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Read MoreSGEM Xtra: SEMAC IX
Date: October 15th, 2017 I had the privilege to present a plenary talk at the Saskatchewan Emergency Medicine Annual Conference (SEMAC). It was held in the majestic Delta Hotel in Saskatoon. Thank you to Dr. James Stempien, Dr. Paul Olszynski and the organizing committee for inviting me and showing me such hospitality. The plenary talk was entitled Going On-Line to Meet your Continuing Medical Education (CME) Needs. It tried to answer why we need to go on-line and how to go on-line. Why we go on-line to meet our CME needs is because there is a knowledge translation problem. It can take over ten years for high-quality, clinically relevant information to reach the patients bedside. This is far too long in the age of social media and we want patients to get the best care based on the best evidence. Ultimately we want to have a number needed to treat (NNT) to help one patient to be one. There were six references provided to assist people with how to get on-line, use social media (FOAMed) and assess the quality. Thoma et al. Five strategies to effectively use online resources in emergency medicine. Annals of EM 2014 Lo et al. Four strategies to find, evaluate, and engage with online resources in emergency medicine. CJEM 2017 Pereira et al. Thou shalt not tweet unprofessionally: an appreciative inquiry into the professional use of social media. Postgrad Med J 2015 Thoma et al. Emergency Medicine and Critical Care Blogs and Podcasts: Establishing an International Consensus on Quality. Annals of EM 2015 Thoma et al. The impact of social media promotion with infographics and podcasts on research dissemination and readership Roland D. Social media and the digital health arena. Future Healthcare Journal 2017 A number of high quality blogs, Facebook pages, and podcasts were provided. Best Evidence in Emergency Medicine (BEEM) program was explained. The success of the SGEMHOP initiative with Academic Emergency Medicine was also described. You can download the slides for the presentation by clicking on the link or the thumbnail picture. A second talk was given called Social Media 101. During the talk social media was defined, various examples of social media were provided and we broke up into small groups to discuss the top three criticisms of social media. Then the first 2,500 years of social media was presented in a original way, a three act play. And finally, participants were shown how to get started on Facebook, Twitter and podcasts. The main part of the Social Media 101 presentation was a...
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Read MoreSGEM#191: No Time for Physio – Roll With It
Podcast Link: SGEM191 Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. He served with the Canadian Forces as a Medical Officer and Flight Surgeon. Steve is currently an Assistant Professor in the Department of Family Medicine at Western University working at the Fowler Clinic and the Roth McFarlane Hand and Upper Limb Centre. Case: A 43-year-old male presents to your local rural emergency department Monday morning after rolling his ankle during his usual weekend pickup basketball game. He is Ottawa Ankle Rule positive but the x-ray shows no fracture. Background: We have covered the Ottawa Ankle Rules (tools) early in Season#1 (SGEM#3). The Ottawa Ankle Rules are probably the most validated clinical decision instrument that have ever been published. The Ottawa Ankle Rules have been validated down to five years of age and can be used to safely rule out ankle fractures. These rules were created by the team in Ottawa lead by Dr. Ian Stiell who is a Legend of Emergency Medicine. You know what they say, those who published the clinical decision instruments get to make the rules. Ankle sprains are one of the most common and burdensome injuries and are associated with a high rate of visits to an emergency department. Current evidence and clinical standards for acute management of simple sprains (Grade I and II) is limited and not well defined. This includes the role of supervised physiotherapy acutely. There are some smaller studies in the past that have shown elements of physiotherapy to be of benefit in athlete populations. Hupperets et al. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: randomised controlled trial. BMJ 2009 Janssen et al. Bracing superior to neuromuscular training for the prevention of self-reported recurrent ankle sprains: a three-arm randomised controlled trial. Br J Sports Med. However, these studies deal with ankle sprains in a specific group as compared to a generalized emergency department population. Clinical Question: Does a supervised physiotherapy program result in improved recovery from acute ankle sprains compared to usual care in adult patients presenting to an emergency department or urgent care clinic. Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016. Population: Patient 16...
