FOAMfrat Podcast

By Tyler Christifulli & Sam IrelandMedicine Health & Fitness

FOAMfrat Podcast episodes

February 15, 2023 Podcast 155 - Pattern Recognition vs. Autopilot w/ Shaylah Montgomery
In this episode, Tyler is joined by Shaylah Montgomery to discuss decision-making, human factors, and mental shortcuts utilizing pattern detection. Shaylah is a flight nurse and paramedic for Pafford Air One and a member of the FOAMfrat team.
27 min
February 06, 2023 Podcast 154 - ROSC Temp & Sedation w/ Dr. Leon Eydelman
0.9. When a patient is in shock, their volume of distribution changes, and peripheral blood flow is reduced. This means more blood is shunted to the brain,, and lower doses of sedation will give the agent therapeutic brain levels.","type":"unstyled","depth":0,"inlineStyleRanges":[],"entityRanges":[],"data":{}}],"entityMap":{},"VERSION":"9.3.6"}"> What aspects of temperature-targeted management are most important to EMS, and how should EMS guide sedation for the patient with a return of spontaneous circulation? Check out this interview w/ Dr. Leon Eydelman! The ROSC class referenced in this video can be found in FOAMfrat Studio! Highlights ROSC + FEVER = Bad. Trust a high temperature and question a low one. While most EMS agencies likely do not carry propofol, it is the most commonly used sedation medication in the ED because it washes out quickly and allows for neuro eval. Benzodiazepines are associated with higher rates of ICU delirium and complications. Running levophed to counteract the vasodilation aspect of propofol. Don't have propofol; hemodynamic-dosed ketamine is a good option as well. The sedation dose should be reduced when the shock index is > 0.9. When a patient is in shock, their volume of distribution changes, and peripheral blood flow is reduced. This means more blood is shunted to the brain,, and lower doses of sedation will give the agent therapeutic brain levels.
33 min
January 16, 2023 Podcast 153 - Pediatric Arrest w/ Dr. Banerjee
We just finished re-recording our pediatric arrest class in Studio and decided to play the unedited version of my discussion with Dr. Paul Banerjee. Banerjee is a prolific researcher and medical director in Florida with a particular emphasis on pediatric arrest. Check out the class in Studio for more information on the logistics.
24 min
December 12, 2022 Podcast 152 - CISM & Processing w/ Sam Henne
Sam Henne is the creator of Mind Over Medic and a co-worker of mine at Life Link III. In this episode, we discuss the components of critical incident stress and ways to reduce adrenaline during threat appraisal. Check out www.mindovermedic.com

57 min
December 02, 2022 Podcast 151 - Central Line Access for EMS w/ Austin Brook
EMS is well-trained in peripheral intravenous as well as intraosseous access. However, central lines remain off-limits for many clinicians in various response areas. If accessing these types of lines is allowed, it's usually permitted when the patient is (nearly) dead. This isn't very surprising since the scope of practice of the EMS clinician usually focuses on emergent treatments. Unless it's learned during a critical care class, little thought is typically given to topics like central, dialysis, and PICC lines in EMS. Why not?
31 min
November 05, 2022 Podcast 150 - Slishman Traction
Had the opportunity to talk with Dr. Sam Slishman, the inventor of the Slishman traction splint. We had a great conversation on the idea/concept of this splint, who to apply it on, and some additional questions, which we plan on having him back on to discuss.
37 min
October 21, 2022Podcast 149 - P:F vs. A-a & Oxygenation Strategies
A-a gradient, a/A ratio, and P: F ratio - are all different views of the same item. These formulas do not have a complete view of oxygenation. Oxygenation is a huge topic, and there are more common values that we use:

How well is the patient saturating?

Is there dyspnea?

How do the lungs sound (auscultation) or look (POCUS)?

Where is the patient on the OHCD?

What does the ABG show?
29 min
October 04, 2022 Podcast 148 - Crashing PE Logistics w/ Shane & Brian
I ran some specific decision points when treating the REALLY BAD massiVE pulmonary embolism patient by Shane & Brian from the FOAMfrat Team. This discussion really focuses on the logistics and ideas when you are trying to get the patient from A to B without having to do CPR.
37 min
July 14, 2022Podcast 147 - NICU Q&A w/ Theresa Bowden
Theresa Bowden is a rockstar flight nurse who specializes in NICU transports. In this episode, you will listen in as Theresa explains anything and everything you have ever wondered about NICU interfacility transports.

Topics include:

Who gets prostaglandin?

IO or IV catheter for UVC

Cardiac vs. Respiratory

Initial Vent Settings

Get credit for this class by listening to it in FOAMfrat Studio.
33 min
May 22, 2022 Podcast 146 - IVC Assessment w/ Shane O'Donnell
Does IVC assessment have a role in pre-hospital ultrasound? This week we talk to one of the newest members of FOAMfrat, Shane O'Donnell.
27 min