought, We realize this concept is unique in style and allows a certain degree of interaction amongst clinicians. I am super excited to announce the Rapid Sequence Interrogation podcast to the FOAMfrat family! The first episode is being hosted on both the RSI Podcast and the FOAMfrat Podcast. You should see the podcast appearing in iTunes shortly under the name The RSI Podcast. Please subscribe and let us know what you think! Mike & Jared would love you to start sending questions to foamfrat@gmail.com. #YouCreateTheShow

A few weeks ago I posted this scenario on FB . 60 yr male who was in an MVC and is pinned in the driver seat with an obvious closed femur fracture. Firefighters estimate extrication will take 20 minutes. Patient is confused and screaming in pain and asks you to please give him something. He keeps trying to self extricate and is getting in the way of the firefighters tools. Vitals BP- 86/52 HR- 118 SPO2 96% on RA RR 26 You are unable to obtain and IV and firefighters ask you if you are able to give the patient something IM to calm him down through the extrication process. Do your guidelines discuss extrication sedation? What drug and dose? The comments were very interesting and I wanted to get someone well respected in the HEMS and prehospital environment on the show to give their thoughts. Dr. Cliff Reid is a seasoned retrieval physician who works for Sydney HEMS in Australia. This is his second time on FOAMfrat and we always have a great discussion. I think you will enjoy!

To celebrate this landmark podcast we could only think of one guest to facilitate the 100th podcast conversation, our fellow podcaster and close friend, Ginger Locke. Ginger is the host of the very popular Medic Mindset podcast. We asked Ginger to produce this episode in her truly original and unique style she uses with Medic Mindset. Sam, I, and the entire FOAMfrat team - thank you for your support and encouragment throughout the last three years. Celebrate the last 100 and cheers to the next!

FOAMfrat has always believed that infusions can be started quickly, and lead to better patient care. Infusions let you avoid the peaks and valleys of push-dose medication. Infusions also reduce your cognitive load - having to remember to push a medication at timed intervals can easily be forgotten when you're dealing with multiple issues at once. The last thing anyone wants to do is forget to administer that anesthesia when your patient is paralyzed. For these reasons, and because the industry is currently looking into IV pump solutions, we were happy when QCORE Medical asked us to review the Sapphire IV pump. How did it go?

Chip Lange and I sat down and discussed everything B lines! If you are interested in the basics of lung sliding, detecting pulmonary edema, and differing effusion from consolidation - check out podcast 98!

In this episode we talk with Michael Perlmutter (@DitchDoc14) who recently released a poster board for an upcoming paper evaluating the safety and efficacy of push-dose nitroglycerin in EMS for patients experiencing sympathetic induced pulmonary edema. In this episode you will hear us refer to this subset as "SCAPE" patients. This term was coined by Scott Weingart in his very first EMCrit podcast and stands for sympathetic crashing acute pulmonary edema (SCAPE). The safety of this method is extremely beneficial for services that do not have access to an IV pump.

A few months ago Sam and I started putting together a ventilator module within the FOAMfrat refresher course. Our hopes were to create a "beginners guide" into the world of mechanical ventilation. As we created each lesson we would discuss further points that we felt were essential to include. Two months later and we have a robust approximatley ten hour mechanical ventilation course that takes novice providers through a step by step journey through one of the most intimidating pieces of critical care equipment. Sam mentioned the idea of bringing on his wife who works as a respiratory therapist. His vision was to round out the course with a long-term perspective on mechnical ventilation. We found this interview with Kristin Ireland very informative and hope that it sheds a little more light on what goes on after we drop off a patient, or before we pick them up. Topics discussed include: What's up with the ED crash settings we always find patients on? What do critical care transport teams do that drive you nuts? What should we absolutley ask the RT before we leave with an intubated patient? Weaning & Extubation