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SGEM#166: Which febrile child with sickle cell disease should get a chest x-ray?

Posted by on Dec 4, 2016 in Featured, Hematologic, Pediatrics, Podcasts, Pulmonary | 2 comments

Podcast Link: SGEM166 Date: November 21st, 2016 Reference: Eisenbrown et al. Which Febrile Children with Sickle Cell Disease Need a Chest X-Ray? AEM November 2016 Guest Skeptic: Dr. Corey Heitz is an associate professor of emergency medicine at the Virginia Tech Carilion School of Medicine 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 working in the Emergency Department on an overnight pediatric coverage shift. A worried mother brings her 2-year-old child in with a fever of 38.6C (that’s 101.5F). The female child’s medical history is significant for sickle cell disease. On exam, the child is uncomfortable appearing, tachycardic, tachypnic and febrile. Mom says the child has had a runny nose and a mild cough along with the fever. Background: Children with sickle cell disease who develop fever are at higher risk of severe bacterial infection than children without sickle cell disease. The National Heart, Lung, and Blood Institute (NHLBI) suggest a routine workup that includes a CBC, blood cultures, and empiric antibiotics (NHLBI Expert Panel Report 2014). One of the life-threatening infections for which these children are most at risk is acute chest syndrome (ACS). The NHLBI recommend a chest x-ray (CXR) for children with respiratory signs...

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SGEM#165: I Wanna Be Sedated – But Do I Need To Be NPO?

Posted by on Nov 27, 2016 in Featured, Pediatrics, Podcasts, Pulmonary | 3 comments

Podcast Link: SGEM165 Date: November 22nd, 2016 Reference: Beach et al. Major Adverse Events and Relationship of Nil per Os Status in Pediatric Sedation/Anesthesia Outside the Operating Room. Anesthesiology January 2016 Guest Skeptic: Dr. Bob Edmonds has just completed his residence in Emergency Medicine from the University of Missouri in Kansas City. He is now an emergency department staff physician in the US Air Force at Langley Air Force Base. Dr. Edmonds’ Disclaimer: The views and opinions of this podcast and blog are not the official position of the United States Air Force, the US government, or Langley Air Force Base. Thanksgiving: This episode is being published on American Thanksgiving 2016 weekend. Happy Thanksgiving to all the SGEMers from the USA. We hope everyone has a wonderful holiday spent with family and friends. Case: A 5-year-old girl was bit in the face by a neighbor’s dog. She has a complex lower lip laceration that extends beyond the vermillion border with a flap deformity. You believe it will require repair by an oral and maxillofacial surgeon in your emergency department and that the patient will require procedural sedation. The patient had been eating a turkey sandwich one hour ago and you consider how long to leave her NPO prior to the sedation. Background: Procedural sedation is a somewhat common...

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SGEM Xtra: Is #FOAMed Scary?

Posted by on Oct 31, 2016 in Featured, Holiday, Podcasts | 0 comments

Podcast Link: SGEM Xtra Is #FOAMed Scary Date: October 26th, 2016 Guest Skeptic: We have a number of guest skeptics for this episode. Dr. Munsif Bhimani is the program director of the CCFP-EM program at Western University. Drs. Kevinjeet Mahngar, Kelsey Cassidy, Jatin Kacker and Ben Fregeau are residents in the CCFP-EM program at Western University. Dr. Sean Ryan is a front line physician working in community emergency departments. This is an SGEM Xtra. From time-to-time we like to pause from our usual structured critical appraisals...

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SGEM#164: Cuts Like a Knife – But you Might Also Need Antibiotics for Uncomplicated Skin Abscesses

Posted by on Oct 17, 2016 in Dermatologic, Featured, Infectious, Podcasts | 4 comments

Podcast Link: SGEM164 Date: October 13th, 2016 Reference: Talan et al. Trimethoprim–Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess. NEJM March 2016 Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant working primarily in rural Missouri in community hospitals. He has international experience in critical care and emergency medicine. He has a new blog called TOTAL EM, which stands for Tools Of the Trade and Academic Learning in Emergency Medicine. He has recently started podcasting and is always looking to expand this...

