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Read MoreSGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument
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 her how to bike and he got a little ambitious and sent her down a small hill. She hit a rock, and went over the bars, striking her head on a small tree as she fell. She was helmeted, she did not lose consciousness, has not been vomiting, but the helmet was scratched up where it struck the tree. It’s been one hour since the accident and the child’s exam is otherwise normal; she’s behaving normally and only has a minor headache and some scrapes on her knees. Dad, on the other hand, may need something for anxiety. Background: Blunt head trauma is a common presenting complaint in emergency departments, accounting for approximately two million visits per year in the US. CT imaging is often performed but comes with radiation risks and increased medical costs. Several decision instruments have been developed to assess the risk of significant intracranial injury in children with head trauma (CATCH, CHALICE and PECARN). The PECARN tool has been found to have a high sensitivity, but in one study was shown to increase CT use compared to physician judgement. We covered concussions on SGEM#112. This episode included the pediatric head trauma CT decisions guide for children less than two years of age and those two years of age and older. The NEXUS Head CT decision instrument was developed as a “one way” instrument, which would hopefully serve to rule out those children who might otherwise receive imaging (as opposed to classifying many as “high risk”.) In the original cohort, use of NEXUS Head CT decision instrument decreased the need for CT by 25%. Clinical Question: In pediatric patients with blunt head trauma, can the NEXUS Head CT decision instrument be used to rule out the need for imaging in patients who otherwise would have received CT imaging? 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...
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Read MoreSGEM Xtra: SGEM Season#4 Book
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 to 36,000 subscribers. This knowledge translation (KT) project has been so successful because of supporters, guest skeptics and listeners like you. The goal of the SGEM continues to be to cut the KT window down from over ten years to less than one year. It does this by doing a structured critical review of a recent publication and then disseminates the information using the power of social media. We want patients to get the best care based on the best evidence. During July and August I will be getting ready for SGEM Season#7. We already have some great shows lined up with some familiar guest skeptics (Swami and Bob) and some new ones (Alison and Simon). Don’t panic…you will not go into withdrawal because here is SGEM Season#4 as a PDF book. There are links to all your favourite episodes. It is a way for me to thank you for all the support and encouragement over the last six years. Please feel free to share this 235 page book via your social media networks (email, Facebook, Twitter, Google+, etc). There have been five changes to the SGEM Season#4 PDF book version: New format with black background New fonts and graphics Chris Carpenter (Evidence Based Medicine Care) updated his chapter on evidence based medicine Justin Morgenstern (First10EM) has a simplified guide to approaching the literature Anthony Crocco (SketchyEBM) has a chapter on SketchyEBM where he encourages you to draw your own conclusions If you are looking for the inspiring theme music from each of the SGEM episodes you can now find them on Spotify. Of course most of them come from the 1980’s. Season#1 Season#2 Season#3 Season#4 This knowledge translation project continues to be part of the free open access to medical education movement (FOAMed). I continue to strongly believe we should share our intellectual capital and efforts with everyone around the world with no paywalls. This information should be for anyone, anywhere and at anytime. I also believe that patients deserve excellent care...
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Read MoreSGEM#224: Battlefield Acupuncture – Don’t Do Me Like That
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 your emergency department with seven hours of gradual onset lower back pain that feels identical to prior flares of his chronic lower back pain. He’s been previously worked up by his primary physician and found to not have a concerning cause of his pain. During your encounter, he asks if there’s anything he can do for his pain that won’t make him drowsy. Background: Lower back pain is one of the most common emergency department (ED) complaints, comprising approximately 2.6 million visits per year in the US [1]. Opioids are frequently used in the ED to treat pain and ED physicians are among the most frequent prescribers of opioids [2]. Given the opioid crisis, there is great demand for other methods of treatment for back pain and other painful conditions. One such alternative treatment under recent investigation is Battlefield Acupuncture (BFA), where five semi-permanent ASP needles are inserted into auricular acupuncture points. Proponents of BFA cite the relative safety of the technique in comparison with opioids. The needles may be left inserted for several days and patients may engage in their regular activities, removing the needles at any time they choose by grasping the end of the needle and lightly pulling. Acupuncture has been covered on three different episodes of the SGEM. The first time was with Dr. Al Sacchetti. This reviewed a study investigation acupuncture compared to pharmacologic treatment for the treatment of pain the ED SGEM#187: There is no high-quality evidence that acupuncture works for patients presenting to the emergency department with back pain, ankle sprains or migraines. Al was brought back for a second time looking at using electro-acupuncture for migraine prophylaxis. SGEM#211: This study does not provide any evidence of the efficacy of acupuncture to prevent the re-occurrence of migraine headache in patients without aura. The most recent time was looking at acupuncture vs. morphine for renal colic. SGEM#220: This trial does not support the claim that acupuncture works or is superior to morphine for adult patients presenting to the emergency...
