Conversation w/ respiratory therapist and anesthesia assistant Melody Bishop, RRT, about how to approach ventilation in severe metabolic acidosis. This episode explores: How to manage DKA patients on the ventilator. The role of PEEP, auto-PEEP, and dynamic PEEP. Using tidal volume, flow, and I:E ratios to maximize CO₂ clearance. When to allow spontaneous breathing vs full control. Lessons from transport and ICU ventilation. Great for paramedics, flight crews, respiratory therapists, and anyone managing critical ventilator patients. 👉 Subscribe for more FOAMfrat podcasts 👉 Learn more at www.foamfrat.com

Coronary Artery Anatomy

The History of the Young-Burgess Pelvic Fracture Classification

Pelvic binders have long been considered a standard intervention in the management of suspected pelvic fractures in the prehospital setting. However, recent guidance from the National Association of EMS Physicians (NAEMSP) challenges some of the long-standing assumptions surrounding their use. In a recent FOAMfrat podcast episode, I spoke with Dr. John Ling, editor-in-chief of the NAEMSP Trauma Compendium, to explore the evidence and rationale behind their newly released position statement on pelvic fracture management.

In this episode, Tyler sits down with Hanna Thompson to discuss a critical yet often overlooked topic in EMS—eating disorders. Drawing from personal experience and clinical insight, they explore how these conditions present both medically and behaviorally, especially in prehospital and interfacility transport settings. They break down the subtle physical signs that EMS providers can look for—such as Russell's sign, lanugo, unexplained bradycardia, and electrolyte disturbances—and emphasize the importance of sensitive history taking. The conversation also dives into the dangers of refeeding syndrome, slow correction strategies, fluid choice, and the clinical significance of thiamine, magnesium, and phosphate replacement. What You’ll Learn: How eating disorders can manifest in EMS calls Why you may be treating the consequences, not the disorder itself Red flags like bradycardia, lanugo, and Russell’s sign How to handle refeeding syndrome safely Why dextrose, fluids, and electrolyte replacement should be approached cautiously The connection between electrolyte shifts and seizures or arrhythmias Key Takeaway: Patients with eating disorders are medically and psychologically fragile. In EMS, we often encounter them through the effects of the disorder—not the diagnosis itself. Recognizing subtle clues and avoiding aggressive interventions could save a life. Resources Mentioned: Hannah's blog on EMS considerations in eating disorders Data on post-COVID spikes in eating disorder incidence Guidelines for electrolyte correction and refeeding syndrome Disclaimer: This podcast is for educational purposes only and not a substitute for clinical protocols or medical direction. Always consult your agency’s guidelines and medical control.

The updated FOAMfrat Studio Flight Physiology class just went live! The updated Flight Physiology course offers an in-depth exploration of flight physiology, focusing on gas laws and the effects of altitude-induced hypoxia. Participants will learn about atmospheric variations and their impact on oxygen levels, identify early signs of hypoxia, and analyze evolved gas disorders. Check it out in the operations section of FOAMfrat Studio! Not a FOAMfrat Studio member? Learn more by clicking the link below. https://bit.ly/4cBDs1r

Crush Syndrome