TOTAL EM - Tools Of the Trade and Academic Learning in Emergency Medicine
245 episodes - English - Latest episode: almost 2 years ago - ★★★★★ - 71 ratingsWe are a FOAMED project devoted to providing TOTAL care everywhere. This is done by sharing the Tools Of the Trade and Academic Learning in Emergency Medicine (TOTAL EM). We believe in education for emergency medicine professionals and the public.
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Episodes
Podcast #194 - Disinfecting Your Probe and Q&A on COVID-19 with Dr. Chen
April 07, 2020 17:00 - 39 minutes - 90.9 MB VideoWe are back to talk more about POCUS with COVID-19. This post covers the clinical course when using lung ultrasound, Q&A from someone who experienced it first hand, and how to disinfect your pocket ultrasound device. We are joined in this discussion by Dr. Yale Tung Chen.
Podcast #193 - Ibuprofen and the Danger of COVID-19 Rumors
March 31, 2020 17:00 - 15 minutes - 14.1 MBWe are in the middle of the COVID-19 pandemic, and there are still many unanswered questions. As mentioned in our previous post, we will not discuss in detail specific treatments yet as new data is constantly coming out and it is all very limited. However, one question that comes up frequently is the use of ibuprofen and if it is safe with COVID-19.
Podcast #192 - Lung POCUS for COVID-19
March 24, 2020 21:16 - 51 minutes - 218 MB VideoAs we continue our discussion regarding COVID-19, we wanted to cover the point of care ultrasound (POCUS) findings that you should know. Much discussion surrounds this topic including some debates about if and how it should be used. We tackle when, why, and how to use POCUS for COVID-19 as well as what to look for in this video podcast ("vodcast"). In this vodcast we are joined by SPOCUS President, Fritz Fuller
Podcast #191 - EM ID: How ID Meets IV
March 17, 2020 17:00 - 39 minutes - 35.8 MBInfectious disease can become intertwined with illicit drug use for a variety of reasons. HIV, hepatitis, and endocarditis are some of the common examples where drug use can lead someone to need help from an infectious disease specialist. However, Patrick Bafuma interviewed Dr. Michael Silverman regarding some interesting research he did regarding how certain drugs were increasing the risk of serious infections.
Podcast #190 - Social Distancing and Limited Resources: Why to Flatten the Curve
March 10, 2020 17:00 - 16 minutes - 15.5 MBWith our last podcast discussing some of the key facts of COVID-19, it is worth discussing another important component: resource utilization. One of the scarier projections with a large outbreak is how resources can be used to their maximum capacity very quickly. We break down how COVID-19 is one example that can have disastrous consequences.
Podcast #189 - Must Know Information on Coronavirus Disease 2019 (COVID-19)
March 03, 2020 18:00 - 16 minutes - 15 MBCoronavirus Disease 2019 (COVID-19) has been a very popular topic over the last few months. However, there has been a great deal of misinformation and new information that has changed what we previously thought about this disease. While we discuss this topic, it is worth noting that this may continue to change further and that this post was last updated on 3/3/2020.
Podcast #188 - EB Medicine: Pediatric Blunt Abdominal Trauma
February 25, 2020 18:00 - 17 minutes - 15.9 MBBlunt trauma in the pediatric patient is fairly common. Blunt trauma to the abdomen though is less common and provides some unique challenges. The patient's developmental stage, limitations in verbal and language skills, lack of prehospital information, and the potential for an unreliable exam creates a situation that can create additional stress for both the family and those taking care of the patient. We will break down a recent EB Medicine article and cover some of the key aspects that...
Podcast #187 - Who with a Headache Needs Imaging?
February 18, 2020 18:00 - 7 minutes - 6.98 MBPatients present with headaches frequently, but they do not all need imaging. However, the question becomes who does need the imaging? The American College of Radiology updated their guidelines from the ones previously made in 2014 and we provide a rapid review in this post.