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Read MoreSGEM#223: Haven’t Got Time for the Pain – What about IV Lidocaine?
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 (Rochester, Minnesota). Case: A 42-year-old man presents to the emergency department (ED) with chief complaint of severe right flank pain that radiates to his groin of three hours duration. The patient also reports nausea, increase in frequency of urination and blood in his urine. He is writhing in pain and on physical examination he was noted to have a severe right flank tenderness to palpation and tenderness at right costo-vertebral angle. You entertain the clinical diagnosis of renal colic and proceed with ordering 10mg intravenous ketorolac. On re-assessment at 20 minutes post-analgesia, the patient is still complaining of a moderate degree of pain and states that morphine worked well in the past, but he is wondering if you can take away his pain without an opioid. While contemplating your next analgesic choice you suddenly remember listening to a podcast that discussed the role of intravenous lidocaine in managing pain of renal colic origin (SGEM#202). You reassured the patient that you will check on the feasibility of other non-opioid analgesics, but at the same time you decided to quickly review available data on IV Lidocaine utility for acute pain in the ED. Background: Pain is one of the most common, if not the most common reason patients present to the ED. Physicians have many pharmacological and non-pharmacological ways to provide safe and effective pain control. Anesthetic agents like lidocaine that target sodium channels are widely used in the ED for topical and local anesthesia. Lidocaine is a local anesthetic agent with analgesic, anti-hyperalgesic, and anti-inflammatory properties. It has a short half-life (60 to 120 minutes) with often predictable adverse effects. It has been suggested that IV lidocaine could be an alternative for pain control instead of opioids or NSAIDs. This would be when these other treatment modalities have been ineffective or associated with adverse effects. We have looked at IV lidocaine for the treatment of renal colic on SGEM #202. The SGEM bottom line from that episode was that lidocaine cannot be recommended for...
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Read MoreSGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway
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 evening, presents to your emergency department with palpitations. “I’ve had atrial fibrillation a number of time before. Usually they just shock me and send me home.” Local practice is usually to treat rapid atrial fibrillation with a calcium channel blocker infusion and admit to hospital. As the conversation progresses, you wonder whether it might be safe to discharge some atrial fibrillation patients home for outpatient follow-up. Background: Atrial fibrillation, rate control vs. rhythm control. This is a debate that has gone on for many years. It is like normal saline vs. Ringer’s lactate for fluid resuscitation, steroids vs. no steroids for sepsis, or Coke vs. Pepsi. Atrial fibrillation is one of the most common dysrhythmias and patients often present to the emergency department with increased heart rates, chest pain and weakness among other presentations. The debate has been going on for years as to which is the best strategy to address these patients, rate or rhythm control. In patients with chronic atrial fibrillation or unknown time of onset and a rapid ventricular response, rate control and consideration and initiation of anticoagulation therapy are the standard emergency department approach. Both beta-blockers and calcium channel blockers are commonly used for rate control in the emergency department. SGEM#133 reviewed a study by Fromm C et al. comparing diltiazem vs. metoprolol in the management of atrial fibrillation or flutter with rapid ventricular rate in the emergency department (J Emerg Med 2015). The SGEM bottom line was that the best available evidence shows that diltiazem will achieve more rapid rate control in patients with atrial fibrillation than metoprolol (NNT 2). Dr. Ian Stiell and colleagues published an article in 2011 in Annals of EM looking at variation in recent-onset atrial fibrillation management in Canada and found a lot of variability. Rhythm control was selected in 42-85% of patients across hospitals and electricity was chosen as the primary strategy for rhythm control in 7-69%. In the USA there is a fear of cardioverting someone in atrial fibrillation because it could cause them to throw...
