Pages Navigation Menu

Meet 'em, greet 'em, treat 'em and street 'em

Most Recent Articles

SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument

Posted by on Jul 17, 2018 in Featured, Neurologic, Pediatrics, Podcasts, Trauma | 0 comments

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

Posted by on Jul 13, 2018 in Featured, Podcasts | 0 comments

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

Posted by on Jun 30, 2018 in Featured, Musculoskeletal, Podcasts | 0 comments

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...

Read More

SGEM#223: Haven’t Got Time for the Pain – What about IV Lidocaine?

Posted by on Jun 24, 2018 in Featured, Podcasts | 0 comments

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...

Read More

SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway

Posted by on Jun 16, 2018 in Cardiac, Featured, Podcasts | 0 comments

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

Posted by on Jun 9, 2018 in Featured, GastroIntestinal, Podcasts | 0 comments

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

Posted by on Jun 2, 2018 in Featured, Podcasts, Psychiatric | 0 comments

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...

Read More

SGEM#220: Acupuncture vs. Morphine for Renal Colic

Posted by on May 26, 2018 in Featured, Genitourinary, Podcasts | 0 comments

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...

Read More

SGEM#219: Shout, Shout, PERC Rule Them Out

Posted by on May 19, 2018 in Cardiac, Featured, Podcasts, Pulmonary | 0 comments

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...

Read More

SGEM#218: Excited Delirium Syndrome

Posted by on May 12, 2018 in Featured, Neurologic, Pharmacology/Toxicology, Podcasts, Psychiatric | 0 comments

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....

Read More

SGEM#217: The Batman Effect on Improving Perseverance

Posted by on May 5, 2018 in Featured, Podcasts, Psychiatric | 0 comments

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...

Read More

SGEM Xtra: Petition to Retire the Surviving Sepsis Campaign Guidelines

Posted by on May 2, 2018 in Featured, Infectious, Podcasts | 0 comments

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...

Read More