FOAMfrat Podcast

By Tyler Christifulli & Sam IrelandMedicine Health & Fitness

FOAMfrat Podcast episodes

July 18, 2019 Podcast 81 - Interrogating The Coolest PharmD w/ @ChillaPharmD
Sam and I sit down and and chat with our new friend @ChillaPharmD about : -Intubating the hypotensive patient. -Her perspective on the push dose pressor craze. -Long term sedation strategies. -The ONE thing that EMS does that drives her CRAZY!! @ChillaPharmD is a board certified critical care pharmacist in California!
37 min
June 25, 2019 Podcast 80 - Right Ventricularly Speaking w/ Brendan Riordan
Sam and I ran into Brendan Riordan (@concernecus) at Camp ECHO a few months ago in West Virginia. We had a fantastic conversation out in the lobby of the conference center on all the right ventricle! In this podcast we address questions like:

How can we differentiate sepsis from pulmonary embolism (PE)?

Does extrinsic application of PEEP reflect in CVP?

Does a dilated RV in arrest always mean PE? (I know I'll charge my phone!)

Does extrinsic application of PEEP reflect in CVP?

www.foamfrat.com
48 min
June 01, 2019 Podcast 79 - Too Sick To Transport w/ Vahe Enders
A few weeks ago Brian Behn (The Brian Behn) put out a blog on FOAMfratraising the question "When is a patient too sick to transport?" This question sparked a TON of good conversation on social media with a very diverse population of opinions. "As long as crew safety is addressed, then we should make every effort to get this pt to definitive care. Declining a transport due to "instability" when the pt is 100% going to die at the sending, does a huge disservice to your pt. " "Given the picture painted, after all my checks and additional resuscitation efforts I'll make my decision. 3 hours by ground through the mountains and the patient is still peri arrest with zero likelihood of intact neurologic outcome? Nope. I don't put my ass on the line for futility." Knowing Flight Paramedic, Vahe Enders (@calldaburd), spoke on this in the past (ECHO2017). I asked him to come on the show and continue this conversation.
37 min
May 22, 2019 Podcast 78 - Lactate & The Glycolytic Flux Capacitor
I was listening to Eric give a lecture during his ventilator pre-conference workshop. I forget the exact context, but he mentioned that lactate was a normal product of glycolysis. While lactate can be produced through glycolysis, this statement somewhat shook my understanding of how and why lactate is produced. I approached him later and asked him to explain why you would need to produce lactate if there was neither a supply or demand of oxygen. Here is my understanding of why lactate is produced.
34 min
May 16, 2019 Microgram - How I Set Up My Studio (Sam Ireland)
15 min
March 27, 2019 Podcast 77 - Analytic (Static & Dynamic) ETT Confirmation w/ Mike Brown
Let's have a little chat about static and dynamic tube confirmation.
29 min
March 11, 2019 Podcast 76 - The Airway Gauntlet w/ Dr.Pickett
Is there any benefit to reap from the obligatory "airway gauntlet" day of medic school. Remember this day? Intubating patients upside down, in the dark, and wedged by the toilet. Dr. Pickett believes so, and here is why.
20 min
February 26, 2019 Podcast 75 - REinVENT (ECHO 2019)
One of the most common stressors amongst new critical care clinicians, whether that be on the ground to in the air, is learning how to utilize, manipulate, and troubleshoot the mechanical ventilator. Join Sam Ireland, Brad Garmon, Bryan Winchell, and myself as we discuss our upcoming pre-con at ECHO Camp 2019, REinVENTing the way we teach mechanical ventilation.
30 min
February 09, 2019 Podcast 74 - Bicarb or Bye-Carb
Recently I gave a lecture at Arrowhead EMS Conferenceon when to treat metabolic acidosis with sodium bicarbonate. I attempted to record the lecture live and had some AV difficulties that prevented me from being able to. Soooo I re-did an abbreviated version of this talk into a screen-cast. I think we can all agree that there is never a reason to treat a metabolic acidosis with sodium bicarbonate. So we really are asking: When do we treat a metabolic acidosis with sodium bicarb?
16 min
February 02, 2019 Podcast 73 - "Baby it's cold outside" w/ Cynthia Griffin
Welcome to the Polar Vortex 2019 #povo, I hope you are all are staying warm.
Since I’ve been seeing more cold, etoh, and confused patients I thought I’d out a quick podcast discussing some hypothermia physiology and prehospital patient care info.

Here are some of the highlights.

33 min