Serotonin Syndrome
Serotonin Syndrome (or Serotonin Toxicity) is an uncommon and complex life-threatening condition that is caused by too much serotonin in...
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Tyler Christifulli
- 3 min
They told you to hate propofol...
Early in my paramedic career, I remember being told that propofol was the “white assassin” and had no role in the back of an ambulance or...
Brittany Grandfield
- 5 min
Malignant Hyperthermia
As a critical care provider, you decide based on the clinical presentation and assessment of a patient with a traumatic head injury and...
FOAMfrat
- 6 min
Pharmacology Not Taught in Medic School: Succinylcholine Edition
Why does Succinylcholine have a laundry list of contraindications? Why is it the neuromuscular blocker that induces fasciculations? What...
FOAMfrat
- 4 min
Pharmacology Not Taught in Medic School: Versed Edition
Okay, let’s talk all things Midazolam (Versed). It is a ubiquitous drug; we give it for anything from seizures to procedural sedation....
Jared Patterson
- 9 min
ROCURONIUM
I have to start off by saying I do have a small bias here and that this reading is largely a "Why I'd choose Rocuronium or...
Jake Good
- 5 min
Pharmacology Not Taught in Medic School: Etomidate Edition
Let’s talk all things Etomidate. Then again, when we decide to use this drug, typically we are dealing with a rather low...
Jake Good
- 7 min
Pharmacology Not Taught in Medic School: Ketamine Edition
The list is probably shorter for what Ketamine is not given for. It’s a ubiquitous drug and for that reason, it’s important to understand...
Jared Patterson
- 10 min
K.O. Induction & Paralysis
** First to "Comment + Share" with the name of the video game referenced in the title slide gets free FOAMfrat Stickers ** In some of my...
Jake Good
- 3 min
Things not taught in Medic School: The Steroid edition
I have to credit Jace Mullen as he was the first to make mention of this on Twitter. Thanks to my fellow FOAMFratter Jace I have a new...
Tyer Christifulli
- 3 min
Nauseating Evidence Part 3/3 (Isopropyl Inhalation)
My first clinical ride-along with the local Fire Department was a cardiac arrest. As we walked into the room, we quickly hit a wall of...
FOAMfrat Team
- 1 min
Podcast 81 - Interrogating The Coolest PharmD w/ @ChillaPharmD
Sam and I sit down and and chat with our new friend @ChillaPharmD about : -Intubating the hypotensive patient. -Her perspective on the...
Brian Behn
- 6 min
Stopping the vasopressor rollercoaster: Mr. Toad’s Wild Ride and the rule of 5.
I was given a vial of epi, a bag of D5w to mix it in and instructions to titrate as needed. I sent patients on a blood pressure roller...
Tyer Christifulli
- 3 min
Glasgow(not-sedation)Coma Scale
I was watching a TED talk the other day and heard an interesting quote. Anil Seth, who was discussing consciousness stated: "Anesthesia...
Courtney Graham
- 14 min
**Breaking News** Is Ketamine Safe For EMS?
I recently came across a post on social media where a provider was asking about the use of ketamine when elevated ICP is suspected. The...
Tyler Christifulli
- 3 min
Nauseating Evidence Part 2/3 (Metoclopramide)
"Metoclopa...propa....ah &%%^...Reglan!" I do not routinely see programs carrying metoclopramide for pre-hospital management of...
Tyler Christifulli
- 4 min
Nauseating Evidence 1/3 (Ondansetron)
I would imagine ondansetron to be one of the most commonly administered medications in emergency medicine. For whatever reason, it has...
Tyler Christifulli
- 3 min
Podcast 61 - DEBATE CLUB! "Push Dose Pressors"
So the other day I kinda mouthed off on FB... oops. (In my defense, I was about 14 hours in to my fasting period) I will openly admit...
Tom Latosek
- 6 min
Vasopressor Science - Part 2!
The Neuro-Endocrine Pathway The release of epinephrine and norepinephrine are regulated primarily by the nervous system. Epinephrine and...
Jay Nance Guest Blog
- 5 min
The Capped Bicarbonate Volcano
Let’s talk about baking soda, we use it to clean laundry, brush our teeth, and absorb those odd and unpleasant smells coming from the...