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SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema

Posted by on Sep 17, 2017 in Featured, Podcasts | 0 comments

Podcast Link: SGEM188 Date: September 12th, 2017 Reference: Sinert et al. Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema. J Allergy Clin Immunol Pract 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The Teaching Course, EMRAP and CoreEM.  Case: As you walk in to your shift, the nurses grab you and bring you in to bed four where a patient has just presented with tongue swelling. In the room is a 53-year-old woman who, though, not in any particular distress, has got a swollen tongue and lower lip. After a bit of history, you find out that she is taking lisinopril and you determine that this is likely angiotensin converting enzyme inhibitor (ACE-I) induced angioedema. The patient’s swelling started about three hours ago and hasn’t changed much. You place her on a monitor in a high acuity area and bring your airway equipment to the bedside and then return to your computer to take sign out. You discuss with the resident a bit on ACE-I induced angioedema and settle on a plan to observe the patient. Your resident tells you that they recently read an article in the NEJM that argued for the...

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SGEM Xtra: Stronger – Esther Choo

Posted by on Sep 15, 2017 in Featured, Podcasts | 0 comments

Podcast Link: SGEM Xtra Esther Choo Date: September 11th, 2017 Guest Skeptic: Dr. Esther Choo is an emergency physician and researcher who studies health disparities, substance use disorders, and gender bias. She obtained her MD from Yale University, did her clinical training at Yale-New Haven Hospital and Boston Medical Center, and completed a health services research fellowship at Oregon Health & Sciences University. This is an SGEM Xtra so we will not be doing a structured critical review of a recent paper trying to cut the knowledge translation window down for over ten years to less than one year using the power of social media. The next episode of the SGEM will be a formal critical appraisal of a recent publication. Esther recently sent shockwaves through the twitterverse with a series of tweets after the incident in Charlottesville. I reached out to Esther because she was a Super Hero of Emergency Medicine and asked her to be a guest on the SGEM. The Ten Tweets         Five Questions for Esther Why did you tweet? What has the feedback been? Has there been any negative feedback? How do you think people should respond when faced with racism, ageism, genderism, etc? Would you do it all again?   Listen to the podcast on iTunes to hear Esther discuss these...

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SGEM#187: Pin Cushion – Acupuncture in the Emergency Department

Posted by on Sep 10, 2017 in Featured, Musculoskeletal, Neurologic, Podcasts | 1 comment

Podcast Link: SGEM187a Date: September 7th, 2017 Reference: Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. MJA 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, an Assistant Clinical Professor of Emergency Medicine and an Active Researcher.   In addition, Dr. Sacchetti is one of the few individuals to have...

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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation

Posted by on Sep 3, 2017 in Featured, Podcasts, Pulmonary | 5 comments

Podcast Link: SGEM186 Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). AEM 2017. Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. He writes an excellent blog called EM Nerd, which he describes as nihilistic ramblings. Case: A 68-year-old female presents with shortness of breath. She has experienced fever, chills...

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SGEM Xtra: Richard Bukata – Legend of Emergency Medicine

Posted by on Aug 27, 2017 in Featured, Podcasts | 2 comments

Podcast Link: SGEM Xtra Richard Bukata Date: August 26th, 2017  Guest Skeptic: Dr. Richard Bukata is the Medical Director, The Center for Medical Education, Inc. Started Emergency Medical Abstracts in 1977. A Clinical Professor of Emergency Medicine, Los Angeles County / USC Medical Center, Los Angeles, California.   Legends of Emergency Medicine: This is the final episode of the summer SGEM Xtra series called Legends of Emergency Medicine. These episodes were designed to highlight some of the pioneers and leaders of our specialty....

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SGEM Xtra: Jerome Hoffman – Legend of Emergency Medicine

Posted by on Aug 20, 2017 in Featured, Podcasts | 3 comments

Podcast Link: SGEM Xtra Jerome Hoffman Date: June 5th, 2017  Guest Skeptic: Dr. Jerome Hoffman. Associate Program Director, Emergency Medicine & Acute Care, Professor Emeritus of Medicine and Emergency Medicine, University of California, Los Angeles.     Legends of Emergency Medicine: This is the sixth episode in the summer series of SGEM Xtras called Legends of Emergency Medicine (#LegendofEM). These episodes highlight some of the pioneers and leaders of our specialty.  I hope these episodes will give the next generation of emergency physicians access to some...