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Read MoreSGEM#190: Wee are the Champions of Pediatric Urine Samples
Podcast Link: SGEM190 Date: September 26th, 2017 Reference: Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17. Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney HEMS. She’s been there for the last 18 months working in prehospital and retrieval medicine and then in Emergency Medicine. She is a medical education enthusiast and has been an editor and regular contributor to the St. Emlyn’s blog and podcast since 2012. We appeared on stage at SMACC Chicago doing a parody of Jimmy Fallon’s Tight Pants skit. Case: You are working the afternoon shift in the paediatric emergency department. It has been the usual busy after-school, after-work time. Your shift is almost over and the department finally seems to be under control. The next patient you see is a five-month old girl who has been brought by her parents with a history of fever and vomiting in the last 24 hours. She has not had any diarrhoea and her parents have noticed she seems particularly miserable when she is producing wet nappies (diapers), which she is doing more frequently than often. You wonder whether it might be a urinary tract infection (UTI) causing her symptoms and you explain to the parents the importance of a clean catch urine sample. They look at you in despair – all three of them are tired and they really want to go home. You know that it can take some time to get a urine sample in this age-group and wonder, is there a quicker way to get the wee? Background: Urine samples are frequently obtained in the paediatric emergency department to rule in or rule out UTIs in those children with vomiting, fever, abdominal pain or non-specific illness. In 2016, the American Academy of Pediatrics (AAP) reaffirmed their clinical practice guidelines for the diagnosis and management of UTIs. They state that the diagnosis of a UTI requires a urinalysis and a urine culture. Obtaining the sample can be particularly tricky and potentially messy in children who are not yet continent. The rationale for definitive diagnosis included ensuring good antibiotic stewardship, missed UTIs can lead to renal scarring and other delayed pathology and a presumptive diagnosis can result in expensive and unnecessary imaging. The decision to obtain an invasive sample is a clinical one. If the child looks...
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Read MoreSGEM Xtra: CALS Conference on Rural Emergency Care
Date: Sept 30th, 2017 I had the pleasure of presenting at the CALS Conference on Rural Emergency Care held in beautiful Minneapolis, Minnesota yesterday. Thank you to Dr. Todd Grant and the conference committee for inviting me. Everyone made me feel very welcome. The keynote address was called Looking Back/Looking Ahead. I was asked to look back over my career providing rural emergency care and look ahead to the future of rural emergency care. There were five objectives to the presentation: 1) Define Evidence Based Medicine (EBM): “The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.” (David Sackett et al BMJ 1996). The evidence based medicine triad can be illustrated in a Venn diagram. EBM encourages the health care professionals to use their clinical judgment. It also includes the patients values and preferences. The third part of the EBM triad is the relevant scientific evidence (literature), which should guide the practitioners care not dictate the care. 2) Understand the Problem of Knowledge Translation: It can take over ten years for high-quality, clinically-relevant information to reach the patients bedside (Morris et al JRSM 2011). A model to explain this was put forth by Pathman et al Med Care 1996. This model was illustrated in the leaky pipe model published by Diner et al AEM 2007. These authors described seven leaks in the pipe: Awareness, Acceptance, Applicable, Able, Act On, Agree and Adhere 3) Recognize How Social Media Can Impact the Future of Knowledge Translation: A video was made and uploaded to YouTube to demonstrate the power of social media. It was based on the famous Apple ad called Think Different. This video was created to celebrate the amazing people who provide excellent emergency care to rural patients (Rural ACEs – Academic Centers of Excellence). You can view the video by clicking on the picture with the title Think Rural. 4) Identify Some of the Big Changes in the Practice of Emergency Medicine: I was asked to reflect back over my twenty plus years of practicing rural emergency medicine. There were a five examples of big studies that significantly impacted emergency medicine. The top movie, top pop song and other big technology stories were identified for the year a major paper was published. Each paper was briefly presented and how it related to rural emergency care. Then some more recent literature was presented that either supported or refuted the original study claims. Finally, I looked ahead to consider what the future may (or may not) be for those...