Podcast #186 - Does Cardiac Ultrasound Help Rule Out Acute Aortic Syndromes?
February 11, 2020 18:00 - 14 minutes - 13.6 MBOne of the most commonly feared diagnoses to miss in medicine is the ruptured aortic aneurysm or aortic dissection. Despite classic teachings, the presentation of most patients is not textbook. While there are many studies trying to find ways to help with the evaluation, they have been limited in success. However, what if you add ultrasound? We discuss some new evidence in this post.
Podcast #185 - EM ID: Prolonged Antibiotic Use
February 04, 2020 18:00 - 15 minutes - 14.3 MBPatrick Bafuma is back for the second part of his EM ID interview with Dr. Valerie Vaughn. She is internal medicine trained and a hospitalist with a special interest in infectious disease. Go back to Podcast #182 to hear her discussion with nudges as it comes back to play in this post.
Podcast #184 - Tibial Plateau Fractures
January 28, 2020 18:00 - 9 minutes - 8.85 MBTibial plateau fractures can be easily missed, especially to the untrained eye. Missing these important fractures can have devastating outcomes. In this post we will talk about how to identify and manage these fractures.
Podcast #183 - Regional Wall Motion Abnormalities in Myocardial Infarctions
January 21, 2020 18:00 - 10 minutes - 9.53 MBPoint of care ultrasound (POCUS) can range in complexity from very basic exams to those that are expert level in nature. While some basic wall motion abnormalities are taught in many introductory classes, the concept of regional wall motion abnormalities (RWMA) for myocardial infarctions (MIs) can be a little more complicated and as a result is often not taught to novice learners of POCUS. Some have questioned the validity of the results, as well. In this post, we will cover some highligh...
Podcast #182 - EM ID: Asymptomatic Bacteriuria and Nudges
January 14, 2020 18:00 - 28 minutes - 25.7 MBPatrick Bafuma is back to provide another EM ID special, this time with Dr. Valerie Vaughn. She is internal medicine trained and a hospitalist with a special interest in infectious disease. The concept of asymptomatic bacteriuria has been discussed before with with Podcast #158, but this time Dr. Vaughn introduces the idea of nudges and how it can help use reduce our antibiotic use.
Podcast #181 - EB Medicine: Pediatric Rash and Fever
January 07, 2020 18:00 - 12 minutes - 11.6 MBBoth rashes and fevers are very common complaints in the emergency department. However, the challenge becomes very real distinguishing the serious to the more benign. Fortunately, EB Medicine has once again come to help make this challenging topic a little easier to understand. We review some of the highlights from their article in this post.
Podcast #180 - End of Year Review for 2019
December 31, 2019 18:00 - 8 minutes - 7.87 MBAnother year is in the books. We appreciate you reading the blog and listening to the podcast. This post is devoted to wrapping up the year.
Podcast #179 - Kindness
December 24, 2019 18:00 - 11 minutes - 10.6 MBHappy Holidays and if you are listening to this when it is published, Merry Christmas. Last year for Podcast #127, on Christmas Day we reviewed the importance of family, friends, and colleagues. This year we wanted to discuss the importance of kindness.
Podcast #178 - EB Medicine: Pediatric Stroke
December 17, 2019 18:00 - 14 minutes - 13 MBWe love EB Medicine specials and we hope you do, too! This time we are talking about a subject that many forget about: pediatric stroke. While it is far less common than what we see in the adult population, it carries a high morbidity and mortality rate. In November, EB Medicine went into detail about this particular topic and we think it was a fantastic review. Let's get started!
Podcast #177 - Is the Common Bile Duct Important to Visualize on POCUS?
December 10, 2019 18:00 - 13 minutes - 12.6 MBExamining the gallbladder on ultrasound is not a particularly difficult skill. However, the rest of the biliary exam on point of care ultrasound (POCUS) can be both challenging and time consuming. Sometimes, the common bile duct (CBD) is not able to be positively identified. This has led to questioning the importance of this particular component of the exam. We will review some of the recent evidence in this post.
