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SGEM#120: One Thing or Two for Community Acquired Pneumonia?

Posted by on May 17, 2015 in Featured, Infectious, Podcasts, Pulmonary | 0 comments

Podcast Link: SGEM120 Date: May 7th, 2015 Guest Skeptics: Victor Tsang graduated from University of Waterloo School of Pharmacy and is currently doing a residency at London Health Sciences Centre in London, Ontario. Cassandra McEwan graduate of McGill University and University of Waterloo. She is also completing a residency program at London Health Sciences Centre. Case: 62 year old man presents to your emergency department with a four day history of increasing shortness of breath, purulent cough, fever, and generally feeling quite unwell. You measure her vitals, and he is mildly tachycardic and tachypneic, normotensive, O2 Sats are 96% on room air and his temperature is 38.2C. You obtain routine blood work including a lactate level and blood cultures. A chest x-ray reveals a left lower lobe infiltrate in his lungs suggestive of pneumonia, and the decision is made to admit...

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SGEM#117: Diarrhea – Hard to Spell, Easy to Smell and Easy to Cause with IV Antibiotics

Posted by on Apr 26, 2015 in Featured, GastroIntestinal, Infectious, Podcasts | 3 comments

Podcast Link: SGEM117 Date: April 24th, 2015 Guest Skeptics: Meghan Groth (@EMPharmGirl). Meghan is the emergency medicine pharmacy specialist at the University of Vermont Medical Center in Burlington, Vermont and an adjunct professor of pharmacy at the Albany College of Pharmacy and Health Sciences. Case: A 58 year old male presents to your emergency department complaining of a warm, painful, reddened area on his left thigh. His past medical history is only significant for generalized anxiety disorder and he has no known drug allergies. On exam, you find no evidence of an abscess, and you find his labs and vital signs are within normal limits. You confidently give him a diagnosis of uncomplicated cellulitis and need to determine an antibiotic regimen. You’d like to send him home with a five day course of cephalexin, but are thinking about giving him an intravenous (IV) dose...

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SGEM#113: EGDT – ProMISe(s) ProMISe(s)

Posted by on Mar 29, 2015 in Featured, Infectious, Podcasts | 2 comments

Podcast Link: SGEM113 Date: March 26th, 2015 Guest Skeptics: Dr. Suneel Upadhye (BEEM Group) and Dr. Tiffany Osborn (ProMISe Author) Suneel is an Associate Clinical Professor Emergency Medicine at McMaster University and Associate Member of Clinical Epidemiology and Biostatistics. He is also the Chair CAEP standards committee and a sepsis researcher. Tiffany is the second author on the ProMISe Trial. She is an Associate Professor in the Department of Surgery and the Department of Emergency Medicine at Washington University, St. Louis. Case:  You see a 62 year-old man sent from a nursing home with a three day history of a productive cough, intermittent fevers and today is a bit confused. The transfer notes include a history of congestive heart failure, chronic obstructive pulmonary disease, gout, hypertension, type 2 diabetes, and mild dementia. His emergency department vitals are as follows: Temperature 39.1C, heart...

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SGEM#104: Let’s Talk about Sex Baby, Let’s Talk about STDs

Posted by on Jan 25, 2015 in Featured, Infectious, Podcasts | 1 comment

Podcast Link: SGEM104 STD Date: January 23rd, 2015 Guest Skeptic: Nadia Awad is an assistant professor of emergency medicine at the Ernest Mario School of Pharmacy at Rutgers University, and the emergency medicine pharmacist at Robert Wood Johnson University Hospital Somerset. She serves as associate editor and staff blogger of the blog, Emergency Medicine PharmD where she regularly contributes her thoughts, ideas, and clinical pearls related to her experiences in emergency medicine pharmacy and academia. Nadia also is the co-host of the EMPOWER Podcast. She is actively involved in research in areas that include emergency medicine, toxicology, disaster preparedness, acute neurocritical care, and social media in pharmacy education. She is a strong supporter of all that Free Open Access Medical Education (FOAMed) has to offer, and she hopes to continue to have a fulfilling experience in both learning from and contributing to...

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SGEM#98: Don’t Stand So Close to Me (You have the flu)

Posted by on Dec 14, 2014 in Featured, Infectious, Pulmonary | 0 comments

Podcast Link: SGEM98 Flu Date: December 13th, 2014 Guest Skeptic: Marcus Prescott is a nurse from Norway. He works at the Trondheim University Hospital. His college thesis was called “Barriers and Facilitators to the implementation of evidence based practice among RNs in specialist health care”. Marcus is also a proud member of the Norwegian Skeptics’ Society and runs their Skeptics in the Pub events. Case: 25 year-old nurse with no significant past medical history presents to the emergency department with a 48 hour history of aching all over, fever and cough. He did not get a flu shot this year. You diagnose him with a flu like illness and provide him with advice on management and set expectations. However, before leaving the emergency department he wants to know if taking one of those flu drugs he sees on the television will help?...

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SGEM#95: Paediatric Fever

Posted by on Nov 16, 2014 in Featured, Infectious, Pediatrics, Podcasts | 2 comments

Podcast Link: SGEM95 Fever Date:  September 29th, 2014 Guest Skeptic: Dr. Anthony Crocco. Associate Professor, McMaster University, Medical Director and Division Head McMaster Children’s Hospital Emergency Department. RANThony#1: Fever Fear. Case: 2 year old presents with flu-like symptoms and a fever.   Questions: Should parent’s combine/alternate acetaminophen and ibuprofen? Will treating the fever make her sicker, longer? Will treating with antipyretics prevent a febrile seizure? Background: Parent’s are often very concerned about fever in their children. They can develop a real “fever fear” and come into the emergency department for evaluation and reassurance. However, we need to help educate them that fever alone is not dangerous. Here is what the American Academy of Pediatrics Guides say about fever “…fever, in and of itself, is not known to endanger a generally healthy child.  In contrast, fever may actually be of benefit; thus, the...

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