FOAMfrat Podcast
Health, Fitness & Longevity
About
Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland
Episodes
- Podcast 192 - Salicylate Toxicity Management w/ Dr. Brookeman & Nicholas Henchal
In this episode, flight paramedic Nicholas Henchal and EMS physician Dr. Harrison Brookeman break down salicylate toxicity from the ground up. What started as a casual conversation at the crew table turns into a deep dive into one of the m…
- Podcast 191 - Sepsis Update w/ Kevin Collopy
What does sepsis management look like for EMS? Tyler and Kevin Collopy break down the current state of sepsis care, including EMS recognition, hospital sepsis bundles, fluid strategies, vasopressor use, lactate trends, and the debate aroun…
- Podcast 190 - Intubation Triggers w/ Nicole Hooser
"GCS less than 8, intubate." We've all heard it. Many of us were taught it. In this episode of the FOAMfrat Podcast, Tyler and FOAMfrat educator Nicole Hooser examine one of the most repeated airway phrases in EMS and why it may be doing m…
- Podcast 189 - APRV & Volumetric CO2 w/ Joe Hylton
In this episode of the FOAMfrat Podcast, we sit down with Joe Hylton, one of the go-to ventilator educators in critical care transport, to break down APRV in a way that actually makes sense. We move beyond surface level explanations and ge…
- Podcast 188 - Sodium Nitrite Ingestion & Methemoglobinemia w/ Dr. Brookeman
In this episode of the FOAMfrat Podcast, Dr. Harrison Brookeman joins the discussion to examine methemoglobinemia and the emerging prehospital threat of sodium nitrite ingestion. Often viewed as a rare toxicology concept, this condition is…
- Podcast 187 - Dynamic PEEP? | Ventilation Strategies for Metabolic Acidosis w/ Melody Bishop, RRT
A little over a year ago, I made a short reel discussing ventilating a patient in a severe metabolic acidosis. In the video, I mentioned that minimal to no PEEP might be appropriate. Not because the patient doesn't need PEEP, but because t…
- Podcast 186 - Should we throw away our pelvic binders? w/ Dr John Lyng
Pelvic binders have long been considered a standard intervention in the management of suspected pelvic fractures in the prehospital setting. However, recent guidance from the National Association of EMS Physicians (NAEMSP) challenges some…
- Podcast 185 - Eating Disorders w Hanna Thompson
In this episode, Tyler sits down with Hanna Thompson to discuss a critical yet often overlooked topic in EMS—eating disorders. Drawing from personal experience and clinical insight, they explore how these conditions present both medically…
- Podcast 184 - Diastolic Augmentation w/ Brian Cress
In this episode, Tyler Christifulli sits down with cardiac perfusionist Brian Cress to dig into the physiology of coronary perfusion, the mechanics of the intra-aortic balloon pump (IABP), and the clinical finesse of diastolic augmentation…
- Podcast 183 - Cardiac Ultrasound w/ Dr. Weimersheimer
In this conversation, Dr. Peter Weimersheimer discusses various techniques and tips for performing cardiac ultrasound in emergency medicine. He emphasizes the importance of understanding probe movements such as sliding, fanning, and rockin…
- Podcast 182 - AHORA Spanish Stroke Assessment
Stroke assessment tools like BEFAST are crucial for swiftly identifying symptoms and expediting treatment. However, language barriers can hinder prompt care for non-English speakers, particularly in the Hispanic community. Developed throug…
- Podcast 181 - Discrepancies in Testing & Treatment
Does medicine have dangerous side effects for women? Are the "normal" values we have set for diagnostics possibly endangering specific populations? In this episode of the FOAMfrat podcast, Tyler sits down with Dr.Alyson McGregor, emergency…
- Podcast 180 - MCI Collaboration w/ ATCEMS & Travis County Star Flight
In this episode of the FOAMfrat podcast, join as we discuss mass casualty management with Chief Robert Luckritz of Austin Travis County EMS and Justin Soulier from Travis County Star Flight. Explore the strategies and challenges in mass ca…
