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Make it So: BEEM Appraisal Tools

Posted by on Mar 5, 2014 in Featured | 3 comments

The Skeptics’ Guide to Emergency Medicine has been very successful in a short period of time due to the power of social media. People like you reading the blog, listening to the podcast on iTunes, following on Twitter, liking on Facebook and sharing the content. Many of you have asked for the BEEM Appraisal Tools used to critically assess the literature. As you know, BEEM was started by Dr. Andrew Worster of McMaster University. Dr. Worster developed a very unique system of creating high quality, clinically relevant and evidence based content. Check out the YouTube video on the BEEM process. The process starts by electronically searching the vast literature published daily using the Health Information Research Unit to find practice-changing emergency medicine papers. End users (Emergency Physicians around the world) are then engaged on a monthly basis to assess the relevance of these...

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SGEM#169: Stuck in the Middle with Food (Glucagon for Esophageal Foreign Body Impaction)

Posted by on Feb 5, 2017 in Featured, GastroIntestinal, Podcasts | 3 comments

Podcast Link: SGEM169 Date: February 2nd, 2017 Reference: Bodkin et al. Effectiveness of glucagon in relieving esophageal foreign body impaction: a multicenter study. AJEM June of 2016 Guest Skeptic: : Meghan Groth (@EMpharmGirl) is an emergency medicine pharmacist. She has contributed to the Academic Life in Emergency Medicine (AliEM) and Emergency Medicine PharmD blogs, and is a member of the ALiEMU Capsules team. Case: It’s the day after St. Patrick’s Day, and you have a 28-year-old man that presents to the emergency department with difficulty swallowing. He was enjoying a feast of corned beef and cabbage several hours prior to arrival when he said it felt like “something got stuck” in his throat. He does have a history of esophageal strictures, and this has happened to him before but he thought if he washed the food down with enough Guinness he wouldn’t have...

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SGEM#153: Simulation for Ultrasound Education

Posted by on May 8, 2016 in Featured, Podcasts | 17 comments

Podcast Link: SGEM153 Date: May 2nd, 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 highlight 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: An emergency medicine resident in your institution has learned some basics of ultrasound training, but feels uncomfortable performing ultrasound in a crashing patient. They come to ask you how they can learn to use their ultrasound skills in critically ill patients, other than doing it in real time. Background: Point of care ultrasound (PoCUS) can be broken down into two main categories – diagnostic applications and procedural applications. There are simulators and trainers for both types. Diagnostic Applications: When...

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SGEM#125: I’m So Excited

Posted by on Jun 21, 2015 in Conferences, Featured, Podcasts | 2 comments

Podcast Link: SGEM125 Date: June 20th, 2015 The goal of the Skeptics’ Guide to Emergency Medicine (SGEM) is to shorten the knowledge translation window from over ten years down to less than one year. It accomplishes this by doing a critical appraisal of a recently published article using the Best Evidence in Emergency Medicine (BEEM) process. BEEM has the only validated audience rating tool in emergency medicine and to the best of my knowledge, the only known measure of clinical relevance. The SGEM consists of a weekly podcast available for free on iTunes and a blog. It is also tied into a Facebook page, active Twitter feed and YouTube Chanel. This is an SGEM Xtra. This week I will not be doing a structured critical review; instead I will be discussing two very exciting things happening with the SGEM. SGEM Season 2 Book:...

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SGEM#124: Ultrasound for Skull Fractures – Little Bones

Posted by on Jun 14, 2015 in Featured, Musculoskeletal, Neurologic, Pediatrics, Podcasts, Trauma | 2 comments

Podcast Link: SGEM124 Little Bones Date: June 11th, 2015 Guest Skeptic: Dr. Greg Hall. Greg is Director of EM Ultrasound at the Brantford General Hospital in Brantford Ontario and Assistant Clinical Professor at McMaster University.  He is Vice President of the Canadian Emergency Ultrasound Society, co-author of Point-of-care Ultrasound for Emergency Physicians, co-creator of the EDE 2 Course: Advanced Emergency Department Echo, and director of the EDE 3 Course, a leading edge POCUS workshop. Case: An 18 month old male presents to your small emergency department having a witnessed fall off a couch and hit his head on a hardwood floor.  He threw up once and cried immediately at the scene.  There was no loss of consciousness. The parents are concerned about a serious head injury, particularly with the large hematoma, but understandably are not thrilled with the idea of the...

