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SGEM#173: Diazepam Won’t Get Back Pain Down

Posted by on Apr 2, 2017 in Featured, Musculoskeletal, Podcasts | 1 comment

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM173.mp3Podcast: Play in new window | Download Date: March 21st, 2017 Reference: Friedman BW et al. Diazepam is no better than placebo when added to naproxen for acute low back pain. Ann Emerg Med 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of EM at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The Teaching Course and Core EM. Case: A 43-year-old woman who presents with an acute onset of back pain. She states she was carrying some heavy boxes when she slipped and although she didn’t fall, she felt her back wrench. There are no back pain “red flags” on your history and physical examination and after some treatment with a non-steroidal anti-inflammatory (NSAID) and a dose of morphine, the patient is improved. She still has pain and you notice that she’s...

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SGEM#138: Hip to be Blocked – Regional Nerve Blocks for Hip and Femoral Neck Fractures

Posted by on Nov 29, 2015 in Featured, Musculoskeletal, Podcasts | 14 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM138.mp3Podcast: Play in new window | Download Date: November 29th, 2015 Guest Skeptics: Dr. Brandon Ritcey is an Emergency Medicine Resident from the University of Ottawa. Dr. Chris Bond is an Emergency Medicine physician and clinical lecturer at the University of Calgary. His interests include knowledge translation, FOAMed, and all things food and wine related. Chris has a blog called SOCMOB and is the new host of CAEP Cast. This is another SGEM Hot Off the Press (#SGEMHOP). The goal of the #SGEMHOP is to cut the knowledge translation window down from over ten years to less than one month. This time the paper is from the Canadian Journal of Emergency Medicine (CJEM). We look forward to hearing your feedback via Twitter, Facebook and on the SGEM blog. Case: A 75-year-old woman has a ground level fall in her apartment. She is...

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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 | 8 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM130.mp3Podcast: Play in new window | Download Date: September 22nd, 2015 Guest Skeptic: Dr. Marcel Emond 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 TheSGEM@gmail.com 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...

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SGEM#124: Ultrasound for Skull Fractures – Little Bones

Posted by on Jun 14, 2015 in Featured, Musculoskeletal, Neurologic, Pediatrics, Podcasts, Trauma | 2 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM124-Little-Bones.mp3Podcast: Play in new window | Download Date: June 11th, 2015 Guest Skeptic: Dr. Greg Hall is Director of EM Ultrasound at the Brantford General Hospital in Brantford Ontario and Assistant Clinical Professor at McMaster University.  He is Vice President of the Canadian Emergency Ultrasound Society, co-author of Point-of-care Ultrasound for Emergency Physicians, co-creator of the EDE 2 Course: Advanced Emergency Department Echo, and director of the EDE 3 Course, a leading edge POCUS workshop. Case: An 18-month-old male presents to your small emergency department having a witnessed fall off a couch and hit his head on a hardwood floor.  He threw up once and cried immediately at the scene.  There was no loss of consciousness. The parents are concerned about a serious head injury, particularly with the large hematoma, but understandably are not thrilled with the idea of the...

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SGEM#121: Internal or External Shoulder Immobilization (It Don’t Matter to Me)

Posted by on May 24, 2015 in Featured, Musculoskeletal, Podcasts | 2 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM121-Shoulder.mp3Podcast: Play in new window | Download Date: May 22nd, 2015 Guest Skeptic: Dagny Kane-Haas is a physiotherapist who just completed her Masters degree in Clinical Science in Manipulative Therapy. Case: 24 year-old man is goofing around on the Memorial Day long weekend at the beach. He falls and dislocates his shoulder for the first time. An examination shows it is an isolated injury and x-rays demonstrate an anterior dislocation of his shoulder without fracture. Procedural sedation is performed with no complications. Post procedure image shows a reduced shoulder joint. You are getting ready to immobilize him and wonder whether it would be best in external or internal rotation. Background: The shoulder joint has the widest range of motion of any joint in the human body. This makes it very useful and very susceptible to injury. These injuries include dislocation,...

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SGEM#89: Preventing Falling to Pieces

Posted by on Oct 6, 2014 in Featured, Musculoskeletal, Podcasts | 28 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM89.mp3Podcast: Play in new window | Download Date: October 5th, 2014 Guest Skeptic: Dr. Chris Carpenter. Associate Professor, Emergency Medicine. Director, Evidence Based Medicine, Washington University. C0-Author of Evidence Based Emergency Care- Diagnostic, Testing and Clinical Decision Rules. @SAEMEBM The goal of the SGEM continues to be to cut the knowledge translation window down from over ten years to less than one year. There are about 3,800 biomedical publications every day on PUBMED alone. Bastian et al published in PloS 2010 that there are about 75 RCT and 11 Systematic reviews released daily. They asked the question “How could anyone every keep up”? The answer is no one could possibly keep up. No wonder it takes so long for high quality clinically relevant evidence to reach the bedside. A study by Morris et al in 2011 called discusses how it can...

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