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Read MoreSGEM#221: Smells Like Isopropyl Alcohol for Nausea
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 blogs and is a member of the ALiEMU Capsules team. Case: A 32-year-old woman presents to your emergency department with complaints of nausea (nausea VAS is about a 5 on a scale of 0 to 10) and states she’s worried she’s coming down with some sort of stomach flu. She’s hemodynamically stable and looks a bit queasy but isn’t actively retching when you see her. Background: Nausea and vomiting are frequent complaints of patients presenting to the emergency department, accounting for just under five million visits per year. A number of prescription medications are available to treat these symptoms, including ondansetron, droperidol, metoclopramide, promethazine, and prochlorperazine. The most commonly utilized antiemetic in US emergency departments is ondansetron, a 5-HT 3 antagonist. Despite its widespread use, a dose of intravenous ondansetron takes about 30 minutes to take effect, which has led to an interest in more rapidly acting interventions for actively nauseous patients on the verge of vomiting. A new Cochrane Review by Hines et al published in 2018 looked at aromatherapy for post-operative nausea and vomiting. They concluded that aromatherapy may have similar effectiveness to placebo based on low-quality evidence. There’s some data supporting the use of an inhalation of isopropyl alcohol in emergency department patients (Beadle, et al Ann Emerg Med 2015). We covered that paper on the SGEM in Episode #144. The SGEM bottom line from that critical review was that for patients presenting to the emergency department with complaints of nausea and vomiting, a nasal inhalation of isopropyl alcohol is a quick, inexpensive way that may transiently improve symptoms without evidence of harm. Clinical Question: Does nasally inhaled isopropyl alcohol reduce nausea in adult emergency department patients with or without oral ondansetron? 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 Population: Patients greater than 17-years-old presenting to the emergency department with a chief complaint of nausea, with self-reported nausea severity of three...
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Read MoreSGEM Xtra: Don’t Give Up – The Power of Kindness with Brian Goldman
Podcast Link: SGEM Xtra Kindness with Brian Goldman Date: May 26th, 2018 This is a SGEM Xtra book review. I had the honour of meeting and interviewing Dr. Brian Goldman at the Canadian Association of Emergency Physician (CAEP) annual scientific assembly in Calgary. Dr. Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto. He is the host of CBC radio show White Coat Black Art and the author of the bestselling books The Night Shift and the Secret language of Doctors. Dr. Goldman has a fantastic new book called The Power of Kindness: Why Empathy is essential in Everyday life. Listen to the podcast on iTunes to hear Brian answers questions about kindness: Define kindness, what is difference between kindness and empathy and what is synchrony? What is one of your favourite stories from the book about kindness? Is kindness nature or nurture (are we born kind or do we learn to be kind)? Do healthcare workers have their sense of empathy dulled over the years? Is there anything we can do as people who work in the emergency department to be more kind? We made a BatDoc video which can be viewed by clicking on the link or the thumbnail picture. The SGEM will be back next week with a structured critical review of a recent publication trying to cut the knowledge translation window down from over ten years to less than one year. Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine. SGEM Xtra: Don't Give Up - The Power of Kindness with Brian Goldman [ 47:45 ] Play Now | Play in Popup | Download...
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Read MoreSGEM#220: Acupuncture vs. Morphine for Renal Colic
Podcast Link: SGEM220 Date: May 16th, 2018 Reference: Beltaief K et al. Acupuncture versus titrated morphine in acute renal colic: a randomized controlled trial. J Pain Res. 2018 Guest Skeptic: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine, University of Arkansas. Dr. Cordell Cunningham is a PGY 2 in Emergency Medicine at University of Arkansas for Medical Sciences Case: A 51-year-old man presents to the emergency department complaining of right flank pain radiating to his groin like his previous episodes of renal colic. He states the pain comes in “waves,” is associated with nausea but no vomiting. On exam, he is afebrile and appears very uncomfortable while grabbing his right flank. He has used ketorolac, acetaminophen and tamsulosin in the past. He really wants to avoid taking any opioids and is wondering if acupuncture could work? Background: We have covered renal colic a number of times on the SGEM: SGEM#4: Getting Un-Stoned (Renal Colic and Alpha Blockers) SGEM#32: Stone Me (Fluids and Diuretics for Renal Colic) SGEM#71: Like a Rolling Kidney Stone SGEM#97: Hippy Hippy Shake – Ultrasound Vs. CT Scan for Diagnosing Renal Colic SGEM#154: Here I Go Again, Kidney Stone SGEM#202: Lidocaine for Renal Colic? Here are the SGEM bottom lines on the management of renal colic from those previous episode: Expulsive therapy is unnecessary for ureteric stones < 5mm. There is some weak evidence that tamsulosin may help passage of larger stones (5 to 10 mm). You don’t need to push fluids (oral/IV) or use diuretics to pass kidney stones. Bedside emergency department ultrasound is safe and has several advantages over CT for the diagnosis of kidney stones. Lidocaine cannot be recommended for the treatment of renal colic at this time. We have also covered a couple of acupuncture papers on the SGEM. Watch for a new episode coming up on battlefield ear acupuncture to treat low back pain in the emergency department. SGEM#187: Pin Cushion – Acupuncture in the Emergency Department SGEM#211: Pins and Needles – Acupuncture for Migraine Prophylaxis The summary from those two critical reviews were: There is no high-quality evidence that acupuncture works for patients presenting to the emergency department with back pain, ankle sprains or migraines. The study on acupuncture to prevent the re-occurrence of migraine headaches in patients without aura does not provide any evidence of the efficacy. The authors of the trial we are going to look at today say that acupuncture has been proven have efficacy treatingrenal colic pain. Kaymar M et...