Podcast #176 - EM ID: Septic Arthritis
December 03, 2019 18:00 - 21 minutes - 19.3 MBWe have Patrick Bafuma back interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center. He specializes in orthopedic infectious diseases. Nico and Patrick are covering septic arthritis in this conversation.
Podcast #175 - EM ID: When and How to Use Clindamycin
November 26, 2019 18:00 - 12 minutes - 11.3 MBEM ID is back again with Patrick Bafuma interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center. He specializes in orthopedic infectious diseases. Patrick interview Nico for two discussions, with the first being clindamycin. Join back for the next discussion on septic arthritis.
Podcast #174 - EB Medicine: The Febrile Young Infant
November 19, 2019 18:00 - 19 minutes - 17.4 MBIt is time for another EB Medicine special. The febrile young infant can be one of the scarier patients for a variety of reasons. They are so young they are unable to communicate, they have very real and serious pathogens that can have deadly consequences, and the family as well as other individuals taking care of the patient can be nervous or scared creating increased stress. In this post, we cover EB Medicine's recent article on this topic to better improve your practice.
Podcast #173 - Promoting POCUS Utilization and Celebrating Wins
November 12, 2019 18:00 - 16 minutes - 15 MBIf you have not figured it out yet, point of care ultrasound (POCUS) is not going away anytime soon. It is a powerful tool in the hands of clinicians across the world. With its growing utilization, there are still many that are hesitant to implement it into their daily practice. In this podcast, we talk about how to encourage others to start using POCUS.
Podcast #172 - IPV Educators: Essentials of the Pediatric Sexual Abuse Examination
November 05, 2019 18:00 - 31 minutes - 28.9 MBKatherine (Katie) Thompson from IPV Educators is discussing more pediatric abuse pearls. Our focus this time is on the very sensitive subject regarding examination in pediatric sexual abuse. Katie walks us through how we can interview and perform a preliminary exam before a complete exam by a forensic examiner.
Podcast #171 - IPV Educators: Dogmalysis of the History and Physical in Pediatric Abuse/Neglect
October 29, 2019 17:00 - 31 minutes - 29.2 MBKatherine (Katie) Thompson from IPV Educators is back to discuss some more pearls in regards to abuse and neglect. This time, we talk about dogma regarding the history and physical exam components specifically for pediatric abuse and neglect. We pay particular attention to the incorrect dogma that can impact our management.
Podcast #170 - EB Medicine: Pediatric Anaphylaxis
October 22, 2019 17:00 - 20 minutes - 18.7 MBAnaphylaxis is a life-threatening condition that requires early recognition and appropriate treatment for the best outcomes. In pediatric cases, this can be more challenging for a variety of reasons including the barriers to obtaining a history and physical, knowing the appropriate dosing of medications, and the general stress of managing sick pediatric patients. We discuss how to manage such patients in this EB Medicine special.
Podcast #169 - EM ID: Upper GI Bleeding, Antibiotics, and Fecal Transplants for C. diff
October 15, 2019 17:00 - 17 minutes - 15.9 MBPatrick Bafuma handed over the reigns for this month's EM ID series to Dr. Gita Pensa with Brown University. She interviewed Dr. Colleen Kelly who is a gastroenterologist and also teaches at Brown. In this podcast they talk about two very common GI complaints where antibiotics play a role: upper GI bleeding and C. diff infections.
Podcast #168 - POCUS as a Window to the Eyes and Happy PA Week
October 08, 2019 17:00 - 20 minutes - 18.3 MBWe talk about point of care ultrasound (POCUS) frequently, but a common favorite topic is the use of ocular ultrasound. This application can provide a vast amount of information quickly and easily. As an added bonus, our main paper discussed in this post used PAs. The week this is being originally posted is National PA Week.
Podcast #167 - 10 Things to Remember with C. difficile Infections
October 01, 2019 17:00 - 11 minutes - 10.7 MBBack by popular demand we have enough podcast to cover 10 important pearls about a particular topic and this one comes from a recently published BMJ article covering Clostridioides difficile (formerly known as Clostridium difficile).
