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SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid

Posted by on Jan 20, 2018 in Featured, Infectious, Pharmacology/Toxicology, Podcasts, Pulmonary | 5 comments

Podcast Link: SGEM203 Date: January 15th, 2018 Reference: Sadeghirad B, et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, and is a part of the ALiEM Capsules Team.  Case: 50-year-old man presents with a one day history of sore throat, cough and low-grade fever. He is otherwise healthy with only sports related injuries. The ibuprofen did not help and he is requesting antibiotics so he can get back to work sooner. Background: Patients present commonly to their primary care providers (PCPs) and to the emergency department (ED) with complaints of a sore throat. In the US, adults accounted for 6.6 million visits...

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SGEM#202: Lidocaine for Renal Colic?

Posted by on Jan 14, 2018 in Featured, Genitourinary, Podcasts | 10 comments

Podcast Link: SGEM202 Lidocaine Date: January 9th, 2018 Reference: Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Dr. Rachel Littlefield is a PGY2 in Emergency Medicine at the University of Arkansas. Knowledge Translation Window: A short note to point out that this paper was not published in the last year. However, it is less than ten years old so we are cutting the KT window down to less than ten years. It was selected because there has been a number of people on Facebook and Twitter talking about using lidocaine to treat renal colic. Of course we were skeptical and wanted to review the evidence. Case: A 45-year-old male presents to the emergency department with...

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SGEM#201: It’s in the Way That You Use It – Ottawa SAH Tool

Posted by on Jan 7, 2018 in Featured, Neurologic, Podcasts | 8 comments

Podcast Link: SGEM201 SAH Date: December 19th, 2017 Reference: Perry J et al. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. Case:  A 35-year-old female presents to your emergency department three-hours after the onset of a severe frontal headache.  She describes the headache as throbbing, left retro-orbital, and associated with nausea but no vomiting.  As a teenager, she had a history of frequent migraine headaches, but she cannot recall any migraine for at least ten years. The headache developed over an hour while at her desk job and was not associated with loss of consciousness, neck pain, fevers, or neurological deficits. Your physical exam is normal. Last week, your colleague missed...

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SGEM Xtra: I Am Woman

Posted by on Dec 29, 2017 in Featured, Holiday, Podcasts | 1 comment

Podcast Link: SGEM Xtra I Am Woman Date: December 28th, 2017 This is a special year end episode of the SGEM. It is time to reflect upon 2017 while at the same time look forward to 2018. It has been an incredible year for a number of reasons. We had some fantastic papers to review, excellent guest skeptics and super SGEM Xtras. I am very energized to keep the momentum rolling for this knowledge translation project in 2018. From my perspective, 2017 was the year of Females in Emergency Medicine (FeminEM). This  SGEM Xtra episode is a way to recognized some of the amazing women whose voices are changing the world of emergency medicine. The theme music is by Helen Reddy called I am Woman (1975). Anyone who listens to the SGEM knows my favorite number is five. I tried so...

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SGEM Xtra: Every Day I Write the Book – SGEM Season#3

Posted by on Dec 25, 2017 in Featured, Holiday, Podcasts | 1 comment

Podcast Link: SGEM Xtra Season#3 Date: December 25th, 2017 Happy holidays to all the SGEMers. Please accept this PDF book of Season#3. It is a holiday gift from me to you to say thank you for all the support and encouragement over the last few years. There are now close to 35,000 subscribers and the SGEM is translated into four other languages. Who would have thought back in 2012 that an emergency medicine  physician from Canada could reach so many people around the world? The goal of the SGEM continues to be to cut the knowledge translation 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 the information using the power of social media. We want patients to get the best care based...

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