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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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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 | 6 comments

Podcast Link: SGEM106 CCHR Date: February 3rd, 2015 Guest Skeptics: 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: 62-year-old 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 Skeptic: 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 emergency department 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,...

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