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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 | 1 comment

Podcast Link: SGEM124 Little Bones Date: June 11th, 2015 Guest Skeptic: Dr. Greg Hall. Greg 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#112: Bang Your Head – Paediatric Concussions

Posted by on Mar 22, 2015 in Featured, Neurologic, Pediatrics, Podcasts | 0 comments

Podcast Link: SGEM112 Concussion Date: March 7th, 2014 Guest Skeptic: Dr. Anthony Crocco. Associate Professor, McMaster University, Medical Director and Division Head McMaster Children’s Hospital Emergency Department. Case: 11yo snowboarder fails to land epic jump. She was wearing helmet. There was a brief loss of consciousness and she is amnestic to the event. The only complaint is a mild headache. Her examination is normal and a shared decision is made to observe her rather than getting a CT scan. She is ultimately diagnosed with a concussion. When leaving the department she wants to know when can she go back shreddin’ the gnar? Background: Pediatric traumatic brain injury (TBI) is a leading cause of death and disability. The Center for Disease Control (CDC) has called it a national health problem. TBIs are responsible for close to 500,000 ED visits, over 35,000 hospitalizations...

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SGEM#111: Comfortably Numb – Low dose Ketamine as Adjunct for ED Pain Control

Posted by on Mar 15, 2015 in Featured, Neurologic, Podcasts | 8 comments

Podcast Link: SGEM111 Ketamine Date: March 11th, 2015 Guest Skeptic: Billy Sin. Billy is an Assistant Professor of Pharmacy Practice Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Clinical Pharmacy Educator Emergency Medicine, The Brooklyn Hospital Center Case: 27yo woman presents to the emergency department again with severe back pain radiating to her legs. She has tried analgesics, anti-inflammatories, narcotics and even trigger point injections. You have been reading more and more papers suggesting a sub dissociative-dose of ketamine (SDDK) could work. SGEM-HOP Process: We pick a manuscript in conjunction with AEM’s Editorial Board that has been submitted, peer-reviewed, and ultimately accepted for AEM but not published yet. The SGEM then put a skeptical eye upon the manuscript using a modified BEEM critical appraisal tool. One of the authors of the paper is invited to discuss...

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SGEM#108: You Spin Me Right Round Baby Like Benign Paroxysmal Positional Vertigo

Posted by on Feb 22, 2015 in Featured, Neurologic, Podcasts | 0 comments

Podcast Link: SGEM108 BPPV Date: February 20th, 2015 Guest Skeptics: Dr. Tony Seupaul and Dr. Chris Fowler. Tony is the Chair of the Department Emergency Medicine, University of Arkansas. Chris is a second year EM resident in Arkansas. He did his medical school in Arizona and Undergrad at Brigham Young University in Utah.  Case: 58 year old woman with diabetes and hypertension presents with two days of feeling “dizzy”. Her symptoms worsen when she turns her head. She has also noticed that is much worse when bending over and looking up while turning her head. She has extreme nausea and has had several episodes of vomiting. She has had some improvement in her symptoms with lying flat and closing her eyes. She is very worried about something serious and asks what can be done to help with her symptoms. Background:...

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SGEM#106: O Canada- Canadian CT Head Rule for Patients with Minor Head Injury

Posted by on Feb 8, 2015 in Featured, Neurologic, Podcasts, Trauma | 3 comments

Podcast Link: SGEM106 CCHR Date: February 3rd, 2015 Guest Skeptic: Dr. Anand Swaminathan (EM Swami). Swami is an assistant program director at NYU/Bellevue Hospital in the department of EM. He is also part of the REBEL EM Alliance and as of January 2015 part of the East Coast Team doing Emergency Medical Abstracts (EMA). Dr. Emily Junck. She is a third year Emergency Medicine resident physician at University of Washington. Emily created a list of classic practice-changing Emergency Medicine articles called 52 Articles in 52 Weeks designed for EM interns to read throughout their intern year. Case: 62yo woman who has an unwitnessed ground-level fall while walking on ice and hits her head. There was a possible brief loss of consciousness.. Her daughter brought her to the emergency department right away concerned that she might have hurt herself. The patient complains of a headache, but has...

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SGEM#93: Ketamine, A Bad Reputation?

Posted by on Nov 2, 2014 in Featured, Neurologic, Podcasts, Trauma | 13 comments

Podcast Link: SGEM93 Ketamine Date: October 8th, 2014 Guest Skeptics: Meghan Groth (@EMPharmGirl). Meghan is the emergency medicine pharmacy specialist at Fletcher Allen Health Care in Burlington, Vermont and an adjunct professor of pharmacy at the Albany College of Pharmacy and Health Sciences. Case:  A 25 year old male presents to your ED as a trauma alert after an alleged assault. EMS reports that the patient has been minimally responsive during transport, and witnesses at the scene claimed the patient experienced blunt force trauma to the head after being beaten by another man. During the primary survey, you observe that the patient is not protecting his airway with a GCS of 6. You prepare for a rapid sequence intubation prior to the patient getting a CT scan. His vital signs are HR 98 bpm, BP of 110/75 mmHg, RR 12/min, and...

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