Pages Navigation Menu

Meet 'em, greet 'em, treat 'em and street 'em

SGEM#192: Sometimes, All You Need is the Air that You Breathe

Posted by on Oct 22, 2017 in Cardiac, Featured, Podcasts | 6 comments

Podcast Link: SGEM192 Date: October 19th, 2017 Reference: Hofmann et al. Oxygen Therapy in Suspected Acute Myocardial Infarction. NEJM Sept 2017. Guest Skeptic: Marcus Prescott is a nurse in Norway. He is also now a first-year medical student. Case: A 68-year-old man with a history of hypertension and dyslipidemia develops chest pain while grocery shopping. Emergency medical services are called, arrive quickly and find a man with 7/10 chest pain. His vitals are: heart rate of 72 beats per minute, blood pressure of 150/90, respiratory rate of 14 breaths per minute and oxygen saturation of 93%. The ECG shows an inferior ST-Elevated Myocardial Infarction (STEMI). They give him 180mg of ASA to chew and package him for transportation to the hospital. While preparing to depart, they wonder if they should provide him with supplemental oxygen? Background: Oxygen is a drug and...

Read More

SGEM Xtra: ASMUQ Scientific Conference

Posted by on Oct 18, 2017 in Conferences, Featured, Podcasts | 0 comments

Date: October 18th, 2017 Thank you to the organizing committee for inviting me to Montreal to present at the ASMUQ annual conference. It was wonderful to see existing friends and make a few new friends. The first talk was called The Medical Myth Menace.  It addressed six emergency medicine myths by reviewing six recent publications. For each myth some background information was provided, a specific clinical question was asked, the P.I.C.O. (population, intervention, control/comparison, outcome) was reviewed, key results given, the bottom line stated and how you could apply this information clinically. The presentation had a Star Was theme and started with a video crawler in French. Clink on the thumbnail to watch the movie crawler opening. Thank you to Marcel Emond from SGEM Global French for translating the English into French. The six emergency medicine myths came from six previous SGEM episodes. Here are the...

Read More

SGEM Xtra: SEMAC IX

Posted by on Oct 15, 2017 in Conferences, Featured, Podcasts | 0 comments

Date: October 15th, 2017 I had the privilege to present a plenary talk at the Saskatchewan Emergency Medicine Annual Conference (SEMAC). It was held in the majestic Delta Hotel in Saskatoon. Thank you to Dr. James Stempien, Dr. Paul Olszynski and the organizing committee for inviting me and showing me such hospitality.   The plenary talk was entitled Going On-Line to Meet your Continuing Medical Education (CME) Needs. It tried to answer why we need to go on-line and how to go on-line. Why we go on-line to meet our CME needs is because there is a knowledge translation problem. It can take over ten years for high-quality, clinically relevant information to reach the patients bedside. This is far too long in the age of social media and we want patients to get the best care based on the best evidence. Ultimately we want...

Read More

SGEM#191: No Time for Physio – Roll With It

Posted by on Oct 8, 2017 in Featured, Musculoskeletal, Podcasts | 2 comments

 Podcast Link: SGEM191 Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. He served with the Canadian Forces as a Medical Officer and Flight Surgeon. Steve is currently an Assistant Professor in the Department of Family Medicine at Western University working at the Fowler Clinic and the Roth McFarlane Hand and Upper Limb Centre. Case: A 43-year-old male presents to your local rural emergency department Monday morning after rolling his ankle during his usual weekend pickup basketball game. He is Ottawa Ankle Rule positive but the x-ray shows no fracture.  Background: We have covered the Ottawa Ankle Rules (tools) early in Season#1 (SGEM#3). The...

Read More

SGEM#190: Wee are the Champions of Pediatric Urine Samples

Posted by on Oct 1, 2017 in Featured, Genitourinary, Infectious, Pediatrics, Podcasts | 3 comments

Podcast Link: SGEM190 Date: September 26th, 2017 Reference: Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17. Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney HEMS. She’s been there for the last 18 months working in prehospital and retrieval medicine and then in Emergency Medicine. She is a medical education enthusiast and has been an editor and regular contributor to the St. Emlyn’s blog and podcast since 2012. We appeared on stage at SMACC Chicago doing a parody of Jimmy Fallon’s Tight Pants skit. Case: You are working the afternoon shift in the paediatric emergency department. It has been the usual busy after-school, after-work time. Your shift is...

Read More