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SGEM#130: Low Dose Ketamine for Acute Pain Control in the Emergency Department

Posted by on Oct 4, 2015 in Featured, Musculoskeletal, Podcasts | 0 comments

Podcast Link: SGEM130 Date: September 22nd, 2015 Guest Skeptics: Dr. Marcel Emond. Marcel is an Associate professor, Laval University. Emergency physician the level one trauma centre in Quebec City. Research Director of the Canadian Emergency Team Initiative (CETI). Marcel is also the lead for SGEM Global French. If you are interested in evidence based medicine, shortening the KT window down to less than one year, speak another language and always wanted to podcast then contact me at with global in the subject line to discuss joining the SGEM Global Team. Case: A 48 year old man presents to the emergency department with acute lumbar pain after trying to lift a heavy garbage can. He says his pain is ten out of ten despite taking ibuprofen. He does not have any “red flags” and you are considering how to safely and effectively address his...

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SGEM#129: That Chest Tube…She’s a Beauty

Posted by on Sep 27, 2015 in Featured, Podcasts, Pulmonary, Trauma | 3 comments

Podcast Link: SGEM129 Date: August 14th, 2015 Guest Skeptics: Dr. Rick Malthaner is the Director of Thoracic Surgery Research, Professor of Surgery, Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry, Western University, Canada. Case: A 25 year old female was allegedly stabbed while standing on the corner minding her own business. She was found unconscious (Glasgow Coma Scale 7) and was intubated by the EMS. On arrival in your emergency department, the vitals are stable, but there is decreased air entry on the right side. You skillfully insert a right chest tube and get back 100 ml of blood. You review the post insertion chest tube x-ray and are somewhat disappointed by the position of your tube. It is hitting the mediastinum and curling back on itself and there is persistent white-out on the right. Background: The “B” of...

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SGEM#128: One Hour AMI Rule Out/Rule In (Harder, Better, Faster?)

Posted by on Sep 20, 2015 in Cardiac, Featured, Podcasts | 0 comments

Podcast Link: SGEM128 Date: September 10th, 2015 Guest Skeptic: Daniel McCollum. Daniel is an Assistant Residency Director at Georgia Regents University in beautiful Augusta, GA. He loves craft beer, evidence based medicine, and Batman.  Case: A 53 year-old man presents with left sided chest pain that started 90 minutes ago. The pain radiates to his left arm and he has nausea without vomiting. The pain began while he was doing yard work and he has never had pain like this before. His initial ECG is unremarkable. Background: Only about 5% of all consecutive patients presenting with acute chest pain will have a ST elevated myocardial infarction (STEMI) (Apple et al). These are the easy ones to diagnose and manage. This leaves the other 95% of chest pain patients. These are the hard ones. We need to figure out who will rule-in vs. rule-out...

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SGEM#127: Suspicious Minds vs. Clinical Prediction Rule in Children with Trauma

Posted by on Sep 13, 2015 in Featured, Pediatrics, Podcasts, Trauma | 12 comments

Podcast Link: SGEM127 Date: September 8th, 2015 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. I often refer to him as a PedsEM Super Hero but the SGEMers probably know him for his RANThony’s on YouTube. Season#3 finished with an SGEM#126 Hot Off the Press featuring Dr. Jeff Kline discussing outpatient management of venous thromboembolism. We are going to kick off Season#4 with another SGEM HOP from Academic Emergency Medicine. SGEM Hot Off the Press Process: We select a paper that has been accepted by the editors at Academic Emergency Medicine that is about to be published. The SGEM then put a skeptical eye upon the manuscript using a modified BEEM critical appraisal tool. One of the authors is then invited...

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SGEM Global

Posted by on Sep 9, 2015 in Conferences, Featured, Podcasts | 1 comment

Podcast Link: SGEM Global Date: September 8th, 2015 Today was the first day back to school for my children so what better time to launch Season#4 of the SGEM. We had a great summer that included white water rafting on the Ottawa river, a visit to Niagara Falls, catching a Toronto Blue Jays game, watching a few outdoor movies, a trip to Halifax and many more adventures. I hope all the SGEMers had some great time off  with family and friends. Listeners know that the goal of the SGEM is to cut the knowledge translation window down from over ten years to less than one year. We use social media to accomplish this goal. Today I have one of the most exciting announcements ever made on the SGEM. It has been hinted about in past episodes but today is the...

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SGEM Xtra: Dr. Chris Bond CAEP2015

Posted by on Aug 30, 2015 in Conferences, Featured, Podcasts | 1 comment

Podcast Link: SGEM Xtra Chris Bond Date: August 26th, 2015 This will be the last of the SGEM Xtra summer content. The next episode will launch Season#4 with a super big announcement. Very excited about the new initiative and I think it will take the SGEM to the next level of knowledge translation. The goal is always to cut that KT window down from over ten years to less than one year. This new initiative will accomplish this on a global level. We have hinted about this special project before on the SGEM.  I even promised Chris Carpenter it would knock his socks off. Many more of you may not be wearing socks after hearing the announcement. In fact, once you have heard about the super big SGEM surprise, tweet me pictures of you without socks. Until then enjoy the fourth of the...

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