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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

Podcast Link: SGEM230 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 pain.  The pain comes in waves, radiates into his left groin and is associated with nausea and vomiting.  He noticed darkening of his urine, but does not have dysuria, fever, testicular pain, or penile discharge. You work him up and the urine analysis shows large blood, negative nitrites, negative bacteria.  CT abdomen/pelvis without contrast is done which identifies a 7mm radiopaque stone in the left distal ureter.  The patient receives 15mg ketorolac IV (SGEM#175) because you know there is a ceiling to the analgesic effect of non-steroidal anti-inflammatory drugs (NSAIDs). His pain improves significantly, and he is ready for discharge. He is given a referral to Urology for follow up of his ureteral stone, a prescription for oral antiemetics, and advised to take over-the-counter (OTC) NSAIDs. He asks if there is anything he could do or take to help the stone...

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SGEM#229: I Fought the Law and the Law Won – But Would it Matter if I had a Resident?

Posted by on Sep 15, 2018 in Featured, Podcasts | 0 comments

Podcast Link: SGEM229 Date: September 10th, 2018 Reference: Gurley et al. Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases. AEM September 2018 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of the excellent #FOAMed project called First10EM.com Case: You are giving an introductory lecture on evidence-based medicine to the incoming class of residents, and after you finish you notice some excited chatter at the back of the room. Thinking that you have found some EBM keeners/gunners, you wander over to join the discussion, but find yourself in a heated discussion. One of the senior residents was recently named in a lawsuit, and the junior residents are worried. How likely are they to be sued? What can they do to prevent such a harrowing event? The residents turn to you, hoping that you can provide some insight on this topic. Background: Unfortunately, physicians are not perfect. Mistakes are made occasionally, and those mistakes can harm our patients. Medical care provided by trainees involves some added risks. In an internal medicine setting, problems with handoffs, teamwork, and lack of supervision were identified as issues in trainee malpractice cases. In Canada, we have a national organization called the Canadian Medical Protective Association (CMPA)....

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SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?

Posted by on Sep 8, 2018 in Featured, Infectious, Pediatrics, Podcasts | 0 comments

Podcast Link: SGEM228 Date: September 5th, 2018 Reference:  Franklin et al. A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. NEJM March 2018. Guest Skeptic: Dr. Ben Lawton is a paediatric emergency physician in Brisbane Australia. He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric emergency department. He is part of the Don’t Forget the Bubbles team. Case: Elsie is five months old and presents on day two...

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SGEM#227: A Message to you Rudy – About Rudeness

Posted by on Sep 1, 2018 in Featured, Podcasts, Psychiatric | 0 comments

Podcast Link: SGEM227 Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. Rudeness and Medical Team Performance. Pediatrics. February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. He is currently redeployed in Medical Education on “Burnout Sabbatical” but is hopeful of returning to the shop floor in the near future. He writes a blog called Broken Toy covering topics such as his experience with burnout, medical...

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SGEM Xtra: The Top 10 Ch-ch-ch-changes to ATLS 10th Edition

Posted by on Aug 26, 2018 in Featured, Podcasts, Trauma | 0 comments

Podcast Link: SGEM Xtra ATLS Date: August 25th, 2018 Guest Skeptic: Dr. Neil Parry is an Associate Professor of Surgery and Critical Care at Western University. He is the Medical Director of the Trauma Program for London Health Sciences Centre and the Site Chief of Surgery at Victoria Hospital. Dr. Parry is also a national member of the Committee on Trauma for the America College of Surgeons where he serves as a member of the ATLS Committee and as the Chair of the Surgical...

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SGEM#226: I Want A New Drug – One that Doesn’t Cause an Adverse Drug Event

Posted by on Aug 18, 2018 in Featured, Pharmacology/Toxicology, Podcasts | 0 comments

Podcast Link: SGEM226 Date: August 16th, 2018 Reference: Hohl C et al. Prospective Validation of Clinical Criteria to Identify Emergency Department Patients at High Risk for Adverse Drug Events. AEM Aug 2018. Guest Skeptic: Dr. Chris Bond 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...

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SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument

Posted by on Jul 17, 2018 in Featured, Neurologic, Pediatrics, Podcasts, Trauma | 0 comments

Podcast Link: SGEM225 Date: July 16th, 2018 Reference: Gupta M et al. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine Case: You’re working in a small rural emergency department when a seven-year-old girl comes in by EMS with a head injury. Her father was teaching...

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SGEM Xtra: SGEM Season#4 Book

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

Podcast Link: Season#4 Book Date: July 13th, 2018 It’s summer time here in Canada and Season#6 of the SGEM is coming to an end. I hope SGEMers in the northern hemisphere are getting some time off for holidays with family and friend. There will still be new content uploaded over the summer. We have the monthly SGEM Hot Off the Press (SGEMHOP) episodes from Academic Emergency Medicine (AEM) scheduled for July and August. The SGEM continues to grow and has close...

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SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That

Posted by on Jun 30, 2018 in Featured, Musculoskeletal, Podcasts | 0 comments

Podcast Link: SGEM224 BFA Date: June 20th, 2018 Reference: Fox LM et al. Battlefield acupuncture to treat low back pain in the emergency department. Am J  EM 2018 Guest Skeptics: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s seventh visit to the SGEM, and his first since returning from deployment.  DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force. Case: A 48-year-old male presents to...

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SGEM#223: Haven’t Got Time for the Pain – What about IV Lidocaine?

Posted by on Jun 24, 2018 in Featured, Podcasts | 0 comments

Podcast Link: SGEM223 Date: June 15th, 2018 Reference: Silva et al. Safety and Efficacy of Intravenous Lidocaine for Pain Management in the Emergency Department: A Systematic Review. Ann Emerg Med. 2018 Guest Skeptics: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Lucas Silva is a 5th year medical student from Brazil (6-years program in Latin America) and a former Research Fellow in the Department of Emergency Medicine at the Mayo Clinic...

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SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway

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

Podcast Link: SGEM222 Date: June 12th, 2018 Reference: DeMeester S et al. Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018 Guest Skeptic: Dr. Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of the excellent #FOAMed project called First10EM.com and an amazing photographer.   Case: A 62-year-old Canadian is on vacation in up-state Michigan, and after a celebratory...

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SGEM#221: Smells Like Isopropyl Alcohol for Nausea

Posted by on Jun 9, 2018 in Featured, GastroIntestinal, Podcasts | 0 comments

Podcast Link: SGEM221 Date: June 8th, 2018 Reference: April MD, et al. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. She’s recently transitioned into industry, taking on a position as a medical science liaison in New England. She’s been a contributor for the Academic Life in Emergency Medicine and Emergency Medicine PharmD...

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