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Read MoreSGEM#189: Bring Me To Life in OHCA
Podcast Link: SGEM189 Date: September 19th, 2017 Reference: Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. September 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the AAEM MedEdPORTAL. Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. Background: There are about ½ million sudden cardiac arrests in the USA each year. About half of these cardiac arrests are OHCA and the survival rate is pretty poor. We have covered the topic of OHCA on the SGEM a number of times: SGEM#143: Call Me Maybe for Bystander CPR SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA The American Heart Association came out with updated CPR & ECC Guidelines in 2015 that included its “Chain-of-Survival”. There are five steps in the Chain-of-Survival for OHCA: Most of us can agree with the first three steps. You need to recognize an arrest and activate your EMS system. Bystander high-quality CPR can buy you some time until defibrillation. We know that rapid application of electricity to defibrillate shockable arrhythmias save lives. It is the fourth step in the chain that is slightly more controversial; early advanced care. This basically means rapid access to ACLS type resuscitation skills (intubation and intravenous drug therapy). The classic paper on ACLS drugs is called OPALS (Ontario Pre-hospital Advanced Life Support) study and was done by Dr. Ian Stiell and team. Ian is a #LegendofEM and we covered his classic paper on SGEM#64. OPALS was a before and after observational study, which showed the addition of ACLS was associated with more return of spontaneous circulation (12.9% vs. 18.0%, p<0.001) and improved survival to hospital admission (10.9% vs. 14.6%, p<0.001). However, adding ACLS to the pre-hospital system did not demonstrate an improvement in survival to hospital discharge (5.0% vs. 5.1%, p=0.83). It also did not show an increase in good neurologic outcome in the survivors (78.3% vs. 66.8%, p=0.73). There have been a number of papers published since OPALS that support the findings of not using ACLS drugs like epinephrine for OHCA: Olavseengen et al. Intravenous...
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Read MoreSGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema
Podcast Link: SGEM188 Date: September 12th, 2017 Reference: Sinert et al. Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema. J Allergy Clin Immunol Pract 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The Teaching Course, EMRAP and CoreEM. Case: As you walk in to your shift, the nurses grab you and bring you in to bed four where a patient has just presented with tongue swelling. In the room is a 53-year-old woman who, though, not in any particular distress, has got a swollen tongue and lower lip. After a bit of history, you find out that she is taking lisinopril and you determine that this is likely angiotensin converting enzyme inhibitor (ACE-I) induced angioedema. The patient’s swelling started about three hours ago and hasn’t changed much. You place her on a monitor in a high acuity area and bring your airway equipment to the bedside and then return to your computer to take sign out. You discuss with the resident a bit on ACE-I induced angioedema and settle on a plan to observe the patient. Your resident tells you that they recently read an article in the NEJM that argued for the administration of icatibant to usher along resolution of symptoms in ACE-I induced angioedema and asks whether you should consider this treatment. Background: ACE-I are prescribed to millions of patients in the US. Though they are relatively safe, upper airway angioedema is one of the life-threatening adverse effects that we see frequently in the Emergency Department. Though this disorder is routinely treated with medications for anaphylaxis (i.e. epinephrine, histamine blockers, corticosteroids) the underlying mechanism of action predicts that these medications will not work. There is no well-established treatment algorithm other than airway control if the angioedema is severe and appears to be causing a mechanical obstruction and cessation of the medication. A 2015 phase 2 study published in the NEJM (Bas et al) touted the role for icatibant in the treatment of these patients. Icatibant is a selective bradykinin B2 receptor antagonist so it acts by blocking the production of bradykinin. Despite being heralded as “the cure,” the data set in this article was small (n=27) questioning the validity of the findings. We covered ACE-I induced angioedema and reviewed the 2015 icatibant study on SGEM#110. Our bottom line at that time was that icatibant was an...
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Read MoreSGEM Xtra: Stronger – Esther Choo
Podcast Link: SGEM Xtra Esther Choo Date: September 11th, 2017 Guest Skeptic: Dr. Esther Choo is an emergency physician and researcher who studies health disparities, substance use disorders, and gender bias. She obtained her MD from Yale University, did her clinical training at Yale-New Haven Hospital and Boston Medical Center, and completed a health services research fellowship at Oregon Health & Sciences University. This is an SGEM Xtra so we will not be doing a structured critical review of a recent paper trying to cut the knowledge translation window down for over ten years to less than one year using the power of social media. The next episode of the SGEM will be a formal critical appraisal of a recent publication. Esther recently sent shockwaves through the twitterverse with a series of tweets after the incident in Charlottesville. I reached out to Esther because she was a Super Hero of Emergency Medicine and asked her to be a guest on the SGEM. The Ten Tweets Five Questions for Esther Why did you tweet? What has the feedback been? Has there been any negative feedback? How do you think people should respond when faced with racism, ageism, genderism, etc? Would you do it all again? Listen to the podcast on iTunes to hear Esther discuss these questions with me. For more information about FeminEM you can go to their website, like them on Facebook and follow them on Twitter. Esther was asked to pick her own theme music for the episode. Listen to the SGEM podcast on iTunes to hear why she picked Stronger by Kelly Clarkson. More Media on the Twitter Storm Independent – White patients ‘refusing to be treated by Asian American doctor Oregon Live – Portland doctor Esther Choo responds to racism in the emergency room Refinery 29– Asian-American Doctor Explains How She Deals With White Nationalists In The ER The Sacramento Bee – Hate, even in the ER: Doctor says some refuse her treatment because of her race The Hamilton Spectator – Hate in the ER: Oregon doctor says some refuse her treatment because of her race Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine SGEM Xtra: Stronger - Esther Choo [ 29:39 ] Play Now | Play in Popup |...
