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SGEM Xtra: Top 10 Emergency Department Tips for Families

Posted by on Jul 17, 2016 in Featured, Pediatrics, Podcasts | 0 comments

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)

Posted by on Jul 10, 2016 in Administration, Featured, Podcasts | 20 comments

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

Posted by on Jun 26, 2016 in Featured, GastroIntestinal, Pediatrics, Podcasts | 0 comments

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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SGEM#158: Tempted by the Fruit of Another – Dilute Apple Juice for Pediatric Dehydration

Posted by on Jun 19, 2016 in Featured, GastroIntestinal, Infectious, Pediatrics, Podcasts | 2 comments

Podcast Link: SGEM158 Date: June 15th, 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 the creator of SketchyEBM. Case: A 2-year-old girl presents with a two-day history of vomiting and diarrhea. She is minimally dehydrated and tolerating oral fluid only. You remember reading about the sodium-glucose co-transporter and electrolyte fluids that were initially developed by the World Health Organization for children with diarrheal diseases. You have heard parents ask about just using watered down juice and debate whether this is a viable option for these children. Background: Gastroenteritis is a common illness in children and these children are at risk of dehydration from inadequate intake, excessive losses or both together. If children are unable to tolerate oral...

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SGEM#157: Nebulized Hypertonic Saline for Acute Bronchiolitis

Posted by on Jun 12, 2016 in Featured, Pediatrics, Podcasts | 1 comment

 Podcast Link: SGEM157 Date: June 6th, 2016 Guest Skeptic: Dr. Chantal Guimont. Chantal is a Family Doctor who works in a in a mixed pediatric and adults tertiary care center in Quebec City. She has a PhD in epidemiology and is on faculty at Laval University. Case: You are working in the emergency department when an eight months old presents with nasal congestion, tachypnea, and retractions. You suspect he suffers from a acute bronchiolitis. You wonder about the most accurate and up to date treatment options. Background: During winter months in Quebec, and I suspect it is the same in many other places, bronchiolitis is one of the most frequent emergency department complaints. Bronchiolitis is the most common disease of the lower respiratory tract infection seen in children less than one year of age. They tend to present similar to...

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SGEM#156: Working at the Abscess Wash – Irrigation of Cutaneous Abscesses?

Posted by on Jun 5, 2016 in Featured, Infectious, Podcasts | 2 comments

Podcast Link: SGEM156 Date: May 25th, 2016 Guest Skeptic: Chip Lange is an emergency medicine Physician Assistant (PA) working primarily in rural Missouri community hospitals. He has international experience in critical care and emergency medicine. Currently, he is working on developing a new blog and podcast specifically for PAs in emergency medicine but wants all those who take care of critically ill or injured patients to be able to learn. Case: A 30-year-old female with a history of cutaneous abscesses comes to your emergency department stating she thinks she has another one developing on her arm. She tells you she wants to do as little as possible to treat the abscess using an incision and drainage because she hates the pain from the procedure, especially the irrigation. Background: Cutaneous abscesses are a very common complaint in the emergency department and there is...

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