FOAM: A Market of Ideas

In Knowledge Translation by Brent Thoma7 Comments

Following my post on the FOAM peer review process (Crowdsourced Instantaneous Feedback) there were some excellent comments made on my blog and twitter that led me to consider FOAM peer-review in the context of a market of ideas. Thanks especially to Nadim Lalani (ERMentor), Simon Carley (St. Emlyns) and Elisha T (The Chart Review) who commented on my post and inspired this entry. In particular, Simon Carley noted criticisms of the current peer …

Crowdsourced Instantaneous Review: The Peer Review of FOAM?

In Knowledge Translation by Brent Thoma21 Comments

I was talking to my PD about FOAM the other day and mentioned how crazy it was that we have the ability to produce and disseminate content so widely, easily and cheaply. How great it was that this, in some respects, allowed us to unhinge CME from the clutches of drug and device companies and potentially speed up knowledge translation. He agreed that it was awesome before adding a “but” of wisdom. “But …

Normal Saline: The Coke of Crystalloid Fluids

In Medical Concepts by Brent Thoma15 Comments

The nurse looked up from my orders with a quizzical expression on her face. “Why do you always order Ringer’s Lactate?” She asked. I immediately launched into an intense discussion… errr… one sided conversation… about the merits of various IV solutions and their respective electrolyte values and pH. As her eyes quickly glazed over and she glanced at the clock her expression shifted to one of regret. I sensed that I was losing …

Group A Strep: The Stray Dog of Bacterias (Addendum)

In Medical Concepts by Brent Thoma9 Comments

Well consider me embarrassed! Last week I made a post on Group A Strep. As with most of my posts, it was intended to be an overview of a common topic discussing primarily discussing its pathophysiology. However, I definitely should have taken a little more time to delve into the efficacy and necessity of treatment with antibiotics. A huge thank you to Dr. Lars Peterson (@LarsKristofer), an EM resident from Rochester, NY, who …

Group A Strep: The Stray Dog of Bacterias

In Medical Concepts by Brent Thoma2 Comments

Sore throat. Group A Strep. It’s a presenting complaint we see almost daily that certainly doesn’t get anyone’s heart racing. I feel comfortable identifying the “sick” child, have a well-practiced “it’s a virus” speech, am adept in the art of the parent-facilitated tonsil swab, and generally think I diagnose and manage these patients fairly well. For a discussion of the Modified Centor Score and helpful PV card, see Academic Life in the EM. …

A Constipation Cocktail

In Medical Concepts by Brent Thoma4 Comments

Constipation, as defined succinctly by Urban Dictionary, is when you’ve gotta go, but your ass says “no!” It is a diagnosis that I can truly empathize with – who hasn’t been at least a bit bunged up before? The constipated patients that present to the ED take this everyday ailment to a whole new level. No one shows up a little constipated. Those that know they’re constipated come in as a last resort …