Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland
FOAMfrat Podcast
Claim This Podcastby Tyler Christifulli & Sam Ireland
4.9(251 reviews)
212 episodes
Updated Daily
Accepts GuestsHas SponsorsLocation 🇺🇸
83
Podcast Authority
BetaExcellentBased on show quality, social media presence, reviews, charts, and more
Quality91
Social0
YouTube93
Engagement96
Podcast Overview
Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland
Language
🇺🇲
Publishing Since
12/19/2016
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83
Podcast Authority
BetaExcellentBased on show quality, social media presence, reviews, charts, and more
Quality91
Social0
YouTube93
Engagement96
9
Excellent Areas
2
Good Performance
8
Growth Opportunities
excellent
Episode Length
51 minutes
Performing excellently!
good
Listener Reviews
246 reviews (4.9/5.0)
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needs improvement
Publishing Consistency
Every 20 days
Recommendations available
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Recent Episodes
April 22, 2026
Podcast 192 - Salicylate Toxicity Management w/ Dr. Brookeman & Nicholas Henchal
<p>In this episode, flight paramedic Nicholas Henchal and EMS physician Dr. Harrison Brookeman break down salicylate toxicity from the ground up. What started as a casual conversation at the crew table turns into a deep dive into one of the most misunderstood overdoses in EMS and critical care. They walk through the full spectrum of aspirin toxicity, from subtle prehospital clues to advanced hospital management. You'll hear how patients can appear relatively stable early on, why respiratory alkalosis precedes metabolic acidosis, and how the situation can spiral once the electron transport chain is disrupted. The conversation also delves into real-world decision-making: when to suspect it, when not to intubate, how to manage ventilation if you have to, and why treatments like bicarbonate, glucose, and even dialysis play a critical role. There's also a strong discussion of the dangers of missing this diagnosis and how quickly things can go downhill if the underlying physiology isn't understood.</p> <p>Link to interactive Anion Gap Tool: <a href= "https://claude.ai/artifacts/latest/d3b744cf-5a1b-4bb7-88bc-4f74fd97ec16"> https://claude.ai/artifacts/latest/d3b744cf-5a1b-4bb7-88bc-4f74fd97ec16</a></p> <p>FOAMfrat.com</p>
March 7, 2026
Podcast 191 - Sepsis Update w/ Kevin Collopy
<p>What does sepsis management look like for EMS? Tyler and Kevin Collopy break down the current state of sepsis care, including EMS recognition, hospital sepsis bundles, fluid strategies, vasopressor use, lactate trends, and the debate around prehospital antibiotics. The conversation focuses on practical decision-making and why identifying septic shock early can change outcomes long before the patient reaches the hospital. </p>
February 18, 2026
Podcast 190 - Intubation Triggers w/ Nicole Hooser
<p>"GCS less than 8, intubate." We've all heard it. Many of us were taught it. In this episode of the FOAMfrat Podcast, Tyler and FOAMfrat educator Nicole Hooser examine one of the most repeated airway phrases in EMS and why it may be doing more harm than good. From the origins of the "less than 8" mindset in GCS to the real-world complexity of airway decision-making, this conversation examines what actually matters when deciding whether to take a patient's airway.</p> <p>They discuss: • Why a GCS of 8 is not a magic number • The math behind GCS scoring combinations and why 8 carries so much variability • Airway protection versus airway reflexes • Resuscitation before intubation • The momentum problem once an RSI has been initiated • When hesitation is appropriate • When decisive action is necessary • Flight-specific pressures and transport considerations • Sedation versus full RSI • Reversible causes of altered mental status you cannot miss Nicole shares real-world flight cases, including moments of disagreement with partners and the professional growth that follows those cases. </p> <p>The episode also explores how experience, bias, fear, and pattern recognition shape airway decisions. If you've ever wondered whether you truly needed to intubate a patient, this episode challenges reflexive thinking and reinforces a more deliberate approach. Guest: Nicole Hooser Listen in and weigh in on the discussion.</p>
212 total episodes available with 27 transcripts
Recent guests on FOAMfrat Podcast
Guests from recent episodes — sign up to see every guest that has ever appeared on this show.
Joe Hylton
Guest
Dr Harrison Brookeman
Guest
Melody Bishop RRT
Guest
Dr John Lyng
Guest
Hanna Thompson
Guest
Brian Cress
Guest
Dr Peter Weimersheimer
Guest
Dr Marcia Wilson
Guest
Dr Remley Crowe
Guest
Dr Allison McGregor
Guest
Tim Redding
Guest
Chief Robert Luckritz
Guest
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Frequently asked questions
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- What is FOAMfrat Podcast?
- How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 9 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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