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

Date: October 15th, 2017 I had the privilege to present a plenary talk at the Saskatchewan Emergency Medicine Annual Conference (SEMAC). It was held in the majestic Delta Hotel in Saskatoon. Thank you to Dr. James Stempien, Dr. Paul Olszynski and the organizing committee for inviting me and showing me such hospitality.   The plenary talk was entitled Going On-Line to Meet your Continuing Medical Education (CME) Needs. It tried to answer why we need to go on-line and how to go on-line. Why we go on-line to meet our CME needs is because there is a knowledge translation problem. It can take over ten years for high-quality, clinically relevant information to reach the patients bedside. This is far too long in the age of social media and we want patients to get the best care based on the best evidence. Ultimately we want to have a number needed to treat (NNT) to help one patient to be one. There were six references provided to assist people with how to get on-line, use social media (FOAMed) and assess the quality. Thoma et al. Five strategies to effectively use online resources in emergency medicine. Annals of EM 2014 Lo et al. Four strategies to find, evaluate, and engage with online resources in emergency medicine. CJEM 2017 Pereira et al. Thou shalt not tweet...

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SGEM#191: No Time for Physio – Roll With It

Posted by on Oct 8, 2017 in Featured, Musculoskeletal, Podcasts | 2 comments

 Podcast Link: SGEM191 Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. He served with the Canadian Forces as a Medical Officer and Flight Surgeon. Steve is currently an Assistant Professor in the Department of Family Medicine at Western University working at the Fowler Clinic and the Roth McFarlane Hand and Upper Limb Centre. Case: A 43-year-old male presents to your local rural emergency department Monday morning after rolling his ankle during his usual weekend pickup basketball game. He is Ottawa Ankle Rule positive but the x-ray shows no fracture.  Background: We have covered the Ottawa Ankle Rules (tools) early in Season#1 (SGEM#3). The Ottawa Ankle Rules are probably the most validated clinical decision instrument that have ever been published.  The Ottawa Ankle Rules have been validated down to five years of age and can be used to safely rule out ankle fractures. These rules were created by the team in Ottawa lead by Dr. Ian Stiell who is a Legend of Emergency Medicine. You know what they say, those who published the clinical decision instruments get to make...

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SGEM#190: Wee are the Champions of Pediatric Urine Samples

Posted by on Oct 1, 2017 in Featured, Genitourinary, Infectious, Pediatrics, Podcasts | 3 comments

Podcast Link: SGEM190 Date: September 26th, 2017 Reference: Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17. Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney HEMS. She’s been there for the last 18 months working in prehospital and retrieval medicine and then in Emergency Medicine. She is a...

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SGEM Xtra: CALS Conference on Rural Emergency Care

Posted by on Sep 30, 2017 in Conferences, Featured, Podcasts | 0 comments

Date: Sept 30th, 2017 I had the pleasure of presenting at the CALS Conference on Rural Emergency Care held in beautiful Minneapolis, Minnesota yesterday.  Thank you to Dr. Todd Grant and the conference committee for inviting me. Everyone made me feel very welcome. The keynote address was called Looking Back/Looking Ahead. I was asked to look back over my career providing rural emergency care and look ahead to the future of rural emergency care. There were five objectives to the presentation: 1) Define...

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SGEM#189: Bring Me To Life in OHCA

Posted by on Sep 24, 2017 in Cardiac, Featured, Podcasts | 9 comments

Podcast Link: SGEM189 Date: September 19th, 2017 Reference: Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. September 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the AAEM MedEdPORTAL. Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all...

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

Posted by on Sep 17, 2017 in Featured, Podcasts | 2 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...

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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...

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

Posted by on Sep 10, 2017 in Featured, Musculoskeletal, Neurologic, Podcasts | 2 comments

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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