Podcast #166 - EM ID: PICC Line Complications with Dr. Solberg
September 24, 2019 17:00 - 14 minutes - 13.2 MBPatrick Bafuma continues his series of EM ID interviews this time with Dr. Solberg from Bismark, North Dakota and has her own website. Peripherally inserted central catheter (PICC) lines are commonly used for both inpatient and outpatient care. These patients can come to us for a variety of potential complications. We will discuss some of the key ones in this post.
Podcast #165 - EB Medicine: Pediatric Appendicitis
September 17, 2019 17:00 - 24 minutes - 22.4 MBWe return with our second podcast featuring EB Medicine content. Our partnership with them allows us to access their content and share it with you through the power of #FOAMed and this time we are tackling an all too common emergency: appendicitis. Specifically, we discuss the pediatric population given their most recent evidence-based review article on the same.
Podcast #164 - Why Tofu Rocks for POCUS Training
September 10, 2019 17:00 - 12 minutes - 11 MBTofu can be used as a food product, but it has uses in medicine. In particular for the discussion today is its role in point of care ultrasound (POCUS) training. We discuss ways to use this inexpensive product to better improve your education.
Podcast #163 - IPV Educators: Being the Light - Human Trafficking Part 2
September 03, 2019 17:00 - 24 minutes - 22.4 MBWe are completing the second installment of a new series with the help of Katherine Thompson from IPV Educators. The discussion continues on human trafficking but this time we talk about how we can help.
Podcast #162 - IPV Educators: Shadow Figures - Human Trafficking Part 1
August 27, 2019 17:00 - 28 minutes - 26.1 MBWe are starting a new series with the help of Katherine Thompson from IPV Educators. It was born out of a passion for advocating for survivors of interpersonal violence. We are glad to learn from Katherine and the first discussion is regarding human trafficking.
Podcast #161 - POCUS for Appendicitis
August 20, 2019 17:00 - 15 minutes - 14.3 MBAs point of care ultrasound (POCUS) continues to expand in roles, the diagnosis of appendicitis using POCUS is one application with growing evidence. This is especially true for the pediatric population. In this blog and podcast learn how to diagnose appendicitis by POCUS and some of the most recent evidence.
Podcast #160 - Five Key Reminders When Evaluating Chest Pain after CABG
August 13, 2019 17:00 - 10 minutes - 9.53 MBIn emergency medicine, we are generally very good about evaluating chest pain. We also are familiar with procedures including coronary artery bypass grafts (CABG). However, in patients with recent CABG, there are some key reminders we need with this patient population.
Podcast #159 - EM ID: Antibiotic Stewardship in Unique Cases with Dr. Gompf
August 06, 2019 17:00 - 23 minutes - 21.2 MBBoth Patrick Bafuma and Dr. Sandra Gompf who specializes in infectious disease (Gompf's ID Pearls) are back this time to discuss some unique cases regarding antibiotic stewardship in the emergency department.
Podcast #158 - EM ID: Asymptomatic Bacteriuria versus UTI with Dr. Gompf
July 30, 2019 17:00 - 19 minutes - 17.4 MBFor this round of EM ID, Patrick Bafuma interviews Dr. Sandra Gompf who specializes in infectious disease and has Gompf's ID Pearls. They focus primarily on delirium, indwelling Foley catheters, and callbacks.
Podcast #157 - EB Medicine: POCUS Pearls in Pediatric Trauma
July 23, 2019 17:00 - 20 minutes - 18.6 MBWe have started partnering with EB Medicine to provide you with some great content. For our first post, we will cover the use of point of care ultrasound (POCUS) for the pediatric trauma patient.
