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. 

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!

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 nu

Sam and I were able to steal Troy Reihsen away for a few minutes to discuss his COVID19 airway simulation package he created with the team at 7Sigma.  Troy worked with the Childrens Minnesota hospital to evaluate their technique donning and doffing PPE. Particulate dispersion was evaluated using a blacklight after the simulation. The findings are extremely interesting and valuable to healthcare providers!

In this episode Sam and I talk with Leon Eydelman (@ECMOeydelman) who is an intensivist from Illinois. Dr. Eydelman discusses how his team is currently handling the surge of patients with COVID19. Discussion topics include: Isolation from an ICU vantage point. Proning vs. ECMO Antiviral therapy and steroid use Coinfection and efficacy of azithromycin and antibiotics. Information is as accurate as 3/22/2020

Recent conversations with our friend and beloved medical student, Tom Latosek, have been very mentally stimulating surroundind the current pandemic. I recorded one of these conversations and felt the topics covered were stimulating and extremely beneficial for EMS providers in these dynamic times. In this episode Sam and I speak with Tom regarding: 1.The science behind virus particles and how they hijack specific cells to replicate. 2.How antivirals work. 3.Basic Epidemiology 4.Protective PPE Nuances. Let us know what you think and please leave us a review on iTunes.

Last year at WEMSA2019 we had an amazing session that included speakers like Michael Perlmutter, Leon Eidelman, Michael Lauria, and Chip Lange. Each speaker had 20 minutes and the talks were all recorded. My goal was to put these out A LOT sooner, but the stupid Catalina Mac update prevented me from opening Adobe Audition files. Utilizing an extensive Google search and Russian hacking skills - I was able to access these talks. This is a 20ish minute talk by friend of the show, flight medic, and current medical student, Michael Perlmutter (@DitchDoc14). Michael is speaking on the application and use of Ketamine "from analgesia to RSI (yes and DSI)."

When trying to train ourselves to perform fine motor function skills under stressful circumstances - we commonly see exercise induced tachycardia utilized as a surrogate for stress induced tachycardia. Are they the same thing? Do tachycardia and stress correlate? Check out this episode with Mike Brown (@FireMedicFPC).