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Read MoreSGEM#187: Pin Cushion – Acupuncture in the Emergency Department
Podcast Link: SGEM187a Date: September 7th, 2017 Reference: Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. MJA 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, an Assistant Clinical Professor of Emergency Medicine and an Active Researcher. In addition, Dr. Sacchetti is one of the few individuals to have lectured on the same panel with Dr. Milne and survived with his sanity and reputation intact. Case: A 41-year-old man presents to the emergency department with an acute onset of back pain. He was putting some groceries into the car and felt something pull in his lower back. He has no “red flags” on your history and physical examination. He is worried about taking pain pills and wants to know if acupuncture would work? Background: One of the most common reasons to visit an emergency department is for pain. Unfortunately, pain is often poorly controlled. Inadequate pain control is called oligoanalgesia and has been recognized as a problem for years (Wilson et al). Low back pain is an extremely common presentation to US Emergency Departments representing 2.4% or 2.7 million visits annually. The vast majority of presentations are benign in etiology but can be time consuming and frustrating for both patients and physicians. Many different treatment modalities have been tried to treat low back pain with limited success. Acetaminophen Williams et al (Lancet 2014) Muscle relaxants Friedman et al (JAMA 2015) NSAIDs Machado et al (Ann Rheum Dis 2017) Benzodiazepines Friedman et al (Ann Emerg Med 2017) Opioids are very effective at reducing pain. However, they come with many side effects and concerns about addiction and diversion. ACEP has some guidelines with the American Pain Society from 2007 on the use of opioids. They state opioids should be reserved for severe, disabling pain that is not controlled or not likely to be controlled with NSAIDs or acetaminophen. This will be a challenge, considering the limited effectiveness of NSAIDs and acetaminophen. In the face of what is being called the opioid epidemic, acupuncture has been suggested as a possible treatment modality. Acupuncture is part of Traditional Chinese Medicine that has been around for thousands of years. It is based on the idea that the body has a life force flowing through meridians that is called chi/Qi. Disease and illness are result of chi/qi being blocked. Acupuncture is a method of...
Most Recent Articles
SGEM Xtra: SEMAC IX
Date: October 15th, 2017 I had the privilege to present a plenary talk at the Saskatchewan Emergency Medicine Annual Conference (SEMAC). It was held in the majestic Delta Hotel in Saskatoon. Thank you to Dr. James Stempien, Dr. Paul Olszynski and the organizing committee for inviting me and showing me such hospitality. The plenary talk was entitled Going On-Line to Meet your Continuing Medical Education (CME) Needs. It tried to answer why we need to go on-line and how to go on-line. Why we go on-line to meet our CME needs is because there is a knowledge translation problem. It can take over ten years for high-quality, clinically relevant information to reach the patients bedside. This is far too long in the age of social media and we want patients to get the best care based on the best evidence. Ultimately we want to have a number needed to treat (NNT) to help one patient to be one. There were six references provided to assist people with how to get on-line, use social media (FOAMed) and assess the quality. Thoma et al. Five strategies to effectively use online resources in emergency medicine. Annals of EM 2014 Lo et al. Four strategies to find, evaluate, and engage with online resources in emergency medicine. CJEM 2017 Pereira et al. Thou shalt not tweet...
Read More
SGEM#191: No Time for Physio – Roll With It
Podcast Link: SGEM191 Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. He served with the Canadian Forces as a Medical Officer and Flight Surgeon. Steve is currently an Assistant Professor in the Department of Family Medicine at Western University working at the Fowler Clinic and the Roth McFarlane Hand and Upper Limb Centre. Case: A 43-year-old male presents to your local rural emergency department Monday morning after rolling his ankle during his usual weekend pickup basketball game. He is Ottawa Ankle Rule positive but the x-ray shows no fracture. Background: We have covered the Ottawa Ankle Rules (tools) early in Season#1 (SGEM#3). The Ottawa Ankle Rules are probably the most validated clinical decision instrument that have ever been published. The Ottawa Ankle Rules have been validated down to five years of age and can be used to safely rule out ankle fractures. These rules were created by the team in Ottawa lead by Dr. Ian Stiell who is a Legend of Emergency Medicine. You know what they say, those who published the clinical decision instruments get to make...
