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SGEM#145: Topical Anesthetics for ED Patients with Corneal Abrasions

Posted by on Jan 31, 2016 in Eye, Featured, Podcasts | 1 comment

Podcast Link: SGEM145 Date: January 20th, 2016 Guest Host: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medical Abstracts. Guest Skeptics: Dr. Kara Otterness from Stony Brook University Hospital on Long Island.  Kara is an assistant clinical professor of Emergency Medicine at Stony Brook. Dr. Salim Rezaie is from University of Texas Health Science Center at San Antonio. Salim is an associate clinical professor of Emergency Medicine/Internal Medicine at the University of Texas Health Science Center at San Antonio, Texas. He is the creator/founder of the REBEL EM Blog and REBEL Cast. Case: A 23-year-old healthy woman presents with right eye pain. She states she felt a foreign body sensation yesterday and then overnight, it became painful. Her visual acuity is 20/20 bilaterally and she doesn’t wear corrective lenses. Instillation of tetracaine drops results in complete resolution of the pain. On your slit lamp examination, you see a small corneal abrasion outside of the visual axis with no evidence of ulceration and no foreign body. You update the patient’s tetanus, prescribe her an antibiotic drop and prepare to discharge her when she approaches you and states, “the pain is starting to come back. Can I have that bottle of medicine you used before to take home with me?” Background: Corneal abrasions...

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SGEM#144: That Smell of Isopropyl Alcohol for Nausea in the Emergency Department

Posted by on Jan 24, 2016 in Featured, GastroIntestinal, Podcasts | 3 comments

Podcast Link: SGEM144 Date: January 20th, 2016 Guest Skeptic: Meghan Groth (@EMPharmGirl). Meghan is the emergency medicine pharmacy specialist at the University of Vermont Medical Center, and an adjunct professor of pharmacy at the Albany College of Pharmacy and Health Sciences. Case: A 34-year-old male presents to your emergency department with complaints of severe nausea for the past 24 hours. He’s vomited a number of times at home and on a scale of zero to ten (ten being the worst nausea he’s ever experienced), he rates his current nausea at an eight. As the triage nurse brings him back to get settled into his room, you observe him holding an emesis basin and dry heaving. He has no significant past medical history and no known drug allergies. Background: Nausea and vomiting is a very common complaint for patients presenting to the emergency department, accounting for almost five million visits in the US each year. Currently available antiemetic treatments include ondansetron, droperidol, metoclopramide, promethazine, and prochlorperazine. Ondansetron is the most commonly administered medication in US emergency departments. Despite this, it takes about 30 minutes for intravenous ondansetron to work, which isn’t ideal in patients on the verge of vomiting. There are studies showing commonly used antiemetic drugs are not superior to placebo in undifferentiated emergency department patients....

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SGEM#143: Call Me Maybe for Bystander CPR

Posted by on Jan 18, 2016 in Cardiac, Featured, Podcasts | 8 comments

Podcast Link: SGEM143 Date: January 14th, 2016 Guest Skeptics: Dave Harrison, Carl Berdahl and Todd Schneberk are Emergency Medicine residents in the Department of Emergency Medicine at the Keck School of Medicine of the University of Southern California. Case: A 78-year-old man with a history of hypertension and coronary artery disease suddenly collapses at home in front of his wife. She calls 911 but is unable to get on her knees and provide CPR due to her comorbidities. Background: Sudden cardiac arrest is...

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SGEM#142: We Need Asthma Education

Posted by on Jan 10, 2016 in Featured, Podcasts, Pulmonary | 24 comments

Podcast Link: SGEM142 Date: January 5th, 2016 Guest Skeptics: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medical Abstracts. Dr. Brian Rowe is a Professor, Department of Emergency Medicine, at the University of Alberta. He is a Canadian Research Chair in Evidence-Based Emergency Medicine and is also co-editor of the Cochrane Collaboration Airway Review Group. Dr. Cristina Villa-Roel is a physician with a MSc in Clinical Epidemiology who is nearing the completion...

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Essentials of Emergency Medicine Fellowship: Residents Apply to Win!

Posted by on Jan 5, 2016 in Conferences, Featured, Podcasts | 0 comments

Do you have a passion for education and emergency medicine? Essentials of Emergency Medicine (EEM) is one of the largest live emergency medicine educational conferences in the world. Inspired by the contest operated by EMCrit and ALiEM, the Skeptics’ Guide to Emergency Medicine is partnering with CanadiEM to offer a Canadian emergency medicine resident the opportunity to attend EEM for free as an Essentials of Emergency Medicine Education Fellow. The winning applicant would receive: Full live conference registration at...