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SGEM#119: B-Lines (Diagnosing Acute Heart Failure with Ultrasound)

Posted by on May 10, 2015 in Featured, Podcasts, Pulmonary | 19 comments

Podcast Link: SGEM119 Date: April 14th, 2015 Guest Skeptics: Dr. Alan Chiem. Alan is an assistant clinical professor and the director of ultrasound at UCLA Olive View. Case: 78 year old man with a history of diabetes, hypertension and coronary artery disease presents with a two day history of increasing shortness of breath. He does not have any chest pain or fever. You have been doing more and more with ultrasound and wonder whether you can make the diagnosis of acute pulmonary edema before getting the standard CXR, ECG and lab tests. Background: Acute heart failure is a condition where the heart cannot pump well enough to meet the demands of the body. It can be due to a number of different causes including: myocardial infarction, arrhythmias, valvular dysfunction, pneumonia, uncontrolled hypertension, anemia, hyperthyroidism and many other causes. The diagnosis of...

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SGEM#114: Ketofol – Does It Take Two to Make a Procedure Go Right?

Posted by on Apr 5, 2015 in Featured, Podcasts | 3 comments

Podcast Link: SGEM114 Date: March 25th, 2015 Guest Skeptics: Dr. Steve Carroll. Steve is an Emergency Medicine Physician and EM Core Faculty with the US Army at San Antonio Military Medical Center in San Antonio, Texas. He also does an awesome podcast called EM Basic that is your “boot camp guide to emergency medicine”. EM Basic reviews common EM topics at the level of a medical student or intern. Case: A 40-year-old male comes to the Emergency Department with a dislocated shoulder while playing football. He’s a weekend warrior and has never had any shoulder dislocations in the past. It took him about an hour to get the Emergency Department. After some pain control, you try the Cunningham and scapular manipulation to get the shoulder back in but they are not working. You decide that he needs procedural sedation. One of...

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SMACC Chicago Cup Song

Posted by on Dec 17, 2014 in Conferences, Featured | 1 comment

The Social Medial and Critical Care (SMACC) conference came out of the Free Open Access to Medical Education (FOAMed) movement.  FOAM stands for free medical education for anyone, anywhere at anytime. It’s one objective is to make the world a better place. “FOAM should not be seen as a teaching philosophy or strategy, but rather as a globally accessible crowd-sourced educational adjunct. It provides inline (contextual) and offline (asynchronous) content to augment traditional educational principles.” There have been two hugely successful SMACC meetings in Australia.  This is in part because of the engaging, entertaining and inspiring speakers from around the world. It is also due to the fantastic community of doctors, nurses, paramedics, pharmacists and physician assistants passionate about emergency medicine and critical care. This year the organizers are bringing SMACC to Chicago June 23rd to 26th. Check out the registration brochure for all...

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SGEM#98: Don’t Stand So Close to Me (You have the flu)

Posted by on Dec 14, 2014 in Featured, Infectious, Pulmonary | 0 comments

Podcast Link: SGEM98 Flu Date: December 13th, 2014 Guest Skeptic: Marcus Prescott is a nurse from Norway. He works at the Trondheim University Hospital. His college thesis was called “Barriers and Facilitators to the implementation of evidence based practice among RNs in specialist health care”. Marcus is also a proud member of the Norwegian Skeptics’ Society and runs their Skeptics in the Pub events. Case: 25 year-old nurse with no significant past medical history presents to the emergency department with a 48 hour history of aching all over, fever and cough. He did not get a flu shot this year. You diagnose him with a flu like illness and provide him with advice on management and set expectations. However, before leaving the emergency department he wants to know if taking one of those flu drugs he sees on the television will help?...

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SGEM Season#1 Theme Music

Posted by on Nov 5, 2014 in Featured | 0 comments

Regular listeners to the Skeptics’ Guide to Emergency Medicine know what an important part the theme music plays in the podcast. Marshall McLuhan was a well known Canadian Professor of Communication theory at the University of Toronto.  He has a famous quote saying that “the medium is the message”. I like this quote and have used it often to refer to my social medial/knowledge translation project. However, this is my favourite Marshall McLuhan quote: “Anyone who tries to make a distinction between education and entertainment doesn’t know the first thing about either.” I am often asked which comes first, the article or the theme music? Let me assure everyone that it is about the literature. After the paper has been selected I look to that rich era of music the 1980’s. Only then do I try to find a song...

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