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SGEM Xtra: RANThony #4 X-rays for Pediatric Constipation

Posted by on Jun 26, 2016 in Featured, GastroIntestinal, Pediatrics, Podcasts | 0 comments

Podcast Link: SGEM Xtra RANThony#4 Date: June 26th, 2016 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. He is known on YouTube for his RANThony‘s. These are short rants on pediatric topics. They were inspired by the rants done by the great Canadian comedian Rick Mercer. Previous topics have included Fever Fear, Cough Medication and Pain Control. Anthony is also the creator of the evidence based medicine (EBM) education website SketchyEBM. These are white board videos that present EBM concepts in a creative and understandable formate. He covers topics like: Relative risk (RR), relative risk reduction (RRR), absolute risk reduction (ARR) What is bias? Confidence intervals and “p” values Number needed to treat (NNT) Intention to treat (ITT) analysis This fourth RANThony addresses the issue of x-rays for the diagnosis of pediatric constipation. Click on this LINK to watch the YouTube video and as Anthony says “always draw your own conclusions.” X-rays for Pediatric Constipation Introduction: Pediatric constipation is a common presentation to clinics, urgent care centers and emergency departments. The first step in management of pediatric constipation is making the appropriate diagnosis. Diagnosis:  The NASPGHAN and ESPGHAN concluded in a 2014 guideline that “the diagnosis of functional constipation is based on history...

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SGEM#158: Tempted by the Fruit of Another – Dilute Apple Juice for Pediatric Dehydration

Posted by on Jun 19, 2016 in Featured, GastroIntestinal, Infectious, Pediatrics, Podcasts | 1 comment

Podcast Link: SGEM158 Date: June 15th, 2016 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. He is the creator of SketchyEBM. Case: A 2-year-old girl presents with a two-day history of vomiting and diarrhea. She is minimally dehydrated and tolerating oral fluid only. You remember reading about the sodium-glucose co-transporter and electrolyte fluids that were initially developed by the World Health Organization for children with diarrheal diseases. You have heard parents ask about just using watered down juice and debate whether this is a viable option for these children. Background: Gastroenteritis is a common illness in children and these children are at risk of dehydration from inadequate intake, excessive losses or both together. If children are unable to tolerate oral hydration we often have to use intravenous fluids and sometimes require admission to hospital for ongoing fluids. Goldman et al Pediatrics in 2008 published a helpful table describing the degree of dehydration in children ranging from mild, moderate to severe. Most cases of gastroenteritis are mild, self-limiting and can be treated effectively with oral rehydration. For more information on visit this site on Oral Rehydration Therapy. The Canadian Pediatric Society also has an algorithm for oral rehydration...

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SGEM#157: Nebulized Hypertonic Saline for Acute Bronchiolitis

Posted by on Jun 12, 2016 in Featured, Pediatrics, Podcasts | 1 comment

 Podcast Link: SGEM157 Date: June 6th, 2016 Guest Skeptic: Dr. Chantal Guimont. Chantal is a Family Doctor who works in a in a mixed pediatric and adults tertiary care center in Quebec City. She has a PhD in epidemiology and is on faculty at Laval University. Case: You are working in the emergency department when an eight months old presents with nasal congestion, tachypnea, and retractions. You suspect he suffers from a acute bronchiolitis. You wonder about the most accurate...

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SGEM#156: Working at the Abscess Wash – Irrigation of Cutaneous Abscesses?

Posted by on Jun 5, 2016 in Featured, Infectious, Podcasts | 2 comments

Podcast Link: SGEM156 Date: May 25th, 2016 Guest Skeptic: Chip Lange is an emergency medicine Physician Assistant (PA) working primarily in rural Missouri community hospitals. He has international experience in critical care and emergency medicine. Currently, he is working on developing a new blog and podcast specifically for PAs in emergency medicine but wants all those who take care of critically ill or injured patients to be able to learn. Case: A 30-year-old female with a history of cutaneous abscesses comes...

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SGEM#155: Girls Just Want To Have Fun – Not Appendicitis

Posted by on May 29, 2016 in Featured, Infectious, Pediatrics, Podcasts | 13 comments

Podcast Link: SGEM155 Date: May 24th, 2016 Guest Skeptics:  Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. He is the creator of SketchyEBM. Case: A 15-year-old female patient presents to your emergency department with a chief compliant of abdominal pain. A medical student picks up the chart and comes back to tell you about the case. His presentation includes that the abdominal...

