TIA is a brief neurologic deficit due to cerebral ischemia, with no permanent infarction. It affects over 200,000 U.S. patients per year and may precede 14% to 23% of strokes. Many have sought risk stratification tools to determine who may be appropriate for discharge with follow-up. This post evaluates the new ACEP guidelines for TIA and the controversies in the ED evaluation of TIA.
Current Controversies in TIA Evaluation Read More »
All physicians are teachers. However, becoming a great teacher does not occur overnight, and in the stressful setting of the ED, it can be difficult to educate those around you. This part of the FOAMed series looks at resources geared towards education and simulation.
FOAMed Resources Part VII: Medical Education and Simulation Read More »
Sepsis is a condition emergency providers manage daily and has the potential for high morbidity and mortality. Sepsis management requires rapid diagnosis, early administration of intravenous (IV) fluids with broad-spectrum antimicrobials, and source control. But what is the role for steroids in sepsis? What are the potential benefits and risks? This post will explore the evidence surrounding corticosteroids in sepsis management to help shed some light on this controversial topic.
The Controversies of Corticosteroids in Sepsis Read More »
Today we cover Part VI of the FOAMed series. This post provides resources on core, fundamental knowledge for EM to get you started. A strong foundation allows growth and development, and these resources provide that and so much more.
FOAMed Resources Part VI: The Fundamentals Read More »
Welcome to Part V of the FOAMed resource series! Today, we cover critical care, with several blogs and podcasts that could be considered the founders of FOAMed. This post is full of resources for those who love resuscitation.
FOAMed Resource Series Part V: Critical Care Read More »
Coronary CTA has risen to the forefront of chest pain evaluation, providing an anatomical evaluation of coronary artery vasculature. When negative, it improves negative predictive value of ACS. Additionally, CCTA allows for a better means to diagnose CAD when compared to history, physical exam, ECG, and biomarkers. But, is CCTA useful to further risk stratify low-risk patients? Who might benefit from CCTA and what are the risks?
Chest Pain Controversies: Coronary CTA Use (Part 2) Read More »
“Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy.”
– Paracelsus
Toxicology is an ever-growing field. Staying up to date can be difficult, but FOAMed comes to the rescue again! Welcome to Part IV of the FOAMed Resource Series.
FOAMed Resource Series Part IV: Toxicology Read More »
Chest pain accounts for approximately 8-10 million healthcare visits in the U.S. per year and can be associated with a variety of benign to life-threatening diseases. Acute coronary syndrome is one of the major considerations in the ED. Approximately 20% of lawsuits are due to misdiagnosis and mismanagement of ACS and a large percentage of patients are admitted due to this risk. However, few admitted patients go on to be diagnosed with ACS. Although commonly used to help risk stratify patients in the ED, there is no evidence that stress testing decreases risk of future cardiac events. This post will examine chest pain risk stratification in the ED and the utility of stress testing.
Chest Pain Controversies: Risk Stratification and Stress Test Utility (Part 1) Read More »
“Kids are not just little adults.” While this statement generates controversy, a sick pediatric patient in the ED can be scary. Staying up to date with the most current pediatric EM literature can be difficult, but FOAMed can help. Welcome to Part III of the FOAMed series, where we will cover pediatric EM resources.
FOAMed Resource Series Part III: Pediatrics Read More »
Organ transplantation is common and challenging in the emergency department. Transplant patients are at risk for a wide variety of complications, especially in the period immediately after surgery. This post will review complications specific to transplanted kidneys, livers and hearts.
Transplant Emergencies Part II: Organ Specific Complications Read More »
