ACEP Thoracic Aortic Dissection Clinical Policy Update

In this episode, we review a new clinical policy from the American College of Emergency Physicians (ACEP) on the use of risk stratification tools and D-dimer to exclude non-traumatic thoracic aortic dissection. Shownotes: FOAMcast.org

Historically, RhD immunoglobulin was recommended in Rh-negative patients presenting after spontaneous or induced abortion. However, guideline recommendations around the world have largely changed, and now recommend forgoing prophylaxis in most of these cases. We review the evidence and guidelines. Show notes and references: FOAMcast.org Thanks for listening! Lauren Westafer

This episode discusses asthma guidelines and a systemic review and network meta-analysis on the use of inhaled corticosteroids for asthma. Show notes and references: FOAMcast.org Thanks for listening! Lauren Westafer

In this episode, we discuss treatment of acute ischemic priapism, including some updates from the American Urological Association.    Show notes and references: FOAMcast.org

In this episode, we review a consensus guideline from the American College of Emergency Physicians on the use of topical anesthetics in corneal abrasions.  Show notes and references: FOAMcast.org Thanks for listening! Jeremy Faust and Lauren WEstafer

This episode covers emergency medicine-related recommendations from the American Heart Association's (AHA) clinical guideline on atrial fibrillation: 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation Circulation. 2023 Show notes and references: FOAMcast.org Thanks for listening! Lauren Westafer

The AABB recently published updated recommendations for blood transfusion thresholds. This podcast reviews these recommendations and a recent study, the MINT trial, in which patients with anemia and a myocardial infarction were randomized to a restrictive strategy or liberal transfusion strategy. Show notes / references: FOAMcast.org Thanks for listening! Lauren Westafer

This epsiode reviews the new clinical policy from the American College of Emergency Physicians (ACEP) on medication for acutely agitated patients needing parenteral sedation. Show notes / references: FOAMcast.org Thanks for listening! Lauren Westafer

In this episode, we review Resuscitative endovascular balloon occlusion of the aorta (REBOA), notably dissecting the recent Jansen et al trial in JAMA. Shownotes / References:  FOAMcast.org Thanks for listening! Jeremy Faust & Lauren Westafer

Alcohol use disorder (AUD) is commonly encountered in the ED and visits related to alcohol are estimated to be ~4% of all ED visits in the US. Despite this, most EDs offer little support and harm reduction for patients with AUD. In this podcast, we review naltrexone, the first-line medication for patients with AUD, which is starting to be initiated in US EDs by emergency clinicians.  AAEM position paper References and show notes: FOAMcast.org Thanks for listening! Lauren Westafer