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SGEM#195: Some Like It Hot – ED Temperature and ICU Survival

Posted by on Nov 19, 2017 in Featured, Infectious, Podcasts | 1 comment

Podcast Link: SGEM195 Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017. Guest Skeptic: Jesse Spurr works as a Nurse Educator in the Emergency Department at Redcliffe Hospital in Australia. Outside his family and work, Jesse pours energy into his professional hobbies: healthcare simulation podcast Simulcast, nursing practice development blog and podcast Injectable Orange and faculty and team member of The Teaching Coop. Jesse classes himself a lifelong student of teaching, learning, health and human performance. Case: You are working night shift in the emergency department. Two patients present to the front desk in close succession, brought in by concerned family members. Both are similarly hypotensive and tachypnoeic,drowsy but orientated, with hot, reddened and increasingly painful cellulitis. Following the triage sepsis pathway,...

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SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations

Posted by on Nov 12, 2017 in Featured, Pediatrics, Podcasts | 9 comments

Podcast Link: SGEM194 Date: November 9th, 2017 Reference: Cronin JJ et al. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. Ann Emerg Med 2016 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine provider who works at Harlem Hospital Center in New York and Children’s National Medical Center in Washington, DC.  He was Director of Emergency Department Simulation and the Co-Fellowship Director at ST Luke’s-Roosevelt Hospital in New York and is a Best Evidence in Emergency Medicine (BEEM) presenter and author. This episode is based upon a BEEM critical review. Case: A four-year old male who is a known asthmatic presents to the emergency department with an asthma exacerbation. He has been sick with an upper respiratory infection for the last two days. He is getting worse despite his...

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SGEM#193: Stop, In the Name of Love

Posted by on Oct 29, 2017 in Featured, Pediatrics, Podcasts | 3 comments

Podcast Link: SGEM193 Date: October 24th, 2017 Reference: Harrison et al. Sweet Solutions to Reduce Procedural Pain in Neonates: A Meta-analysis. Pediatrics 2017 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. Anthony is also the creator of SketchyEBM. Case: A 12-day old girl presents with fever and is otherwise well. You are planning to begin a full septic workup including some painful procedures including bloodwork.  You wonder whether there is a way to mitigate the painful experience for the child. Background: Painful procedures are common in the neonatal period, including bloodwork, lumbar punctures and bladder catheterization. There is evolving evidence to the long-term neuro-developmental harms associated with pain in the preterm infants (Field T. Infant Behavior and Development 2017) We have covered pain...

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SGEM Xtra: Dr. Jennifer Gunter – Super Hero of Science

Posted by on Oct 27, 2017 in Featured, Gynecologic, Podcasts | 0 comments

Podcast: SGEM Xtra Dr. Jen Gunter Date: October 20th, 2017 Dr. Jen Gunter is an gynaecologist from Canada who practices in San Fransisco. She writes a blog discussing women’s health issues and debunking pseudoscience. She is known to wield the lasso of truth, just like Wonder Woman. Jen became an internet sensation recently after challenging Gwyneth Paltrow and her lifestyle company GOOP over some of their products. This included vaginal steaming and jade eggs. Jen’s blog posts got a lot of national and international media coverage. Here is some more information: Gwyneth Paltrow Admits She Doesn’t Know Uncensored Word from our Doctors GOOP Misogynistic Mansplaining Hit Job Jen was invited to give a talk at Western University for homecoming 2017. She contacted me about doing a SGEM podcast we had been talking about for the last few years. Rather than doing...

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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...

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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...

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