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SGEM#163: Shuffle off to Buffalo to Talk Thrombolysis for Acute Pulmonary Embolism

Posted by on Oct 10, 2016 in Cardiac, Featured, Podcasts, Pulmonary | 2 comments

Podcast Link: SGEM163 Date: October 6th, 2016 Reference: Piazza et al. A Prospective, Single-Arm, Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism. JACC 2015 Guest Skeptic: Dr. Essie Reed is one of the Chief Residents in the Department of Emergency Medicine at the University of Buffalo. Case: A 75-year-old female with a past medical history of hypertension and non-insulin dependent diabetes presents with chest pain. She describes the pain as sharp, stabbing, and exacerbated with deep inspiration....

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SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA

Posted by on Oct 2, 2016 in Cardiac, Featured, Podcasts | 2 comments

Podcast Link: SGEM162 Date: September 29th, 2016 Reference: Kudenchuk et al. Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. NEJM April 2016 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: Your local EMS agency has asked your opinion on which anti-arrhythmic medication, if any, their ambulances should stock for the management of ventricular...

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SGEM#161: Sternal Fractures – Break on Through to the Other Side – Delayed Complications and Functional Outcomes

Posted by on Sep 25, 2016 in Featured, Podcasts, Pulmonary, Trauma | 9 comments

Podcast Link: SGEM161 Date: September 21st, 2016 Reference: Racine et al. Delayed complications and functional outcome of isolated sternal fracture after emergency department discharge: a prospective, multicentre cohort study. CJEM Sept 2016 Guest Skeptic: Dr. Chris Bond. Chris 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...

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SGEM#160: Oh Baby, You’re Too Sensitive – High Sensitivity Troponin

Posted by on Sep 12, 2016 in Cardiac, Featured, Podcasts | 25 comments

Podcast Link: SGEM160 Date: September 8th, 2016 Reference: Body et al. The use of very low concentrations of high sensitivity troponin T to rule out acute myocardial infarction using a single blood test. AEM Sept 2016. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the director of simulation education at Markham Stouffville Hospital in Ontario. He is the author of the excellent #FOAMed blog called First10EM.com and is an associate editor of Emergency Medicine Cases. This is a SGEM Hot...

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SGEM Xtra: Freeze Frame – Paper in a Pic

Posted by on Sep 4, 2016 in Featured, Podcasts | 0 comments

Podcast Link: SGEM Xtra PaperinaPic Date: September 1st, 2016 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did Medical School at Manchester, with a History of Medicine BSc at the same time. Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield. This is an SGEM Xtra summer content episode. But don’t panic we will be back later this month...

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SGEM Xtra: Top 10 Emergency Department Tips for Families

Posted by on Jul 17, 2016 in Featured, Pediatrics, Podcasts | 0 comments

Podcast Link: SGEM Xtra Top 10 List Date: July 5th, 2016 Guest Skeptic: Dr. Rodrick Lim. Rod is the Chair for the Pediatric section of the Canadian Association of Emergency Physicians, and the standards lead for the Pediatric section of International Federation for Emergency Medicine. He is an associate professor of Pediatrics at Western University, Schulich School of Medicine. Rod is also the proud father of three children and loves travelling, suffering as a Toronto sports fan and playing hockey badly...

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SGEM#159: Computer Games – Computer Provider Order Entry (CPOE)

Posted by on Jul 10, 2016 in Administration, Featured, Podcasts | 20 comments

Podcast Link: SGEM159 Date: July 5th, 2016 Guest Skeptic: Dr. Chris Bond. Chris 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). Background: Emergency department crowding is a growing issue across Canada. As more tertiary care EDs implement computerized provider order entry...

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SGEM Xtra: RANThony #4 X-rays for Pediatric Constipation

Posted by on Jun 26, 2016 in Featured, GastroIntestinal, Pediatrics, Podcasts | 0 comments

Podcast Link: SGEM Xtra RANThony#4 Date: June 26th, 2016 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. He is known on YouTube for his RANThony‘s. These are short rants on pediatric topics. They were inspired by the rants done by the great Canadian comedian Rick Mercer. Previous topics have included Fever Fear, Cough Medication and Pain Control. Anthony is also the...

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