FOAMfrat Podcast

Feb 07 2025 100 ep. 35 mins 667
FOAMfrat Podcast artwork

Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland

  Health & Fitness
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Podcast 179 - Your First 5 Minutes of an MCI w/ Rommie Duckworth

Feb 07 2025 41 mins  
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 knowledge on this topic and speaks globally to prepare emergency responders for these events.

Podcast 178 - ECPR Eligibility and Preparation w/ Alec Wilcox

Jan 21 2025 41 mins  
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, and then pumping it back into their arterial system. This procedure helps maintain blood circulation and oxygen delivery during cardiac arrest,

Podcast 177 - Implementing Ultrasound w/ Allen Wolfe

Dec 28 2024 46 mins  
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 discuss this topic extensively with Allen Wolfe, the Senior Director of Education at Life Link III. A significant challenge in incorporating ult

Podcast 176 - Pediatric TBI Protcol w/ Dr. Banerjee

Dec 10 2024 29 mins  
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 administering Keppra and 3% saline in the pre-hospital setting.

Podcast 175 - The Things We Do w/ PulmCCM

Nov 26 2024 56 mins  
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 pulmonologists ever sigh to themselves and think, "God, I wish paramedics would just start/stop doing ____________?" It turns out that this is not

Podcast 174 - "I Rolled My Ambulance" Interview w/ Kyle Rice

Oct 27 2024 45 mins  
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 management, and the often-overlooked dangers of driving with lights and sirens. Together, they explore how EMS providers can stay vigilant beh

Podcast 173 - Rethinking Lights & Sirens w/ Jeff Jarvis & Jonathon Jenkins

Oct 06 2024 41 mins  
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 think, “Wow, someone’s really in trouble!” But the truth, according to Dr. Jarvis’ study, might surprise you.

Podcast 172- Hamilton T1 Hacks & Strategies w/ Joe Hylton

Sep 16 2024 60 mins  
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 ventilator is essential to safe and effective patient transport. We break down the pressure-controlled ventilation with volume adaptive options and off

Podcast 171 - Thoracic Dissection Goals w/ Alex Greene

Aug 25 2024 24 mins  
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 unequal pulses, indicative of thoracic dissections. The discussion will focus on anti-impulse therapy, emphasizing using beta-blockers like esmolol

Podcast 170 - Finger Thoracostomy w/ Dr. Cynthia Griffin

Jul 02 2024 33 mins  
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 for performing the procedure, and potential complications and tips for success. They also touch on the use of chest tubes and the management of t