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SGEM#141: Popeye and the Paperclip

Posted by on Dec 20, 2015 in Featured, Holiday, Podcasts | 1 comment

Podcast Link: SGEM141 Date: December 17th, 2015 Guest Skeptics: Bob Edmonds is a 3rd year emergency medicine resident at the University of Missouri at Kansas City. Prior to medical school, he graduated from the US Air Force Academy, and when he completes his training will rejoin the Air Force for nine years as an Emergency Medicine physician. In his spare time he enjoys reading, finding random facts online, and hanging out with his wife and son. This is a SGEM...

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SGEM#140: CT Scans to Rule Out Subarachnoid Hemorrhages In A Non-Academic Setting

Posted by on Dec 13, 2015 in Featured, Neurologic, Podcasts | 3 comments

Podcast Link: SGEM140JC Date: December 9th, 2015 Guest Skeptics: Dr. Fareen Zaver is a Chief Resident in Emergency Medicine at the George Washington University, specifically in charge of the medical education resident curriculum and Grand Rounds schedule. She is the co-founder and lead editor of the ALiEM AIR-Pro series and is pursuing an academic career in Medical Education. She was born and raised in Calgary, Alberta and has constantly stood out with her Canadian accent and roots. She will always be a...

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SGEM#139: One Thing Leads to Another – Idarucizumab for Dabigatran Reversal?

Posted by on Dec 6, 2015 in Featured, GastroIntestinal, Hematologic, Podcasts | 4 comments

Podcast Link: SGEM139 Date: December 3rd, 2015 Guest Skeptics: Dr. Ryan Radecki is Clinical Practice Lead at Kaiser Permanente North West and Clinical Assistant Professor of Emergency Medicine – The University of Texas Medical School at Houston. He has a blog called Emergency Medicine Literature of Note.   Case: A 67-year-old man presents with a history of atrial fibrillation and hypertension. He takes metoprolol 50mg twice daily and dabigatran 150mg twice daily. He had been having mild epigastric pain for about one...

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SGEM#138: Hip to be Blocked – Regional Nerve Blocks for Hip and Femoral Neck Fractures

Posted by on Nov 29, 2015 in Featured, Musculoskeletal, Podcasts | 13 comments

Podcast Link: SGEM138 Date: November 29th, 2015 Guest Skeptics: Dr. Brandon Ritcey is an Emergency Medicine Resident from the University of Ottawa. Dr. Chris Bond is an Emergency Medicine physician and clinical lecturer at the University of Calgary. His interests include knowledge translation, FOAMed, and all things food and wine related. Chris has a blog called SOCMOB and is the new host of CAEP Cast. This is another SGEM Hot Off the Press (#SGEMHOP). The goal of the #SGEMHOP is to cut the...

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SGEM#137: A Foggy Day – Endovascular Treatment for Acute Ischemic Stroke

Posted by on Nov 22, 2015 in Featured, Neurologic, Podcasts | 2 comments

Podcast Link: SGEM137 Date: November 21st, 2015 Guest Skeptic: Dr. Rory Spiegel is an Emergency Medicine resident in New York City. Rory is doing a resuscitation fellowship at Stony Brook University School of Medicine. He also writes a blog called EM Nerd about nihilism, medicine and the art of doing nothing. Case: An 78-year-old woman presents to your emergency department with right arm weakness and slurred speech for the last two hours.  She has a history of hypertension and diabetes. A CTA...

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SGEM#136: CPR – Man or Machine?

Posted by on Nov 16, 2015 in Cardiac, Featured, Podcasts | 3 comments

Podcast Link: SGEM136 Date: November 13th, 2015 Guest Skeptic: Dr. Salim Rezaie. Salim is an associate clinical professor of Emergency Medicine/Internal Medicine at the University of Texas Health Science Center at San Antonio, Texas. He is the creator/founder of the REBEL EM Blog and REBEL Cast. Case: A 65-year old male has a witnessed cardiac arrest. He receives immediate CPR, early defibrillation, as well as one round of ACLS medications. He arrives via EMS to your emergency department, where they tell...

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SGEM#135: The Answer My Friend is Blowin’ in your Nose – High Flow Nasal Oxygen

Posted by on Nov 8, 2015 in Cardiac, Featured, Podcasts, Pulmonary | 1 comment

Podcast Link: SGEM135 Date: October 28th, 2015 Guest Skeptic: Dr. Justin Morgenstern. Justin is an emergency physician and the director of simulation education at Markham Stouffville Hospital in Ontario. He loves skepticism and medical education, especially when it is free and open access. He is the author of the #FOAMed blog First10EM.com and is an associate editor of Emergency Medicine Cases. Case: A 60-year-old male with no major past medical history presents to your community emergency department with a three-day history...

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