The Skeptics Guide to Emergency Medicine

Posted by admin on May 20, 2013

SGEM#37: TNT (To Not Treat)

Podcast Link:SGEM37 Date: May 20, 2013 Title: TNT (To Not Treat) with Prophylactic Antibiotics for Basilar Skull Fractures Case Scenario: An otherwise healthy 21yo male patient who has been drinking alcohol all day at the beach. He tries to jump into the back of his friends moving Jeep and does a face plant. He arrives by ambulance GSC 15 collar and boarded with racoon eyes. Because your small hospital...

Posted by admin on May 13, 2013

SGEM#36: Mac and CCBs

Podcast Link:SGEM36 Date: May 12, 2013 Title: Mac and CCBs Case Scenario: 67 year-old woman presents with a one week history of productive cough and no fever. She is a non-smoker and has no history of lung disease. Her past medical history is positive for hypertension and she is taking a calcium channel blocker. She has no allergies to medication. On exam she has no fever, oxygen saturation is 97% on...

Posted by admin on May 3, 2013

SGEM#35: We are Young

Podcast Link:SGEM35 2 Date: May 5th, 2013 Title: We are Young This is a follow-up to Episode#30: My Generation. Every five episodes or so I like to deviate from the case based evidence based medicine (EBM) formula where we critically review an article or topic. The goal of TheSGEM however remains the same, to cut the knowledge translation (KT) window from 10 years to 1 year. This is so you the listener...

Posted by admin on Apr 28, 2013

SGEM#34:This is Spinal Tap

Podcast Link:SGEM34 Date: April 28, 2013 Title: This is Spinal Tap Case Scenario: A 66YO man presents with a 48hr history of fever, lethargy and headache. No significant past medical history. On physical examination he has a temperature of 38.8C, GCS 15, stiff neck on flexion and no rash. Urinalysis and CXR are normal. Laboratory testing reports an elevated WBC with a left shift. You decide he needs a...

Posted by admin on Apr 21, 2013

SGEM#33: Boston 2013

Podcast Link:SGEM33 Date: April 21, 2013 Title: Boston 2013 Everyone has a story to tell. Their own perspective on the recent tragic events in Boston. It will impact us all in a unique way. Here is my way of remembering, honoring, saying thanks and trying to understand what happened. It is told through words, music, pictures and video.Boston 2013-Medium As of today they have caught one person and killed...