Most Recent Articles
SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument
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 her how to bike and he got a little ambitious and sent her down a small hill. She hit a rock, and went over the bars, striking her head on a small tree as she fell. She was helmeted, she did not lose consciousness, has not been vomiting, but the helmet was scratched up where it struck the tree. It’s been one hour since the accident and the child’s exam is otherwise normal; she’s behaving normally and only has a minor headache and some scrapes on her knees. Dad, on the other hand, may need something for anxiety. Background: Blunt head trauma is a common presenting complaint in emergency departments, accounting for approximately two million visits per year in the US. CT imaging is often performed but comes with radiation risks and increased medical costs....
Read More
SGEM Xtra: SGEM Season#4 Book
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 to 36,000 subscribers. This knowledge translation (KT) project has been so successful because of supporters, guest skeptics and listeners like you. The goal of the SGEM continues to be to cut the KT window down from over ten years to less than one year. It does this by doing a structured critical review of a recent publication and then disseminates the information using the power of social media. We want patients to get the best care based on the best evidence. During July and August I will be getting ready for SGEM Season#7. We already have some great shows lined up with some familiar guest skeptics (Swami and Bob) and some new ones (Alison and Simon). Don’t panic…you will not go into withdrawal because here is SGEM Season#4 as a PDF book. There are links to all...
Read More
SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That
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?
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
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...
Read More
SGEM#221: Smells Like Isopropyl Alcohol for Nausea
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...
Read More
SGEM Xtra: Don’t Give Up – The Power of Kindness with Brian Goldman
Podcast Link: SGEM Xtra Kindness with Brian Goldman Date: May 26th, 2018 This is a SGEM Xtra book review. I had the honour of meeting and interviewing Dr. Brian Goldman at the Canadian Association of Emergency Physician (CAEP) annual scientific assembly in Calgary. Dr. Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto. He is the host of CBC radio show White Coat Black Art and the author of the bestselling books The Night Shift...
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SGEM#220: Acupuncture vs. Morphine for Renal Colic
Podcast Link: SGEM220 Date: May 16th, 2018 Reference: Beltaief K et al. Acupuncture versus titrated morphine in acute renal colic: a randomized controlled trial. J Pain Res. 2018 Guest Skeptic: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine, University of Arkansas. Dr. Cordell Cunningham is a PGY 2 in Emergency Medicine at University of Arkansas for Medical Sciences Case: A 51-year-old man presents to the emergency department complaining of right flank pain radiating to his groin like his previous episodes of renal...
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SGEM#219: Shout, Shout, PERC Rule Them Out
Podcast Link: SGEM219 Date: May 16, 2018 Reference: Freund et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. JAMA February 2018. Guest Skeptic: Dr. Jeffrey Kline (@klinelab) is the Vice Chair of Research in Emergency Medicine and a professor of physiology, Indiana University School of Medicine. He is the editor in chief of AEM, creator of Pulmonary Embolism Rule-out Criteria (PERC) Rule and has published extensively in the...
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SGEM#218: Excited Delirium Syndrome
Podcast Link: SGEM218 Date: May 12th, 2018 Reference: Gonin P et al. Excited Delirium: A Systematic Review. AEM May 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 Business (SOCMOB). Case: A 24-year-old male is brought into the emergency department by police....
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SGEM#217: The Batman Effect on Improving Perseverance
Podcast Link: SGEM217 Date: March 6th, 2018 Reference: White et al. The “Batman Effect”: Improving Perseverance in Young Children. Child Development December 2016. Guest Skeptic: Dr. Casey Parker is a rural Generalist working in Broome, Australia. He has particular interests in Emergency Care, Aboriginal Health, Paediatrics, Trauma and Women’s Anaesthesia. Casey has this great blog and podcast called Broome Docs. Casey and I made a #Batdoc video at SMACCdub. Case: It is flu season and there is an endless stream of patients with...
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SGEM Xtra: Petition to Retire the Surviving Sepsis Campaign Guidelines
Recently the SGEM was contacted by a group of doctors organizing a petition. They were concerned about the new Surviving Sepsis Campaign (SCC) guidelines that were just released. Specifically, the fluid, antibiotics and pressor requirements within the first hour of being triaged in the emergency department. The SGEM was invited to be involved in a global effort to express the concerns about the SSC guidelines. Below is the letter being released from a number of #FOAMed people from around...
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