Podcast #156 - Top 10 Pearls for Being a Podcast Guest or Recording Your Own
July 16, 2019 17:00 - 13 minutes - 12 MBThis is not a podcast covering clinical content. Instead, the focus will be about being a podcast guest and recording your own podcasts. For that reason, it may not apply for you right now but if you are ever thinking about doing either, come back here. Speaking of, we are always looking for guests and if you are interested please contact us.
Podcast #155 - Gases, Fentanyl, and the Nocebo Effect with David Fifer
July 09, 2019 17:00 - 13 minutes - 12.3 MBThis is a special sort of "bonus" podcast where we discuss with David Fifer a topic that was brought up entirely for fun: the nocebo effect. Take a listen as we provide some real life examples of this phenomenon in action.
Podcast #154 - Dogmalysis of Heat Exhaustion and Heat Stroke with David Fifer
July 02, 2019 17:00 - 51 minutes - 46.8 MBTo celebrate the Fourth of July, David Fifer joined us to talk about heat exhaustion, heat stroke, and the dogma around these conditions. This topic is one that is frequently misunderstood and David helps us understand the key pearls and pitfalls with heat stress emergencies.
Podcast #153 - Invention and Irrigation with Patrick O'Malley
June 25, 2019 17:00 - 30 minutes - 28.1 MBPatrick O'Malley is an emergency medicine physician that invented the IRIG-8 device. He decided to create a device that he feels is better than what was previously on the market in regards to wound irrigation. Learn how he developed the device and how he has incorporated it into his practice.
Podcast #152 - POCUS for Flexor Tenosynovitis
June 18, 2019 17:00 - 9 minutes - 8.88 MBPoint of care ultrasound (POCUS) is becoming more widely used in a variety of musculoskeletal applications and this includes infectious pathology such as flexor tenosynovitis. In this blog and podcast, we talk about a recent paper regarding the diagnostic utility of this condition.
Podcast #151 - EM ID: Antibiotic Stewardship in Pediatric Patients
June 11, 2019 17:00 - 17 minutes - 15.8 MBJoining Patrick Bafuma again is Dr. John Perkins from Carilion Clinic in Virginia this time to discuss antibiotic stewardship in pediatric patients.
Podcast #150 - Statistical Significance with Ken Milne
June 04, 2019 17:00 - 20 minutes - 18.7 MBKen Milne is back to discuss statistical significance to celebrate our 150th podcast. With the different pearls and pitfalls regarding statistical significance, Ken came back on to try and help us navigate through the process and allow us to better understand what this term actually means.
Podcast #149 - EM ID: Infections A Cardiovascular Risk Factor?
May 28, 2019 17:00 - 16 minutes - 15.5 MBPatrick Bafuma is back with another interview this time with Dr. John Perkins from Carilion Clinic in Virginia to talk about the post-infectious period as a cardiovascular risk factor.
Podcast #148 - Recovery from AAPA 2019 and Why to Register for Critical Access 2019
May 21, 2019 17:00 - 14 minutes - 13 MBWe just finished helping at AAPA 2019 in Denver, Colorado. It was a fun time with over 500 learners being taught by excellent faculty. In this post we talk about the benefits of workshop style courses as well as full courses such as the upcoming Critical Access 2019.
Podcast #147 - 10 Things to Remember About Measles
May 14, 2019 17:00 - 13 minutes - 12.4 MBWith the recent surge of measles cases, it is important to understand the facts with measles. In this post we cover a recent paper that reminds us some of the key details.
Podcast #146 - Top 10 Podcasts for 2019
May 07, 2019 17:00 - 16 minutes - 15.3 MBQuite often, people ask what other podcasts we would recommend. These are the top 10 podcasts that always have us coming back for more.
Podcast #145 - ACEP Guidelines on NSTEMI
April 30, 2019 17:00 - 9 minutes - 8.94 MBIn the later half of 2018, the American College of Emergency Physicians (ACEP) published their guidelines with non-ST-elevation myocardial infarction (NSTEMI) patients. These guidelines were beneficial to support some current practices based on current evidence. In this post, we review the guidelines and some of the supporting evidence.