FOAMfrat Podcast

By Tyler Christifulli & Sam IrelandMedicine Health & Fitness

FOAMfrat Podcast episodes

October 24, 2018 Podcast 63 - Bi-Level Ventilation! (101)
Before I release my vodcast about some of the non-invasive experiments I've been working on, I wanted to do a back-to-basics podcast about positive pressure ventilation. In this quick vodcast we will cover why we give extra pressure behind our oxygen, a little about V/Q mismatch, and how titrating different pressures will yield different results! I'll attach some of the pictures from the Vodcast so that you can see them in still motion without having to pause the video.
19 min
October 20, 2018 Podcast 62 - Electrical Neutrality, A-Gaps, and Bicarb
I wanted to expound on this a little more and discuss my thoughts on when it makes sense to give sodium bicarbonate to a patient in a metabolic acidosis. Check out the show notes for further reading and pics.
12 min
October 13, 2018 Microgram - AirwaySono w/ Cynthia Griffin
10 min
October 10, 2018 Podcast 61 - DEBATE CLUB! "Push Dose Pressors"
I will openly admit that when Dr. Weingart first coined the term "Push Dose Pressor," I drank the Kool Aid.. I remember pitching it to my organization and discussing the concept with the guys at my station. I think the early adoption was due to: 1. Cool Name 2. Easy To Mix 3. Weingart 4. Was better than pushing 500 mcg of cardiac epi when the patient starts circling the drain. Now I'm questioning this techniques application in EMS. Join Michael Perlmutter, Bryan Winchell, and myself as we discuss the finer points of PDP. www.FOAMfrat.com
29 min
October 06, 2018 Vodcast 60 - Intubation Checklist
My goal was to create a start-to-finish checklist that hit all the important points. Not only did I want the clinicians to have it in the field, but I wanted them to do competencies on a standardized system on a regular basis. I felt it important that they are tested on the exact same points in training as they see on their clinical form - so that we only have one form to memorize. One thing is for sure... Whatever way people train to do a skill, they will surely practice it the same way under times of stress.
15 min
September 24, 2018 Podcast 59 - Trigger Happy (Transfusion Confusion) w/ Andrew Fisher
It has become a staple in HEMS to carry and deliver blood products to trauma patients who need them. Some agencies will carry plasma, packed red blood cells, and platelets. The majority will only carry packed red blood cells (PRBC's). From the curb this makes sense. If a patient is losing blood, we should replace it. However there is heterogeneous views on when this should be done and how.
www.foamfrat.com
29 min
September 14, 2018 Podcast 58 - (Part 2) Bougie & Tongue Control Demo
This is the video to go along with podcast 58 demonstrating the techniques discussed.
4 min
September 14, 2018 Podcast 58 - Bougie Pitfalls & Tongue Control
We all have grown to love the bougie, and many are rightfully utilizing it on their first attempt to optimize success. However, just like we found with the cool kid ketamine, if not done right you can meet some difficulty. The tool is only as good as its handler. In this podcast we will discuss a few tips, tricks, and pitfalls of becoming a bad@$$-bougie-master.

www.foamfrat.com

13 min
September 12, 2018 Microgram - Why Do We Occlude? (Experiment #1)
We have always been taught to occlude the promixal end of the IV line when pushing a medication through the luer lock port. I wanted to test this technique to see if backflow is really a concern in several scenarios. It was an interesting experiment.
3 min
August 29, 2018 Podcast 57 - Straight From The Author (PART & AIRWAYS 2)
Michael Perlmutter (@DitchDoc14) did a blog piece a few months ago suggesting we re-think how we control airways in pre-hospital medicine. Whenever you discuss or propose putting a skill on trial, you will be met with resistance. That being said, yesterday two papers were published comparing the SGA vs ETT in cardiac arrest (PART & AIRWAYS2). I highly anticipate deep scrutinization of the paper by the pre-hospital community. My hope was that by bringing the senior authors on the podcast, I could help the discerned reader avoid assuming false motives and extended assumptions as to the fatality of paramedic intubation.

www.foamfrat.com
41 min