SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument
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...
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SGEM Xtra: SGEM Season#4 Book
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...
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SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That
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 your emergency department with seven hours of gradual onset lower back pain that feels identical to prior flares of his chronic lower back pain. He’s been previously worked up by his primary physician and found to not have a concerning cause of his pain. During your encounter, he asks if there’s anything he can do for his pain that won’t...
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SGEM#223: Haven’t Got Time for the Pain – What about IV Lidocaine?
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 (Rochester, Minnesota). Case: A 42-year-old man presents to the emergency department (ED) with chief complaint of severe right flank pain that radiates to his groin of three hours duration. The patient also reports nausea, increase in frequency of urination and blood in his urine. He is writhing in pain and on physical examination he was noted to have a severe right flank...
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SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway
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 evening, presents to your emergency department with palpitations. “I’ve had atrial fibrillation a number of time before. Usually they just shock me and send me home.” Local practice is usually to treat rapid atrial fibrillation with a calcium channel blocker infusion and admit to hospital. As the conversation progresses, you wonder whether it might be safe to discharge some atrial fibrillation...
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