SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema
Podcast Link: SGEM188 Date: September 12th, 2017 Reference: Sinert et al. Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema. J Allergy Clin Immunol Pract 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The Teaching Course, EMRAP and CoreEM. Case: As you walk in to your shift, the nurses grab you and bring you in to bed four where a patient has just presented with tongue swelling. In the room is a 53-year-old woman who, though, not in any particular distress, has got a swollen tongue and lower lip. After a bit of history, you find out that she is taking lisinopril and you determine that this is likely angiotensin converting enzyme inhibitor (ACE-I) induced angioedema. The patient’s swelling...
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SGEM Xtra: Stronger – Esther Choo
Podcast Link: SGEM Xtra Esther Choo Date: September 11th, 2017 Guest Skeptic: Dr. Esther Choo is an emergency physician and researcher who studies health disparities, substance use disorders, and gender bias. She obtained her MD from Yale University, did her clinical training at Yale-New Haven Hospital and Boston Medical Center, and completed a health services research fellowship at Oregon Health & Sciences University. 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 ten years to less than one year using the power of social media. The next episode of the SGEM will be a formal critical appraisal of a recent publication. Esther recently sent shockwaves through the twitterverse with a series of tweets after the incident in Charlottesville. I reached out to Esther...
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SGEM#187: Pin Cushion – Acupuncture in the Emergency Department
Podcast Link: SGEM187a Date: September 7th, 2017 Reference: Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. MJA 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, an Assistant Clinical Professor of Emergency Medicine and an Active Researcher. In addition, Dr. Sacchetti is one of the few individuals to have lectured on the same panel with Dr. Milne and survived with his sanity and reputation intact. Case: A 41-year-old man presents to the emergency department with an acute onset of back pain. He was putting some groceries into the car and felt something pull in his lower back. He has no “red flags” on your history and physical examination. He is worried about...
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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation
Podcast Link: SGEM186 Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). AEM 2017. Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. He writes an excellent blog called EM Nerd, which he describes as nihilistic ramblings. Case: A 68-year-old female presents with shortness of breath. She has experienced fever, chills and a productive cough worsening over the past five days. Chest X-ray demonstrated bilateral infiltrates consistent with multifocal pneumonia. Over her emergency department course the patients starts to decompensate despite high-flow nasal cannula and broad-spectrum antibiotics. The decision is made to intubate the patient. The question arises whether apneic oxygenation should be used during the rapid sequence intubation. Background: Much...
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SGEM Xtra: Richard Bukata – Legend of Emergency Medicine
Podcast Link: SGEM Xtra Richard Bukata Date: August 26th, 2017 Guest Skeptic: Dr. Richard Bukata is the Medical Director, The Center for Medical Education, Inc. Started Emergency Medical Abstracts in 1977. A Clinical Professor of Emergency Medicine, Los Angeles County / USC Medical Center, Los Angeles, California. Legends of Emergency Medicine: This is the final episode of the summer SGEM Xtra series called Legends of Emergency Medicine. These episodes were designed to highlight some of the pioneers and leaders of our specialty. The hope is that 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...
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