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SGEM#200: Dr. Alexander Hamilton and Bloodletting for Camp Fever

Posted by on Dec 23, 2017 in Featured, Holiday, Infectious, Podcasts | 1 comment

Podcast Link: SGEM200 Date: December 19th, 2017 Reference: Lesassier Hamilton A. Dissertatio Medica lnauguralis De Synocho Castrensi [Inaugural medical dissertation on camp fever]. Edinburgh: J Ballantyne, 1816. Guest Skeptic: Dr. Robert Leeper is an assistant professor of surgery at Western University and the London Health Sciences Centre.  His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. This is the 200th episode of the SGEM and it is the 2017 holiday edition. The idea for this episode came after seeing a twitter photo on Halloween of Dr. Leeper (@Rob_Leeper) doing rounds dressed up as Alexander Hamilton. To be clear, Dr. Alexander Lesassier Hamilton was a Scottish physician who lived around the early 1800s. He is a completely different person than one of the founding fathers of the United States. The American Alexander Hamilton family was...

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SGEM#199: Therapeutic Hypothermia – What is it Good For?

Posted by on Dec 17, 2017 in Featured, Neurologic, Podcasts | 4 comments

Podcast Link: SGEM199 Date: November 27th, 2017 Reference: Legriel et al. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. Case: Johnny is a 22-year-old male patient who presents to the emergency department via EMS with a seizure. He is known to have poorly controlled epilepsy. It was a witnessed clonic-tonic seizure that stopped but he did not wake up. The paramedics report another seizure on route to the hospital. He arrives with normal vital signs, normal finger stick blood glucose and a Glasgow Coma Scale of 3. He then has another seizure in the department. You quickly assess him in the resuscitation room, the team attempts...

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SGEM#198: Better Slow Down – Push vs. Short Infusion of Low Dose Ketamine for Pain in the Emergency Department

Posted by on Dec 9, 2017 in Featured, Pharmacology/Toxicology, Podcasts | 5 comments

Podcast Link: SGEM198 Date: November 28th, 2017 Reference: Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. AJEM 2017. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas. He is the founder and creator of REBEL EM and REBEL Cast. Case: A 54-year old female patient with acute back pain comes to your emergency department for her forth visit in seven days for recurring pain.  She was lifting something heavy and felt a“pop” in her back.  She denies bowel or bladder issues, saddle paresthesia, lower extremity weakness, but does feel radicular pain down both of her legs.  She has been given intravenous hydromorphone, diazepam, and ketorolac without relief...

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SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests

Posted by on Dec 3, 2017 in Cardiac, Featured, Podcasts | 10 comments

Podcast Link: SGEM197 Date: November 24th, 2017 Reference: Andersen et al. Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force.  He is currently deployed, practicing emergency medicine in an undisclosed location. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force. Case: You are working a regular shift in the emergency department when you hear a code blue called. You are the first physician to respond and you begin to resuscitate the patient. Your respiratory therapist is adequately ventilating the patient with a bag valve mask, and they ask you if they should prepare to intubate at the pulse and rhythm check. Background: We have talked about out-of-hospital cardiac arrests (OHCA) many times on...

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SGEM#196: Gastroparesis – I Feel Like Throwing Up

Posted by on Nov 26, 2017 in Featured, GastroIntestinal, Podcasts | 13 comments

Podcast Link: SGEM196 Date: November 24th, 2017 Reference: Roldan et al. Trial Comparing Haloperidol Combined With Conventional Therapy to Conventional Therapy Alone in Patients With Symptomatic Gastroparesis. AEM November 2017 Guest Skeptic: Dr. Justin 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 Case: You charge nurse approaches as you finish charting on the trauma patient who was just transferred out. “Mrs. G. is back again, vomiting and screaming in pain. This is the third time this month, and nothing ever seems to help. Is there anything we can do for her?” Mrs. G is a 37-year-old female with gastroparesis secondary to diabetes. You know her well, and none of the usual anti-emetics seem to help her symptoms. While inwardly wishing you worked in...

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