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SGEM#154: Here I Go Again, Kidney Stone

Posted by on May 15, 2016 in Featured, Genitourinary, Podcasts | 4 comments

Podcast Link: SGEM154 Date: May 12th, 2016 Guest Skeptics: Dr. Tony Seupaul and Dr. Marc Phan. Tony is the Chairman of the Department of Emergency Medicine, University of Arkansas. Marc is a PGY-3 resident in the Emergency Medicine program at the University of Arkansas. Case: 48 year old man presents to the emergency department complaining of right flank pain radiating to his groin. He states the pain comes in “waves,” and he has associated nausea without vomiting. On exam, he is afebrile...

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SGEM#153: Simulation for Ultrasound Education

Posted by on May 8, 2016 in Featured, Podcasts | 17 comments

Podcast Link: SGEM153 Date: May 2nd, 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlight educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding My Own Business (SOCMOB). Case: An emergency medicine resident in your institution has learned some basics of ultrasound training, but feels uncomfortable performing ultrasound...

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SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA

Posted by on Apr 24, 2016 in Cardiac, Featured, Podcasts | 11 comments

Podcast Link: SGEM152OHCA Date: April 22nd, 2016 Guest Skeptic: Jay Loosley. Jay is a Registered Nurse, Paramedic and Research Assistant. He was a Professor at Fanshawe College but is currently the Superintendent of Education for Middlesex-London Emergency Medical Services. Case: A 43 male patient calls with chest pain from 14th floor of a downtown high-rise apartment building. After the 911 dispatcher gets the address and details of the chest pain, the patient stops responding and the dispatcher can hear no voice....

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SGEM#151: Groove is in the HEART Pathway

Posted by on Apr 17, 2016 in Cardiac, Featured, Podcasts | 6 comments

Podcast Link: SGEM151 Date: April 10th, 2016 Guest Skeptic: Dr. Salim Rezaie. Salim is an Associate Clinical Professor of Emergency Medicine Internal Medicine University of Texas Health Science Center at San Antonio and the creator/founder of REBEL EM @srrezaie. Salim is also part of The Teaching Course. Case: A 40 year-old male arrives to the emergency department via EMS with substernal chest pain that has lasted for three days without any relief. He denies shortness of breath, radiation, nausea/vomiting, diaphoresis, or palpitations....

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SGEMXtra: Enter the METRIQ

Posted by on Apr 3, 2016 in Featured, Podcasts | 0 comments

Podcast Link: SGEMXtra METRIQ Date: March 23rd, 2016 Guest Skeptic: Dr. Brent Thoma. Brent is an emergency physician, trauma team leader, Clinical Assistant Professor and the Director of EM research at the University of Saskatoon in Saskatchewan. As of July 1st, he will become the EM Program Director. Brent was last on SGEM#56: BEEM Me Up (Impact Factor in the Age of Social Media). He was discussing the new idea of social media, impact factor and medical education with Dr. Chris Carpenter. Chris...

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SGEM#150: Hypertonic Saline for Traumatic Brain Injury

Posted by on Mar 27, 2016 in Featured, Neurologic, Podcasts, Trauma | 20 comments

Podcast Link: SGEM150 Date: March 24th, 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding My Own Business (SOCMOB). Lead Author: Dr. Elyse Pelletier. Elyse works at the Centre de Recherche CHU de Québec, Population Health and optimal Health...

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SGEM#149: Share Decision Making for Pain Control in Older ED Patients

Posted by on Mar 21, 2016 in Featured, Podcasts | 4 comments

Podcast Link: SGEM149 Date: March 10th, 2016 Guest Skeptic: Dr. Tim Platts-Mills. Tim is an Assistant Professor of Emergency Medicine; Director, Clinical Research; Co-Director of Geriatric Emergency Medicine at the University of North Carolina. His career goal is to improve the quality of emergency care for older adults through research, research mentorship, and support of the larger community of geriatric emergency medicine researchers. Tim’s research group is currently developing a protocol to screen for elder abuse in the emergency department....

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