- Podcast 179 - Your First 5 Minutes of an MCI w/ Rommie Duckworth
Join Rommie Duckworth and FOAMfrat as we discuss the mental framing and big-picture thought process behind the first five minutes of any mass casualty incident (MCI). Rommie Duckworth, a fire captain and shift commander, is a wealth of kno…
- Podcast 178 - ECPR Eligibility and Preparation w/ Alec Wilcox
In this episode, Alec Wilcox & I discuss ECPR eligibility & preparation. ECPR, or extracorporeal cardiopulmonary resuscitation, involves taking a patient in cardiac arrest, sucking blood from their venous system, oxygenating it externally,…
- Podcast 177 - Implementing Ultrasound w/ Allen Wolfe
The integration of point-of-care ultrasound (POCUS) is transforming emergency medical services (EMS) by enhancing diagnostic capabilities and improving accuracy in answering important clinical questions. Recently, I had the opportunity to…
- Podcast 176 - Pediatric TBI Protcol w/ Dr. Banerjee
In this episode, Dr Banerjee and I discuss a new traumatic brain injury (TBI) protocol his department is trialing for pediatric patients with moderate to severe TBI in collaboration with Arnold Palmer Hospital. This protocol involves admin…
- Podcast 175 - The Things We Do w/ PulmCCM
Matt Hoffman is the editor-in-chief of PulmCCM, a blog that frequently updates its readers on evidence and best practices in critical care medicine. I have always wondered how our work in the field affects a patient's care downstream. Do p…
- Podcast 174 - "I Rolled My Ambulance" Interview w/ Kyle Rice
In this episode of FOAMfrat, Tyler speaks with paramedic Kyle Rice to discuss a deeply personal and eye-opening experience—rolling his ambulance after running a red light. Kyle shares the lessons he learned about complacency, crew resource…
- Podcast 173 - Rethinking Lights & Sirens w/ Jeff Jarvis & Jonathon Jenkins
In this episode, I sit down with Dr. Jeffrey Jarvis , author of a fascinating paper on the impact of lights and siren (L&S) use in EMS responses. If you're like most of us, when you hear those blaring sirens and see flashing lights, you th…
- Podcast 172- Hamilton T1 Hacks & Strategies w/ Joe Hylton
In this podcast, we discuss the nuances and strategy of the T1 ventilator with RRT, Joe Hylton. Whether you're a paramedic or a healthcare professional involved in critical care transport, understanding the nuances of this advanced ventila…
- Podcast 171 - Thoracic Dissection Goals w/ Alex Greene
Thoracic dissections are surgical emergencies that require precise temporizing measures until surgery can be performed. In this session, participants will gain critical knowledge on recognizing key symptoms such as ripping back pain and un…
- Podcast 170 - Finger Thoracostomy w/ Dr. Cynthia Griffin
In this conversation, Tyler and Dr. Cynthia Griffin discuss the finger thoracostomy procedure. They cover topics such as when to choose finger thoracostomy over needle decompression, the equipment needed for the procedure, the technique fo…
- Podcast 169 - EVD Transport Logistics w/ Alaina Martini
Alaina Martini, a flight nurse at Allegheny Life Flight, shares her expertise on transporting patients with external ventricular drains (EVDs). She explains the indications for EVD insertion, such as aneurysmal subarachnoid hemorrhage and…
- Podcast 168 - Procedure Preppers (Needle Decompression) w/ Dr. Aho
Dr. John Aho discusses needle decompression and the procedure's indications, techniques, and potential pitfalls. He emphasizes the importance of high clinical suspicion and the limitations of external signs in diagnosing tension pneumothor…
- Podcast 167 - Placenta Previa w- Demi Wilkes
An iceberg typically shows only 10% of its mass above water. To appreciate the other 90%, you need to dive deep. That's precisely what we're doing in this series—discovering the deeper knowledge about obstetric topics. These topics can be…
- Podcast 166 - Transcutaneous Pacing & False Capture
The conversation is about a paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for par…
- Podcast 165 - Should Pressors Have A Max Dose?
