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SGEM#150: Hypertonic Saline for Traumatic Brain Injury

Posted by on Mar 27, 2016 in Featured, Neurologic, Podcasts, Trauma | 22 comments

Podcast Link: SGEM150 Date: March 24th, 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). Lead Author: Dr. Elyse Pelletier. Elyse works at the Centre de Recherche CHU de Québec, Population Health and optimal Health Practices Unit. She is also in the Department of Family and Emergency Medicine, Université Laval, Québec, QC, Canada. Case: A 21-year-old male is standing on the corner, minding his own business (SOCMOB) when he is hit in the head with a bat and suffers a severe traumatic brain injury. He is brought into the trauma room and appears to have...

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SGEM#129: That Chest Tube…She’s a Beauty

Posted by on Sep 27, 2015 in Featured, Podcasts, Pulmonary, Trauma | 5 comments

Podcast Link: SGEM129 Date: August 14th, 2015 Guest Skeptic: Dr. Rick Malthaner is the Director of Thoracic Surgery Research, Professor of Surgery, Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry, Western University, Canada. Case: A 25-year-old female was allegedly stabbed while standing on the corner minding her own business. She was found unconscious (Glasgow Coma Scale 7) and was intubated by the EMS. On arrival in your emergency department, the vitals are stable, but there is decreased air entry on the right side. You skillfully insert a right chest tube and get back 100 ml of blood. You review the post insertion chest tube x-ray and are somewhat disappointed by the position of your tube. It is hitting the mediastinum and curling back on itself and there is persistent white-out on the right. Background: The “B” of the ABCs...

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SGEM#127: Suspicious Minds vs. Clinical Prediction Rule in Children with Trauma

Posted by on Sep 13, 2015 in Featured, Pediatrics, Podcasts, Trauma | 15 comments

Podcast Link: SGEM127 Date: September 8th, 2015 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. I often refer to him as a PedsEM Super Hero but the SGEMers probably know him for his RANThony’s on YouTube. Season#3 finished with an SGEM#126 Hot Off the Press featuring Dr. Jeff Kline discussing outpatient management of venous thromboembolism. We are going to kick off Season#4 with another SGEM HOP from Academic Emergency Medicine. SGEM Hot Off the Press Process: We select a paper that has been accepted by the editors at Academic Emergency Medicine that is about to be published. The SGEM then put a skeptical eye upon the manuscript using a modified BEEM critical appraisal tool. One of the authors is then invited...

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SGEM Xtra: Don’t Bring Me Down – Preventing Older Adult Falls from the Emergency Department

Posted by on Aug 9, 2015 in Featured, Podcasts, Trauma | 3 comments

Podcast Link: SGEM Xtra Geriatric Falls Date: Summer 2015 Guest Skeptic: Dr. Julie Gyi and Dr. Jordan Jeong. Emergency medicine residents at St. Joseph’s Regional Medical Center in Paterson, New Jersey. Guest Host: Dr. Chris Carpenter @SAEMEBM. Associate Professor, Emergency Medicine. Director, Evidence Based Medicine, Washington University. C0-Author of Evidence Based Emergency Care- Diagnostic, Testing and Clinical Decision Rules. Case: An 80 year old female presents with left wrist pain following a fall. You diagnose and treat a Colles fracture with no other acute injuries, but at discharge her family wonders if she is at significant risk for further falls and, if so, how to prevent them? Background: Falls don’t just happen in hospitals and nursing homes. About one in three older adults who live at home suffer a standing level fall every year. That is over eight million non-fatal falls in the U.S. alone...

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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

Podcast Link: SGEM124 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 radiation exposure of a CT,...

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SGEM#109: One Platelet, One Plasma and One RBC – PROPPR Trial

Posted by on Mar 1, 2015 in Featured, Hematologic, Podcasts, Trauma | 2 comments

Podcast Link: SGEM109 Date: February 28th, 2015 Guest Skeptic: Dr. Salim R. Rezaie. Salim is faculty member at University of Texas Health Science Center at San Antonio, TX. He is currently the creator/founder of REBEL EM blog and REBEL Cast available on iTunes. Case: 28 year-old male is involved in an altercation and shot multiple times in the chest and presents to the emergency department. His initial vital signs include a BP 72/46, HR 140, RR 30, O2 sat 89% on NRB and a temp of 98.7F. You intubate the patient successfully, begin intravenous fluids, and place bilateral chest tubes with significant blood return from the right chest tube. Due to the patients blood loss you initiate damage control resuscitation including: permissive hypotension, source control of bleeding, and a massive transfusion protocol. Background: In the United States, trauma is the...

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