FOAMfrat Podcast

By Tyler Christifulli & Sam IrelandMedicine Health & Fitness

FOAMfrat Podcast episodes

November 03, 2020 Podcast 106 - When Benzos Won't Stop The Seizure
Sometimes seizing patients don't respond to benzodiazepines. In the RAMPART study they found that 18.5% of the midazolam group and 25.8% of the lorazepam group were still seizing upon arrival at the ED. We know that rapid termination of status epilepticus (SE) is important, but what should EMS do when they are maxing out benzo's, blood pressures are getting soft from all the meds, and the patient is still seizing?! In this episode we discuss the role of ketamine in SE patients that are refractory to front line treatments.
31 min
October 30, 2020 BackStage Pass - My Online Teaching Setup (Tyler)
EVERYONE is teaching online now! FOAMfrat teaches live classes five days a week, three times a day, ALL year long! We have ironed out the logistics of zoom room teaching to a science!

Here are some tips if you need to give a talk online.
8 min
October 04, 2020 Podcast 105 - Logistics of a pediatric arrest w/ Austin Quillet
Over the years, OHCA in the pediatric population has not much improved like the Adult. Why is this? What are we doing wrong? Well, there is emerging evidence that may change your practice.

We also know half the battle is the psychological response and communication.

How do we improve? What do we need to do to change these outcomes and find closure? Preparation, psychology of ourselves and others, performance under pressure and tracking data after implementing best practices is just a start. Check out "Solving the Pediatric Labyrinth" in the F3 content of the FOAMfrat refresher to better grasp these concepts and more pearls to change outcomes!
45 min
September 27, 2020 Podcast 104 - Are they resuscitated enough for intubation?
We commonly hear the phrase "resuscitate before you intubate." My question is - how do you know when your patient is resuscitated enough to follow through with intubation?

Last weekend I gave a talk at EMSWorld called "The Sound of Silence." At the end of the talk Sam and I had a discussion on how do you know when a patient is resuscitated enough to allow intubation. In true Tyler fashion, I misread how long my talk was suppose to be and had to cut out the ending. This is the discussion portion of that talk and I think you will especially enjoy the ending.
23 min
September 22, 2020 Podcast 103 - The EMS PA?
55 min
September 10, 2020 Podcast 102: No Agenda w/ Chris Meeks & Jay Nance
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.
1 hr 9 min
August 18, 2020 Text-To-Speech: The Slow Motion Plane Crash
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
23 min
August 08, 2020 The Rapid Sequence Interrogation Podcast
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 [email protected]. #YouCreateTheShow
28 min
July 28, 2020 Podcast 101: Extrication Sedation w/ Cliff Reid
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!
37 min
June 21, 2020 Podcast 100 - Meet FOAMfrat
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!
55 min