In this episode we discuss whether the concept of having a "max dose" of your pressor has any evidence or physiological backing. Joining me in this discussion are Dan Rauh, Shane O'Donnell, and Shad Ruby.
- Podcast 164 - Suicidal Ideation w/ James Boomhower
How do you talk to a patient experiencing suicidal ideation? What if you're the one having these thoughts? We're interviewing James Boomhower from Stay Fit 4 Duty in this episode. We discuss suicidal ideation, therapeutic communication, an…
- Podcast 163 - What Can We Learn From A Ketamine Infusion Clinic? w/ Chris Carlstrom
Chris Carlstrom is a flight nurse at Life Link III and also works part-time at a ketamine infusion clinic. We've had some interesting conversations on shift regarding his experiences with ketamine in the clinic versus emergency medicine an…
- Podcast 162 - Multimodal Pain Management w/ Shane O' Donnell
When I became a paramedic, being able to provide pain management was one of the "new interventions" that I looked forward to most. As an EMT, I remember countless times I was without ALS resources and had to watch a patient suffering in pa…
- Podcast 161 - EMT Pharmacology
Taking on pharmacology in EMT school is a big hurdle. We wanted to write something that not only explained the basics of the medications but also helped bridge the gap between what EMTs are taught and what paramedics learn when they go bac…
- Podcast 160 - Autism Communication w/ Joshua Chan & Matthew Yelton
I had the privilege to bring on two passionate fathers of children with Autism to help me better understand how to approach and communicate with a neuro-diverse child. This episode is chock-full of insight, tips, tricks, and logistics of a…
- Podcast 159 - Close Encounters of the Infectious Kind w/ Dr. Hudson Garrett
EMS providers encounter various infectious diseases daily and need to know the routes of exposure, risks, and preventive measures to protect themselves and their families. In this episode, We talk with Dr. Hudson Garrett, an infectious dis…
- Podcast 158 - RSI Cocktail w/ Heavy Lies The Helmet
In this episode, Dan Rauh & Mike Boone from Heavy Lies The Helmet join me to hash out our workflows and drugs of choice for four particular scenarios you may come across. The combative head injury patient that needs to be intubated but has…
- Podcast 157 - Ventilation & Cardiac Arrest w/ Tom Bouthillet
Moments after the heart stops the entire circulatory system finally has a chance to bring venous and arterial pressures to equilibrium. Cardiac arrest resuscitation requires the provider to have a strong mental model of physiology and the…
- Podcast 156 - Is using AI cheating? EMS and AI
AI will be integrated into everything we do in medicine, perhaps sooner than we think. It will help keep our patients safe, our providers informed, and our communications connected, and change how we think about how we care for patients (i…
- 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 te…
- 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":…
- 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 emphas…
- 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…
- 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…
- 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…
- Podcast 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 patie…
- 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 f…
- Podcast 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 g…
- 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.
- Podcast 145 - Pediatric Bags
Do specialized pediatric jump bags alienate the pediatric population? They typically don't get used as much, and introducing a foreign bag into a low volume population may add to the stress of running a pediatric call anyway. In this episo…
- Podcast 144 - VR & EMS Education
The FOAMfrat podcast is back in 2022 with a discussion on how virtual reality can be used in EMS education. We did our first VR class a few weeks ago and here's what we learned and what we plan to do with it!
- Podcast 143 - Thyroid Disorders
The thyroid is a butterfly -shaped gland. But for some, it can be more like a bullet to the neck. The number of systems that our thyroid helps regulate truly is incredible, and an over or under-active thyroid can cause a whole host of acut…