SGEM#161: Sternal Fractures – Break on Through to the Other Side – Delayed Complications and Functional Outcomes
Podcast Link: SGEM161 Date: September 21st, 2016 Reference: Racine et al. Delayed complications and functional outcome of isolated sternal fracture after emergency department discharge: a prospective, multicentre cohort study. CJEM Sept 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: A 49-year-old male presents to the emergency department after being in a motor vehicle collision. You diagnose him with an isolated sternal fracture on X-ray. Specifically there are no rib fractures or lung abnormalities identified. He also has a normal ECG and troponin. As you are preparing to discharge him, he asks if there are...
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SGEM#160: Oh Baby, You’re Too Sensitive – High Sensitivity Troponin
Podcast Link: SGEM160 Date: September 8th, 2016 Reference: Body et al. The use of very low concentrations of high sensitivity troponin T to rule out acute myocardial infarction using a single blood test. AEM Sept 2016. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the director of simulation education at Markham Stouffville Hospital in Ontario. He is the author of the excellent #FOAMed blog called First10EM.com and is an associate editor of Emergency Medicine Cases. This is a SGEM Hot Off the Press episode. Here is a summary of the process but you can click on the SGEMHOP link for more details and previous episodes: A peer reviewed paper is selected pre-publication from AEM or CJEM that we think will be of interest to the SGEMers. We do a structured critical review of the paper using the quality check list developed by...
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SGEM Xtra: Freeze Frame – Paper in a Pic
Podcast Link: SGEM Xtra PaperinaPic Date: September 1st, 2016 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did Medical School at Manchester, with a History of Medicine BSc at the same time. Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield. This is an SGEM Xtra summer content episode. But don’t panic we will be back later this month to launch Season # 5 of the SGEM…better, stronger, faster than it was before – cutting that knowledge translation window down from over ten years to less than one year using the power of social media. In this episode I ask Kirsty five questions about infographics and five questions about her Paper In A Pic (#PaperinaPic) knowledge translation project. Listen to...
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SGEM Xtra: Top 10 Emergency Department Tips for Families
Podcast Link: SGEM Xtra Top 10 List Date: July 5th, 2016 Guest Skeptic: Dr. Rodrick Lim. Rod is the Chair for the Pediatric section of the Canadian Association of Emergency Physicians, and the standards lead for the Pediatric section of International Federation for Emergency Medicine. He is an associate professor of Pediatrics at Western University, Schulich School of Medicine. Rod is also the proud father of three children and loves travelling, suffering as a Toronto sports fan and playing hockey badly with colleagues. This is a SGEM Xtra. Some extra content for the summer until we formally launch Season#5 this fall. The Pediatric Section of the Canadian Association of Emergency Physicians (CAEP) and the National Emergency Nurses Association (NENA) recently released some tips to keep your family safe and prepared. You can print a PDF of the Top 10 ED Tips for...
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SGEM#159: Computer Games – Computer Provider Order Entry (CPOE)
Podcast Link: SGEM159 Date: July 5th, 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). Background: Emergency department crowding is a growing issue across Canada. As more tertiary care EDs implement computerized provider order entry (CPOE), it is important to analyze emergency department metrics to see how CPOE may impact throughput. Previous studies have shown that CPOE has no impact on mortality, and may in fact improve pain treatment and adherence to certain common presenting complaint medication protocols (such as stroke and renal colic) [1-4]. Some studies have shown there may be an impact on...
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SGEM Xtra: RANThony #4 X-rays for Pediatric Constipation
Podcast Link: SGEM Xtra RANThony#4 Date: June 26th, 2016 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. He is known on YouTube for his RANThony‘s. These are short rants on pediatric topics. They were inspired by the rants done by the great Canadian comedian Rick Mercer. Previous topics have included Fever Fear, Cough Medication and Pain Control. Anthony is also the creator of the evidence based medicine (EBM) education website SketchyEBM. These are white board videos that present EBM concepts in a creative and understandable formate. He covers topics like: Relative risk (RR), relative risk reduction (RRR), absolute risk reduction (ARR) What is bias? Confidence intervals and “p” values Number needed to treat (NNT) Intention to treat (ITT) analysis This fourth RANThony addresses the issue...
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