Read More
SGEM#190: Wee are the Champions of Pediatric Urine Samples
Podcast Link: SGEM190 Date: September 26th, 2017 Reference: Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17. Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney HEMS. She’s been there for the last 18 months working in prehospital and retrieval medicine and then in Emergency Medicine. She is a...
Read More
SGEM Xtra: CALS Conference on Rural Emergency Care
Date: Sept 30th, 2017 I had the pleasure of presenting at the CALS Conference on Rural Emergency Care held in beautiful Minneapolis, Minnesota yesterday. Thank you to Dr. Todd Grant and the conference committee for inviting me. Everyone made me feel very welcome. The keynote address was called Looking Back/Looking Ahead. I was asked to look back over my career providing rural emergency care and look ahead to the future of rural emergency care. There were five objectives to the presentation: 1) Define...
Read More
SGEM#189: Bring Me To Life in OHCA
Podcast Link: SGEM189 Date: September 19th, 2017 Reference: Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. September 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the AAEM MedEdPORTAL. Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all...
Read More
SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema
Podcast Link: SGEM188 Date: September 12th, 2017 Reference: Sinert et al. Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema. J Allergy Clin Immunol Pract 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The Teaching Course, EMRAP and CoreEM. Case: As you walk in to your shift, the nurses grab you and bring you in to bed four where...
Read More
SGEM Xtra: Stronger – Esther Choo
Podcast Link: SGEM Xtra Esther Choo Date: September 11th, 2017 Guest Skeptic: Dr. Esther Choo is an emergency physician and researcher who studies health disparities, substance use disorders, and gender bias. She obtained her MD from Yale University, did her clinical training at Yale-New Haven Hospital and Boston Medical Center, and completed a health services research fellowship at Oregon Health & Sciences University. This is an SGEM Xtra so we will not be doing a structured critical review of a recent...
Read More
SGEM#187: Pin Cushion – Acupuncture in the Emergency Department
Podcast Link: SGEM187a Date: September 7th, 2017 Reference: Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. MJA 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, an Assistant Clinical Professor of Emergency Medicine and an Active Researcher. In addition, Dr. Sacchetti is one of the few individuals to have...
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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation
Podcast Link: SGEM186 Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). AEM 2017. Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. He writes an excellent blog called EM Nerd, which he describes as nihilistic ramblings. Case: A 68-year-old female presents with shortness of breath. She has experienced fever, chills...
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SGEM Xtra: Richard Bukata – Legend of Emergency Medicine
Podcast Link: SGEM Xtra Richard Bukata Date: August 26th, 2017 Guest Skeptic: Dr. Richard Bukata is the Medical Director, The Center for Medical Education, Inc. Started Emergency Medical Abstracts in 1977. A Clinical Professor of Emergency Medicine, Los Angeles County / USC Medical Center, Los Angeles, California. Legends of Emergency Medicine: This is the final episode of the summer SGEM Xtra series called Legends of Emergency Medicine. These episodes were designed to highlight some of the pioneers and leaders of our specialty....
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SGEM Xtra: Jerome Hoffman – Legend of Emergency Medicine
Podcast Link: SGEM Xtra Jerome Hoffman Date: June 5th, 2017 Guest Skeptic: Dr. Jerome Hoffman. Associate Program Director, Emergency Medicine & Acute Care, Professor Emeritus of Medicine and Emergency Medicine, University of California, Los Angeles. Legends of Emergency Medicine: This is the sixth episode in the summer series of SGEM Xtras called Legends of Emergency Medicine (#LegendofEM). These episodes highlight some of the pioneers and leaders of our specialty. I hope these episodes will give the next generation of emergency physicians access to some...
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SGEM Xtra: Judith Tintinalli – Legend of Emergency Medicine
Podcast Link: SGEM Xtra Judith Tintinalli Date: July 24th, 2017 Guest Skeptic: Dr. Judith Tintinalli is an emergency physician in Chapel Hill, North Carolina, which is affiliated with University of North Carolina. She received her medical degree from Wayne State University School of Medicine and wrote the book on emergency medicine (Tintinalli’s Emergency Medicine). Legends of Emergency Medicine: This is the fifth episode in the summer series of SGEM Xtras called Legends of Emergency Medicine (#LegendofEM). These episodes highlight some of the pioneers and leaders...
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