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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 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 super stars in our field via social media. The format of the show will be similar. We will start by finding out some a non-medical thing about the legend: What song they picked as their music for the episode and why?  Then we will tell the back story of how we first met. The more formal part of the episode asks the legend five questions. Listen to the podcast on iTunes to hear their responses. Five Questions for Diane: What is the biggest positive change you have seen in emergency medicine over your career? What is the biggest negative change you have seen in emergency medicine over your career? What contribution to...

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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 involved in an motor vehicle collision (MVC), and you pulled up the app to review the Canadian CT Head Injury Rule with your resident. The second patient is an elderly woman presenting via EMS after a ground level fall in c-spine precautions. This time, you review the NEXUS Criteria for c-spine imaging with your resident. The third patient just got off a long flight and is short of breath. Once again, you find yourself on MDCalc, this time teaching the Well’s Criteria for pulmonary embolism and the PERC Rule. Your resident is very grateful for all the teaching, but asks, “we seem to spend a lot of time looking up decision instruments. Wouldn’t it be easier if these tools were just part of the electronic health record (EHR), since we are already inputting all the patient data...

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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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SGEM#184: We Weren’t Born to Follow-Up – The PEITHO Long-Term Follow-up Study

Posted by on Jul 2, 2017 in Cardiac, Featured, Hematologic, Podcasts, Pulmonary | 1 comment

Podcast Link: SGEM184 Date: June 21st, 2017 Reference: Konstantinides et al. Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did her 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. Kirsty is also...

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SGEM#183: Don’t RINSE, Don’t Repeat

Posted by on Jun 25, 2017 in Cardiac, Featured, Neurologic, Podcasts | 2 comments

Podcast Link: SGEM183 Date: June 20th, 2017 Reference: Bernard et al. Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Circulation 2016. Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London.  His background includes working as a Research Assistant with the Ottawa Hospital Research Institute, Professor at Fanshawe College and currently, Superintendent of Education for Middlesex-London EMS, in London, Ontario, Canada. Case:...

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SGEM Xtra: FeminEM – Stronger Together

Posted by on Jun 21, 2017 in Conferences, Featured, Podcasts | 1 comment

Podcast Link: SGEM Xtra FeminEM Date: June 20th, 2017 Guest Skeptic: Dr. Dara Kass is an Emergency Physician, mother of three, wife of one and champion for the evolution of women in medicine. She is also the Editor in Chief of FeminEM (Females in Emergency Medicine). 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 10 years to less than one...

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SGEM Xtra: IAEMC 2017 #Puravida

Posted by on Jun 14, 2017 in Conferences, Featured, Podcasts | 0 comments

Date: June 14th, 2017 I had the pleasure of presenting at the Intra America Emergency Medicine Conference (#IAEMC17) held in Costa Rica last month. Thank you to Dr. Manrique Umana for inviting me and the conference organizers for putting on such an amazing  and educational event. I had a fantastic time meeting so many wonderful people from South, Central and North America. I gave two talks during the conference and promised that all the material would be available for free as part of the FOAMed movement....

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SGEM#182: Platelet Transfusions for Intracerebral Hemorrhage (PATCH) – Don’t Do It.

Posted by on Jun 11, 2017 in Featured, Hematologic, Neurologic, Podcasts | 3 comments

Podcast Link: SGEM182 Date: June 5th, 2017 Reference: Baharoglu et al. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. Lancet 2016. Guest Skeptic: Dr. Robert Edmonds is an Emergency Medicine staff physician in Newport News, VA and a recent graduate of the University of Missouri-Kansas City EM residency. DISCLAIMER – The views and opinions of this podcast/blog do not reflect the views and opinions of the US...

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SGEM#181: Did You Ever Have to Make Up Your Mind, Pan Scan or Leave Other Scans Behind?

Posted by on Jun 4, 2017 in Featured, Podcasts, Trauma | 6 comments

Podcast Link: SGEM181 Date: June 3rd, 2017 Reference: Sierink et al. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet August 2016. Guest Skeptic: Dr. Marcel Emond is an Associate Professor, Laval University, Emergency Physician at the Level 1 Trauma Center of the CHU de Québec, a Senior Clinician-Scientist, Chair of CAEP Trauma and Injury prevention committee, BEEM faculty member and the host of SGEM Global French. Case: A...

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SGEM#180: The First Cut is the Deepest – N.O.T. for Paediatric Appendicitis

Posted by on May 28, 2017 in Featured, Pediatrics, Podcasts | 3 comments

Podcast Link: SGEM180 Date: May 24th, 2017 Reference: Georgiou et al. Efficacy and Safety of Nonoperative Treatment for Acute Appendicitis: A Meta-analysis. Pediatrics 2017. Guest Skeptic: Dr. Ross Fisher is a Paediatric Surgeon in Sheffield, England. When he is not waxing lyrical about presentation skills (P Cubed) over at ffolliet.com, giving the Greatest Presentation in the World at SMACC or expounding his views on paediatric trauma management he can be found at Sheffield Children’s Hospital principally dealing with surgical oncology, vascular access and all...

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SGEM#179: Chase the Dragon and Naloxone

Posted by on May 21, 2017 in Featured, Pharmacology/Toxicology, Podcasts, Pulmonary | 3 comments

Podcast Link: SGEM179 Date: May 19th, 2017 Reference: Willman et al. Do heroin overdose patients require observation after receiving naloxone? Clinical Toxicology 2017. Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. He is also the host of EMToxCast and gave a talk at the Association of Academic Chairs of Emergency Medicine Annual Retreat called: Can Social Media Save Emergency Medicine? Case: A 45-year-old male arrives via emergency medical services (EMS) complaining that he wants to be discharged....

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SGEM#178: Mindfulness – It’s not Better to Burnout than it is to Rust

Posted by on May 14, 2017 in Featured, Podcasts, Psychiatric | 5 comments

Podcast Link: SGEM178 Date: May 12th, 2017 Reference: Ireland et al. A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners. Medical Teacher 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. Case: A resident comes to you looking for advice. He is having trouble feeling tired, short-tempered and it is affecting his work...

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