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SGEM#146: The HEAT is On – IV Acetaminophen for Fever in the ICU

Posted by on Feb 7, 2016 in Featured, Infectious, Podcasts | 4 comments

Podcast Link: SGEM146 Date: February 2nd, 2016 Guest Skeptic: Dr. Justin Morgenstern. Justin is an emergency physician and the director of simulation education at Markham Stouffville Hospital in Ontario. He loves skepticism and medical education, especially when it is free and open access. He is the author of the #FOAMed blog First10EM.com and is an associate editor of Emergency Medicine Cases. Case: A 64-year-old woman presents to the emergency department with fever, urinary symptoms, and altered mental status. You diagnose her with sepsis with a probable urinary source. You rapidly provide empiric antibiotics and initiate fluid resuscitation. You are ready to send her up to the ICU for monitoring when your nurse asks, “shouldn’t we give her some acetaminophen for her fever?” Background: If you work in emergency medicine, you are aware of the continuous debate about fever. Is it harmful? Is it helpful? Should...

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SGEM#145: Topical Anesthetics for ED Patients with Corneal Abrasions

Posted by on Jan 31, 2016 in Eye, Featured, Podcasts | 6 comments

Podcast Link: SGEM145 Date: January 20th, 2016 Guest Host: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medical Abstracts. Guest Skeptics: Dr. Kara Otterness from Stony Brook University Hospital on Long Island.  Kara is an assistant clinical professor of Emergency Medicine at Stony Brook. Dr. Salim Rezaie is from University of Texas Health Science Center at San Antonio. Salim is an associate clinical professor of Emergency Medicine/Internal Medicine at the University of Texas Health Science Center at San Antonio, Texas. He is the creator/founder of the REBEL EM Blog and REBEL Cast. Case: A 23-year-old healthy woman presents with right eye pain. She states she felt a foreign body sensation yesterday and then overnight, it became painful. Her visual acuity is 20/20 bilaterally and she doesn’t wear corrective lenses. Instillation of tetracaine drops results in...

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SGEM#144: That Smell of Isopropyl Alcohol for Nausea in the Emergency Department

Posted by on Jan 24, 2016 in Featured, GastroIntestinal, Podcasts | 4 comments

Podcast Link: SGEM144 Date: January 20th, 2016 Guest Skeptic: Meghan Groth (@EMPharmGirl). Meghan is the emergency medicine pharmacy specialist at the University of Vermont Medical Center, and an adjunct professor of pharmacy at the Albany College of Pharmacy and Health Sciences. Case: A 34-year-old male presents to your emergency department with complaints of severe nausea for the past 24 hours. He’s vomited a number of times at home and on a scale of zero to ten (ten being the worst nausea he’s ever experienced), he rates his current nausea at an eight. As the triage nurse brings him back to get settled into his room, you observe him holding an emesis basin and dry heaving. He has no significant past medical history and no known drug allergies. Background: Nausea and vomiting is a very common complaint for patients presenting to the...

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SGEM#143: Call Me Maybe for Bystander CPR

Posted by on Jan 18, 2016 in Cardiac, Featured, Podcasts | 8 comments

Podcast Link: SGEM143 Date: January 14th, 2016 Guest Skeptics: Dave Harrison, Carl Berdahl and Todd Schneberk are Emergency Medicine residents in the Department of Emergency Medicine at the Keck School of Medicine of the University of Southern California. Case: A 78-year-old man with a history of hypertension and coronary artery disease suddenly collapses at home in front of his wife. She calls 911 but is unable to get on her knees and provide CPR due to her comorbidities. Background: Sudden cardiac arrest is common with approximately 500,000 cardiac arrests each year in the USA. More than half of these cardiac arrests are out of hospital cardiac arrests (OHCA) and the survival rate is pretty poor. The American Heart Association came out with updated CPR & ECC Guidelines in 2015 that included its “Chain-of-Survival”. There are five steps in the Chain-of-Survival for OHCA. Step One...

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SGEM#142: We Need Asthma Education

Posted by on Jan 10, 2016 in Featured, Podcasts, Pulmonary | 24 comments

Podcast Link: SGEM142 Date: January 5th, 2016 Guest Skeptics: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medical Abstracts. Dr. Brian Rowe is a Professor, Department of Emergency Medicine, at the University of Alberta. He is a Canadian Research Chair in Evidence-Based Emergency Medicine and is also co-editor of the Cochrane Collaboration Airway Review Group. Dr. Cristina Villa-Roel is a physician with a MSc in Clinical Epidemiology who is nearing the completion of her PhD at the School of Public Health at the University of Alberta. She is interested in improving the quality of life for patients with asthma by coordinating transitions in care between the emergency department and the primary care setting through the delivery of comprehensive and evidence-based care. Her research is supported by the Canadian Institutes for Health Research (CIHR)...

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Essentials of Emergency Medicine Fellowship: Residents Apply to Win!

Posted by on Jan 5, 2016 in Conferences, Featured, Podcasts | 0 comments

Do you have a passion for education and emergency medicine? Essentials of Emergency Medicine (EEM) is one of the largest live emergency medicine educational conferences in the world. Inspired by the contest operated by EMCrit and ALiEM, the Skeptics’ Guide to Emergency Medicine is partnering with CanadiEM to offer a Canadian emergency medicine resident the opportunity to attend EEM for free as an Essentials of Emergency Medicine Education Fellow. The winning applicant would receive: Full live conference registration at Essentials of Emergency Medicine A four (4) night stay at The Cosmopolitan Hotel A $500 US travel stipend The opportunity of a lifetime to network with amazing EM Educators Apply for the Fellowship: All applicants must be current residents in good standing in either an FRCPC or a CCFP Emergency Medicine program in Canada and be available to attend all...

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