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SGEM#167: The Management of Bronchiolitis in Community Hospitals

Posted by on Dec 18, 2016 in Featured, Infectious, Pediatrics, Podcasts, Pulmonary | 12 comments

Podcast Link: SGEM167 Date: December 14th, 2016 Reference: Plint et al. Management of Bronchiolitis in Community Hospitals in Ontario: a Multicentre Cohort Study. CJEM November 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding My Own Business (SOCMOB). Case: Parents present to your community emergency department with their 6-month-old daughter. She has had a cough, fever, and “noisy breathing” for the past 24 hours. She is otherwise healthy, having had a previously uncomplicated prenatal, delivery, and post-natal course. Her immunizations are up to date. There is no family history of atopy or asthma. On exam she is febrile at...

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SGEM Xtra: MedSkl.com

Posted by on Dec 11, 2016 in Featured, Podcasts | 2 comments

Podcast Link: SGEM Xtra MedSkl.com Date: November 2nd, 2016 Guest Skeptic: Dr. Sanjay Sharma is a professor of ophthalmology and epidemiology at Queen’s University in Kingston, Ontario, Canada. He has authored over 200 research articles and three books including the American Medical Association’s Evidence-Based to Value-Based Medicine. His research is in macular degeneration, health economics and medical education. This is another SGEM Xtra and not a critical review. There are just so many great topics to cover as well as recent publications. Don’t panic…we will be back next time with a critical appraisal cutting the knowledge translation window down from over ten years to less than one year with the power of social media. In this episode we talk to Dr. Sharma about his newly launched medical education project called MedSkl.com. Listen to the SGEM podcast on iTunes to hear his responses to...

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SGEM#166: Which febrile child with sickle cell disease should get a chest x-ray?

Posted by on Dec 4, 2016 in Featured, Hematologic, Pediatrics, Podcasts, Pulmonary | 15 comments

Podcast Link: SGEM166 Date: November 21st, 2016 Reference: Eisenbrown et al. Which Febrile Children with Sickle Cell Disease Need a Chest X-Ray? AEM November 2016 Guest Skeptic: Dr. Corey Heitz is an associate professor of emergency medicine at the Virginia Tech Carilion School of Medicine in Roanoke Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the AAEM MedEdPORTAL. Case: You are working in the Emergency Department on an overnight pediatric coverage shift. A worried mother brings her 2-year-old child in with a fever of 38.6C (that’s 101.5F). The female child’s medical history is significant for sickle cell disease. On exam, the child is uncomfortable appearing, tachycardic, tachypnic and febrile. Mom says the child has had a runny nose and a mild cough along with the fever. Background: Children with sickle...

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SGEM#165: I Wanna Be Sedated – But Do I Need To Be NPO?

Posted by on Nov 27, 2016 in Featured, Pediatrics, Podcasts, Pulmonary | 4 comments

Podcast Link: SGEM165 Date: November 22nd, 2016 Reference: Beach et al. Major Adverse Events and Relationship of Nil per Os Status in Pediatric Sedation/Anesthesia Outside the Operating Room. Anesthesiology January 2016 Guest Skeptic: Dr. Bob Edmonds has just completed his residence in Emergency Medicine from the University of Missouri in Kansas City. He is now an emergency department staff physician in the US Air Force at Langley Air Force Base. Dr. Edmonds’ Disclaimer: The views and opinions of this podcast and blog are not the official position of the United States Air Force, the US government, or Langley Air Force Base. Thanksgiving: This episode is being published on American Thanksgiving 2016 weekend. Happy Thanksgiving to all the SGEMers from the USA. We hope everyone has a wonderful holiday spent with family and friends. Case: A 5-year-old girl was bit in the face...

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SGEM Xtra: Is #FOAMed Scary?

Posted by on Oct 31, 2016 in Featured, Holiday, Podcasts | 0 comments

Podcast Link: SGEM Xtra Is #FOAMed Scary Date: October 26th, 2016 Guest Skeptic: We have a number of guest skeptics for this episode. Dr. Munsif Bhimani is the program director of the CCFP-EM program at Western University. Drs. Kevinjeet Mahngar, Kelsey Cassidy, Jatin Kacker and Ben Fregeau are residents in the CCFP-EM program at Western University. Dr. Sean Ryan is a front line physician working in community emergency departments. This is an SGEM Xtra. From time-to-time we like to pause from our usual structured critical appraisals and do a big picture issue. Being close to Hallowe’en we thought we would re-visit the issue of social media and ask…is #FOAMed scary? We have addressed the issue of #FOAMed a few times before and the last time we had the Godfather of #FOAMed, Dr. Joe Lex on when he gave his famous quote in his best Marlon Brando impression....

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SGEM#164: Cuts Like a Knife – But you Might Also Need Antibiotics for Uncomplicated Skin Abscesses

Posted by on Oct 17, 2016 in Dermatologic, Featured, Infectious, Podcasts | 4 comments

Podcast Link: SGEM164 Date: October 13th, 2016 Reference: Talan et al. Trimethoprim–Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess. NEJM March 2016 Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant working primarily in rural Missouri in community hospitals. He has international experience in critical care and emergency medicine. He has a new blog called TOTAL EM, which stands for Tools Of the Trade and Academic Learning in Emergency Medicine. He has recently started podcasting and is always looking to expand this new project. He cares about providing TOTAL care everywhere and wants us all to be excellent when we see and treat out patients. Case: A 40 year-old male with a history of MRSA presents complaining of an area of redness and swelling consistent with an abscess developing on his arm. He says that he has heard that antibiotics may not...

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