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SGEM Xtra: Judith Tintinalli – Legend of Emergency Medicine

Posted by on Aug 13, 2017 in Featured, Podcasts | 2 comments

Podcast Link: SGEM Xtra Judith Tintinalli Date: July 24th, 2017 Guest Skeptic: Dr. Judith Tintinalli is an emergency physician in Chapel Hill, North Carolina, which is affiliated with University of North Carolina. She received her medical degree from Wayne State University School of Medicine and wrote the book on emergency medicine (Tintinalli’s Emergency Medicine).   Legends of Emergency Medicine: This is the fifth episode in the summer series of SGEM Xtras called Legends of Emergency Medicine (#LegendofEM). These episodes highlight some of the pioneers and leaders...

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SGEM Xtra: Ian Stiell – Legend of Emergency Medicine

Posted by on Aug 6, 2017 in Conferences, Featured, Podcasts | 2 comments

Podcast Link: SGEM Xtra Ian Stiell Date: July 13th, 2017 Guest Skeptic: Dr. Ian Stiell is Professor, Department of Emergency Medicine, University of Ottawa. He is internationally recognized for his research in emergency medicine with a focus on the development of clinical decision rules. Ian is best known for the development of the Ottawa Ankle Rules and Canadian C-Spine Rule, and as the Principal Investigator for the landmark OPALS Studies for pre-hospital care. Legends of Emergency Medicine: This is the forth episode in the summer series of...

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SGEM Xtra: Joseph Lex – Legend of Emergency Medicine

Posted by on Jul 30, 2017 in Podcasts | 1 comment

Podcast Link: SGEM Xtra Legend Joseph Lex Date:  June 21st, 2017 Guest Skeptic: Dr. Joseph Lex is considered by many to be the Godfather of the FOAM (Free Open Access to Medication) movement. Joe is a retired Professor of Emergency Medicine from Temple University. He created a site called Free Emergency Medicine Talks that has thousands of recorded of lectures. It is an unbelievable global and free resource for anyone interested in emergency medicine. Legends of Emergency Medicine: This is the third episode in the summer series of SGEM Xtras called Legends...

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SGEM Xtra: Diane Birnbaumer – Legend of Emergency Medicine

Posted by on Jul 23, 2017 in Podcasts | 1 comment

Podcast Link: SGEM Xtra Diane Birnbaumer Date:  May 12th, 2017 Guest Skeptic: Dr. Diane Birnbaumer is a Senior Clinical Faculty at Harbor-UCLA Medical Center in Torrance, CA. She is also an Emeritus Professor of Medicine at the David Geffen School of Medicine at UCLA. Diane will be a keynote speaker at FeminEM conference in New York City this October called FIX2017.  Legends of Emergency Medicine: This is the second episode in the summer series of SGEM Xtras called Legends of Emergency Medicine. These...

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SGEM#185: Every EHR Wants to “Rule” the World

Posted by on Jul 16, 2017 in Administration, Featured, Podcasts | 14 comments

Podcast Link: SGEM185 Date: July 11th, 2017 Reference: Bookman K et al. Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. AEM July 2017. 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 working a very busy shift in the emergency department. Your first patient was...

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SGEM Xtra: Andrew Worster – Legend of Emergency Medicine

Posted by on Jul 10, 2017 in Featured, Podcasts | 2 comments

Podcast Link: SGEM Xtra Andrew Worster Date: May 30th, 2017 Guest Skeptic: Dr. Andrew Worster. Andrew is a Professor of Emergency Medicine at McMaster University, home of evidence based medicine (EBM), Associate Member of Department of Health Research Methods, Evidence and Impact, creator of the Best Evidence in Emergency Medicine (BEEM) and my EBM mentor. Legends of Emergency Medicine: This is a new summer series of SGEM Xtras called Legends of Emergency Medicine. These episodes will highlight some of the pioneers and leaders of...

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