SGEM#185: Every EHR Wants to “Rule” the World
Podcast Link: SGEM185 Date: July 11th, 2017 Reference: Bookman K et al. Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. AEM July 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 are working a very busy shift in the emergency department. Your first patient was involved in an motor vehicle collision (MVC), and you pulled up the app to review the Canadian CT Head Injury Rule with your resident. The second patient is an elderly woman presenting via EMS after a ground level fall in c-spine precautions. This time, you review the NEXUS Criteria for c-spine imaging with your resident. The third patient just got off a...
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SGEM Xtra: Andrew Worster – Legend of Emergency Medicine
Podcast Link: SGEM Xtra Andrew Worster Date: May 30th, 2017 Guest Skeptic: Dr. Andrew Worster. Andrew is a Professor of Emergency Medicine at McMaster University, home of evidence based medicine (EBM), Associate Member of Department of Health Research Methods, Evidence and Impact, creator of the Best Evidence in Emergency Medicine (BEEM) and my EBM mentor. Legends of Emergency Medicine: This is a new summer series of SGEM Xtras called Legends of Emergency Medicine. These episodes will highlight some of the pioneers and leaders of our specialty. I hope 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 will...
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SGEM#184: We Weren’t Born to Follow-Up – The PEITHO Long-Term Follow-up Study
Podcast Link: SGEM184 Date: June 21st, 2017 Reference: Konstantinides et al. Impact of Thrombolytic Therapy on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did her Medical School at Manchester, with a History of Medicine BSc at the same time. Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield. Kirsty is also the creator of a knowledge translation project called #PaperinaPic. Case: A 22-year-old patient presents to the emergency department with sudden onset shortness of breath. She takes the oral contraceptive pill and was placed in a below-knee plaster cast for a fibula fracture 2 weeks ago. She is alert and talking, with a systolic blood pressure of 110 mmHg, but CTPA...
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SGEM#183: Don’t RINSE, Don’t Repeat
Podcast Link: SGEM183 Date: June 20th, 2017 Reference: Bernard et al. Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline The RINSE Trial (Rapid Infusion of Cold Normal Saline). Circulation 2016. Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London. His background includes working as a Research Assistant with the Ottawa Hospital Research Institute, Professor at Fanshawe College and currently, Superintendent of Education for Middlesex-London EMS, in London, Ontario, Canada. Case: A 71-year-old woman has a witnessed arrest while watching her granddaughter’s soccer game. By-standard CPR is started and EMS is called. They arrive quickly and take over the resuscitation. She is not in a shockable rhythm. They continue CPR, get intravenous access, give a round of epinephrine and then wonder if they should start rapid cooling en-route to the hospital...
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SGEM Xtra: FeminEM – Stronger Together
Podcast Link: SGEM Xtra FeminEM Date: June 20th, 2017 Guest Skeptic: Dr. Dara Kass is an Emergency Physician, mother of three, wife of one and champion for the evolution of women in medicine. She is also the Editor in Chief of FeminEM (Females in Emergency Medicine). 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 10 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. Five Questions about FeminEM Why FeminEM? What is FeminEM? What is your Story? What is FIX2017? What are the Ultimate Goals of FeminEM? Listen to the podcast on iTunes to hear Dr. Dara Kass discuss these questions with...
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SGEM Xtra: IAEMC 2017 #Puravida
Date: June 14th, 2017 I had the pleasure of presenting at the Intra America Emergency Medicine Conference (#IAEMC17) held in Costa Rica last month. Thank you to Dr. Manrique Umana for inviting me and the conference organizers for putting on such an amazing and educational event. I had a fantastic time meeting so many wonderful people from South, Central and North America. I gave two talks during the conference and promised that all the material would be available for free as part of the FOAMed movement. Talk I: Knowledge Translation in the Digital Age The first talk was on knowledge translation (KT) in the digital age. It has been said that it can take 17 years for 14% of research to reach the patients’ bedside (Morris et al 2011). A number of examples of the KT problem were provided. The Pathman Leaky Pipe Model was used to illustrate...
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