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SGEM#154: Here I Go Again, Kidney Stone

Posted by on May 15, 2016 in Featured, Genitourinary, Podcasts | 4 comments

Podcast Link: SGEM154 Date: May 12th, 2016 Guest Skeptics: Dr. Tony Seupaul and Dr. Marc Phan. Tony is the Chairman of the Department of Emergency Medicine, University of Arkansas. Marc is a PGY-3 resident in the Emergency Medicine program at the University of Arkansas. Case: 48 year old man presents to the emergency department complaining of right flank pain radiating to his groin. He states the pain comes in “waves,” and he has associated nausea without vomiting. On exam, he is afebrile and appears very uncomfortable while grabbing his right flank. Background: We have covered renal colic a number of times on the SGEM. The last time it was a systematic review on tamsulosin from 2012. The SGEM Bottom Line from that episode was: “Tamsulosin is useless in most ED patients with ureteral colic unless their stone size exceeds at least 4mm.”...

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SGEM#153: Simulation for Ultrasound Education

Posted by on May 8, 2016 in Featured, Podcasts | 16 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#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA

Posted by on Apr 24, 2016 in Cardiac, Featured, Podcasts | 11 comments

Podcast Link: SGEM152OHCA Date: April 22nd, 2016 Guest Skeptic: Jay Loosley. Jay is a Registered Nurse, Paramedic and Research Assistant. He was a Professor at Fanshawe College but is currently the Superintendent of Education for Middlesex-London Emergency Medical Services. Case: A 43 male patient calls with chest pain from 14th floor of a downtown high-rise apartment building. After the 911 dispatcher gets the address and details of the chest pain, the patient stops responding and the dispatcher can hear no voice. The paramedic response time is 4 minutes with lights and sirens to the apartment. The paramedics enter the controlled access area and buzz the apartment number. Of course the patient doesn’t answer because he is vital signs absent. The paramedics look on the control panel for a building superintendent, and attempt to buzz them. Of course he isn’t in his...

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SGEM#151: Groove is in the HEART Pathway

Posted by on Apr 17, 2016 in Cardiac, Featured, Podcasts | 6 comments

Podcast Link: SGEM151 Date: April 10th, 2016 Guest Skeptic: Dr. Salim Rezaie. Salim is an Associate Clinical Professor of Emergency Medicine Internal Medicine University of Texas Health Science Center at San Antonio and the creator/founder of REBEL EM @srrezaie. Salim is also part of The Teaching Course. Case: A 40 year-old male arrives to the emergency department via EMS with substernal chest pain that has lasted for three days without any relief. He denies shortness of breath, radiation, nausea/vomiting, diaphoresis, or palpitations. He has no past medical history, does not smoke, but states his father died of a myocardial infarction at the age of 70, which is why this chest pain concerned him. He runs four times a week without any difficulty, but has had some increased stress at his work place. Your evaluation in the emergency department shows an ECG with...

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SGEMXtra: Enter the METRIQ

Posted by on Apr 3, 2016 in Featured, Podcasts | 0 comments

Podcast Link: SGEMXtra METRIQ Date: March 23rd, 2016 Guest Skeptic: Dr. Brent Thoma. Brent is an emergency physician, trauma team leader, Clinical Assistant Professor and the Director of EM research at the University of Saskatoon in Saskatchewan. As of July 1st, he will become the EM Program Director. Brent was last on SGEM#56: BEEM Me Up (Impact Factor in the Age of Social Media). He was discussing the new idea of social media, impact factor and medical education with Dr. Chris Carpenter. Chris had just published a new study in AEM looking at how the BEEM rater score correlated with traditional journal impact metrics. This is a SGEMXtra so there will be no critical review. We will instead be discussing the following three things: Healthy Skepticism Free Open Access to Medical Education (FOAMed) METRIQ Study. Healthy Skepticism: People often think skeptics are close...

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