FOAMed

A 30-year-old female presents after sustaining a motorcycle collision at highway speeds. She was wearing protective equipment, including a helmet, gloves, knee and elbow pads, and riding boots. She denies loss of consciousness but reports severe right lower extremity pain rated as 10 out of 10. Vital signs reveal BP 93/78 mmHg, HR 122 bpm. During the secondary survey, a rapidly expanding mass is noted over the right lateral thigh. The overlying skin is tense and tender to palpation.

This podcast evaluates myths and misconceptions in ectopic pregnancy, focusing on risk factors, history, and exam. 

Journal Feed brings you NIPPV for severe asthma, CT for diagnosis of globe rupture, and non-IV ketamine for pediatric sedation.

ECG Pointers covers flecainide toxicity and the ECG findings.

What do you need to know about dengue fever?

A 15-year-old female with PCOS, obesity, asthma, and recurrent otitis media with bilateral tympanostomy tube placement reports three weeks of increasing sanguineous drainage, ear pain, fevers, and worsening left-sided headaches not improving with NSAIDs.  She localizes the pain behind the left eye and additionally reports loss of lateral vision in her left eye, as well as double vision when looking to the left. On exam, she has a thickened, inflamed appearing left tympanic membrane with sanguinopurulent drainage from the left tympanostomy tube. She additionally has tenderness and swelling to the left mastoid process. Examination of the eyes reveals normal, symmetric, and reactive pupils.  The patient has binocular horizontal diplopia on left lateral gaze and downgaze, which resolves with covering either eye.  She has decreased vision in the lateral visual fields of the left eye on confrontational field exam.

Dr. Pilcher covers two difficult cases in this month’s medical malpractice insights.

Today on the podcast, Rachel Bridwell and Brit Long cover acute acetaminophen toxicity, as well as some evidence updates. 

Journal Feed looks at the best vagal maneuver for treatment of SVT, pigtail for pediatric hemothorax, and the best location for paracentesis.

We cover the 2026 AHA/ASA guideline for the early management of acute ischemic stroke.