–> I love NSAIDs! Yup, love ‘em! NSAIDs (Non-steroidal anti-inflammatory drugs) are some of the best analgesics available, plus they’re generally over the counter. Despite their daily use for decades, NSAIDs remain sorely misunderstood. I know they’re not a panacea, and they have some serious side effects in certain populations. But for healthy patients without […]
Drinking the PPI Hate-O-Rade
Hi all, sorry about the extended hiatus. I was away after Christmas for about 12 days and have been getting back in the swing of things over the past week. Since the break, one great new blog that has popped up on the FOAMed landscape is the boringem blog, started by Brent Thoma, one of […]
Evidence Based Laceration Repair
First, a huge thanks to everyone who has been visiting the site, tweeting and spreading the #FOAMed love. FOAM is all about word of mouth, and having others spread the word drives me to put up more posts. Second, if you have comments or suggestions to improve the blog, questions for me, or myths you’d […]
All about chest tubes
Of all the interventions we perform, chest tube insertion is one of the most dangerous, complicated and misunderstood. Today I’ll discuss not only the myths, but also some unfortunate realities that we must understand when we undertake this procedure.Myth # 1Bigger is betterI’m pretty sure we’ve all been told, partially thanks to ATLS, that we […]
Why should we insert CVCs?
WHY SHOULD WE INSERT CVCs? CVCs/CVLs are found in many, if not all critically ill ICU patients. Why? To monitor central venous pressure and fluid responsiveness? To measure markers of perfusion? To provide fluid resuscitation?Let’s discuss some common myths surrounding the uses of CVCs.A good place to start is a list of indications for insertion of central […]