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SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen?

Posted by on Dec 15, 2018 in Featured, Infectious, Pediatrics, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM239_FS.mp3Podcast: Play in new window | DownloadDate: December 13th , 2018 Reference: Murata et al. Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics. 2018 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Associate Professor for the University of Leicester’s SAPPHIRE group. He specialises in Paediatric Emergency Medicine and is a passionate believer that education exists to be shared (#foamed). Damian is part of the Don’t Forget the Bubbles (DFTB) team. They published an epic paper to determine the transit time of a Lego head (Tagg et al). The primary outcome was the FART (Found and Retrieved Time) score. Bowel habit were standardized before the trial started using the SHAT (Stool Hardness and Transit) score. The story was picked up by the BBC, Forbes and even talked about by James Corden on the Late, Late Show.  Case: An 18-month-old presents having had a febrile convulsion (febrile seizure) at home. The seizure lasted no more than a minute and now having been in the department for a couple of hours the infant is back to their normal selves. Observations are normal except a low-grade fever and there is a clear focus in a right otitis media for an infection. You start to counsel the parents with...

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SGEM Xtra: Message in a Book by the SGU

Posted by on Dec 12, 2018 in Featured, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGU.mp3Podcast: Play in new window | DownloadDate: December 4th, 2018 Guest Skeptic: Dr. Steven Novella is a Yale Neurologist, host and producer of the popular science podcast called the Skeptics Guide to the Universe and executive editor of Science Based Medicine blog. This is an SGEM Xtra book review. I had the privilege of interviewing Dr. Novella about the new book by the Skeptics’ Guide to the Universe (SGU).  I would like to recognize the influence the SGU had on inspiring the SGEM. The SGU has been a big part of my skeptical journey and contributed greatly to my critical thinking skills. Listen to the SGEM podcast on iTunes or your favourite podcast app hear Dr. Novella and me discuss how SGU got started, their new book, how to encourage critical thinking with students and colleagues, how he discusses pseudoscience with colleagues and patients and a few other topics. Five Frivolous Questions for Dr. Novella: Star Trek or Star Wars? Best Captain, Picard or Kirk? If you could have one today, flying car or transporter? Dinner with Newton or Galileo? Would you rather visit Mars or a moon of Jupiter? The SGEMers can order a copy the SGU book for themselves and as a gift by clicking on this BOOK LINK or on the picture below....

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SGEM#238: The Epi Don’t Work for OHCA

Posted by on Dec 7, 2018 in Cardiac, Featured, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM238.mp3Podcast: Play in new window | DownloadDate: December 6th , 2018 Reference: Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. NEJM 2018. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: A 51-year-old man experiences a cardiac arrest on the street. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). A cardiac defibrillator is...

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SGEM Xtra: On the Edge of Burnout ACEM18

Posted by on Nov 24, 2018 in Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/Edge-of-Burnout-.mp3Podcast: Play in new window | Download Date: November 24th, 2018 As you may know, I was invited to give a keynote address on burnout at the Australasia College of Emergency Medicine 2018 Annual Scientific Meeting (#ACEM18) in Perth, Australia. This turned out to be a very meta event. A few months leading up to the presentation my dad, Dr. Ken Milne Sr. got seriously ill. While he faced this with his usual grace and dignity, I was living...

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SGEM#237: Screening Tool for Child Sex Trafficking

Posted by on Nov 16, 2018 in Featured, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM237.mp3Podcast: Play in new window | Download Date: November 10th , 2018 Reference: Kaltiso et al. Evaluation of a Screening Tool for Child Sex Trafficking Among Patients with High-Risk Chief Complaints in a Pediatric Emergency Department. AEM October 2018. Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. You may have noticed there was no music for the introduction. Part of the...

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SGEM#236: TXA – Not for Brain Bleeds

Posted by on Nov 7, 2018 in Hematologic, Neurologic, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM236.mp3Podcast: Play in new window | Download Date: November 6th , 2018 Reference: Sprigg et al. Tranexamic acid for hyperacute primary IntraCerebral Haemorrhage (TICH-2): an international randomised, placebo-controlled, phase 3 superiority trial. Lancet. 2018 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s eighth visit to the SGEM. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force. Case: Your next patient is a...

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SGEM#235: Edoxaban for Cancer Associated VTE – Would the NEJM Lie to You?

Posted by on Oct 31, 2018 in Featured, Hematologic, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM235.mp3Podcast: Play in new window | Download Date: October 30th , 2018 Reference: Raskob GE et al. Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism. NEJM 2018 Guest Skeptic: Dr. Anand Swaminathan is an assistant professor of Emergency Medicine at the St. Joseph’s Regional Medical Center in Patterson, NJ. He is a deputy editor for EM: RAP and, associate editor for REBEL EM. Case: A 43-year old woman with a history of breast cancer currently undergoing chemotherapy presents with mild chest...

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SGEM#234: Contrast Induced Nephropathy – A Unicorn?

Posted by on Oct 20, 2018 in Featured, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM234.mp3Podcast: Play in new window | Download Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Acute Kidney Injury After Computed Tomography: A Meta-analysis. Ann Emerg Med 2018 (CRD42017056195) Reference #2: Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. NEJM 2018 (ClinicalTrials.gov NCT01467466.) Guest Skeptic: Dr. Lauren Westafer is a board certified emergency physician at Baystate Medical Center and instructor in the Department of Emergency Medicine at the University...

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SGEM#233: Larry in the Den with Kiwis (LDK) – Low Dose Ketamine vs. Opioids for Acute Pain

Posted by on Oct 13, 2018 in Featured, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM233.mp3Podcast: Play in new window | Download Date: October 10th , 2018 Reference: Karlow et al. A Systematic Review And Meta-Analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department. AEM Oct 2018. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME Editor for Academic Emergency Medicine. Case: You are caring for a 38-year-old male (Larry) who presented to the emergency department with lower back pain. During your evaluation,...

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SGEM#232: I Can See Clearly Now the Collar is Gone – Thanks to the Triage Nurse

Posted by on Oct 6, 2018 in Musculoskeletal, Neurologic, Podcasts, Trauma | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM232.mp3Podcast: Play in new window | Download Date: October 5th , 2018 Reference: Stiell et al. A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses. Annals of EM Oct 2018 Guest Skeptic: Alison Armstrong is an Emergency Department Nurse, TNCC Course Director, Trauma Program Coordinator and Canadian C-Spine Rule Nurse Champion. Case: There are two case scenarios this week to try and capture the two common ways patients present to the triage nurse. Case 1: A 51-year-old...

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SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

Posted by on Sep 29, 2018 in Cardiac, Featured, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM231.mp3Podcast: Play in new window | Download Date: September 21st, 2018 Reference: Kawano et al. Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound. Case: A 46-year-old man has a cardiac arrest at home, witnessed by...

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SGEM#230: Tamsulosin – You’ve Lost that Loving Feeling – For Renal Colic

Posted by on Sep 22, 2018 in Featured, Genitourinary, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM230.mp3Podcast: Play in new window | Download Date: September 17th, 2018 Reference: Meltzer, A. et al. Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial. JAMA Internal Med, 2018. Guest Skeptics: Dr. Tony Seupaul, Professor and Chair, University of Arkansas for Medical Sciences Department of Emergency Medicine. Dr. Daniel Holleyman, Chief Resident at University of Arkansas for Medical Sciences Emergency Medicine Residency. Case: A 51-year-old man presents to the emergency department (ED) with five-hour history of acute onset left flank...

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