Pages Navigation Menu

Meet 'em, greet 'em, treat 'em and street 'em

Most Recent Articles

RANThony#3: Paediatric Pain

Posted by on Jun 5, 2015 in Featured, Pediatrics, Podcasts | 0 comments

Dr. Anthony Crocco is back with another RANThony on YouTube. This time he is ranting about paediatric pain management in the emergency department.  This rant was recorded at the Canadian Association of Emergency Physicians (CAEP) meeting last week in Edmonton. The theme of this year’s CAEP meeting was Lighting the Way. Dr. Crocco was lighting the way through the darkness to improve paediatric pain management in his own unique style. One thing Dr. Crocco did at the CAEP meeting was interrupt...

Read More

SGEM#122: We can Ondansetron if We Want To – But Should We?

Posted by on May 31, 2015 in Featured, Pediatrics, Podcasts | 2 comments

Podcast Link: SGEM122 Date: May 31st, 2015 Guest Skeptic: Dr. Anthony Crocco. Anthony is the Medical Director & Division Head of Pediatric Emergency at McMaster’s Children’s Hospital. He is known on YouTube for his RANThonys and has recently developed a novel website to teach evidence based medicine called SketchyEBM. Case: Four year-old girl presents with diarrhea and three episodes of vomiting in the last 24 hours. The child has signs of mild dehydration. A diagnosis of gastroenteritis is made but...

Read More

SGEM#121: Internal or External Shoulder Immobilization (It Don’t Matter to Me)

Posted by on May 24, 2015 in Featured, Musculoskeletal, Podcasts | 2 comments

Podcast Link: SGEM121 Date: May 22nd, 2015 Guest Skeptics: Dagny Kane-Haas. Dagny is a physiotherapist who just completed her Masters degree in Clinical Science in Manipulative Therapy. Case: 24 year-old man is goofing around on the Memorial Day long weekend at the beach. He falls and dislocates his shoulder for the first time. An examination shows it is an isolated injury and x-rays demonstrate an anterior dislocation of his shoulder without fracture. Procedural sedation is performed with no complications. Post...

Read More

SGEM#120: One Thing or Two for Community Acquired Pneumonia?

Posted by on May 17, 2015 in Featured, Infectious, Podcasts, Pulmonary | 0 comments

Podcast Link: SGEM120 Date: May 7th, 2015 Guest Skeptics: Victor Tsang graduated from University of Waterloo School of Pharmacy and is currently doing a residency at London Health Sciences Centre in London, Ontario. Cassandra McEwan graduate of McGill University and University of Waterloo. She is also completing a residency program at London Health Sciences Centre. Case: 62 year old man presents to your emergency department with a four day history of increasing shortness of breath, purulent cough, fever, and generally feeling...

Read More

SGEM#119: B-Lines (Diagnosing Acute Heart Failure with Ultrasound)

Posted by on May 10, 2015 in Featured, Podcasts, Pulmonary | 19 comments

Podcast Link: SGEM119 Date: April 14th, 2015 Guest Skeptics: Dr. Alan Chiem. Alan is an assistant clinical professor and the director of ultrasound at UCLA Olive View. Case: 78 year old man with a history of diabetes, hypertension and coronary artery disease presents with a two day history of increasing shortness of breath. He does not have any chest pain or fever. You have been doing more and more with ultrasound and wonder whether you can make the diagnosis of acute...

Read More

SGEM#118: I Hope you Had a Negative D-dimer (ADJUST PE Study)

Posted by on May 3, 2015 in Cardiac, Featured, Podcasts, Pulmonary | 0 comments

Podcast Link: SGEM118 Date: April 29th, 2015 Guest Skeptics: Dr. Kerstin deWit. Kerstin did an Internal medicine and EM training in the UK. Since then she has worked in Thrombosis research and received a doctorate in the UK and a Masters in Epidemiology from the University of Ottawa. Kerstin currently works as a Thrombosis physician and Emergency Physician at McMaster University and member of Best Evidence in Emergency Medicine (BEEM). Case: An 84 year old woman presents to the ED with...

Read More

SGEM#117: Diarrhea – Hard to Spell, Easy to Smell and Easy to Cause with IV Antibiotics

Posted by on Apr 26, 2015 in Featured, GastroIntestinal, Infectious, Podcasts | 3 comments

Podcast Link: SGEM117 Date: April 24th, 2015 Guest Skeptics: Meghan Groth (@EMPharmGirl). Meghan is the emergency medicine pharmacy specialist at the University of Vermont Medical Center in Burlington, Vermont and an adjunct professor of pharmacy at the Albany College of Pharmacy and Health Sciences. Case: A 58 year old male presents to your emergency department complaining of a warm, painful, reddened area on his left thigh. His past medical history is only significant for generalized anxiety disorder and he has no known drug allergies....

Read More

SGEM#116: Paramedics’ Got a Squeeze Box – Remote Ischemic Conditioning

Posted by on Apr 19, 2015 in Cardiac, Featured, Podcasts | 4 comments

Podcast Link: SGEM116 Date: April 15th, 2015 Guest Skeptics: Clay Odell. Clay is a paramedic and Executive Director of Upper Valley Ambulance, a regional EMS system covering nine communities in rural New Hampshire and Vermont. He’s been involved in EMS for over 30 years in a variety of roles including urban paramedic, flight paramedic, an emergency nurse, and Chief of the State EMS Office in New Hampshire. Clay is very interested in EBM for EMS and says he’s trying really...

Read More

SGEM#115: Complicated – Non-Operative Treatment of Appendicitis (NOTA)

Posted by on Apr 12, 2015 in Featured, GastroIntestinal, Podcasts | 0 comments

Podcast Link: SGEM115 Date: April 11th, 2015 Guest Skeptics: Dr. Bret Batchelor. Bret is a general practitioner with Enhanced Surgical Skills currently working in Vanderhoof, BC. He is the host of the newly created podcast that can be found on iTunes called Really Rural Surgery. Case: A 35 year-old man presents to the emergency room with right lower quadrant pain for approximately 18 hours. You assess the patient and find that his Alvarado Score is 7. You then ask for an...

Read More

SGEM#114: Ketofol – Does It Take Two to Make a Procedure Go Right?

Posted by on Apr 5, 2015 in Featured, Podcasts | 3 comments

Podcast Link: SGEM114 Date: March 25th, 2015 Guest Skeptics: Dr. Steve Carroll. Steve is an Emergency Medicine Physician and EM Core Faculty with the US Army at San Antonio Military Medical Center in San Antonio, Texas. He also does an awesome podcast called EM Basic that is your “boot camp guide to emergency medicine”. EM Basic reviews common EM topics at the level of a medical student or intern. Case: A 40-year-old male comes to the Emergency Department with a dislocated...

Read More

SGEM#113: EGDT – ProMISe(s) ProMISe(s)

Posted by on Mar 29, 2015 in Featured, Infectious, Podcasts | 2 comments

Podcast Link: SGEM113 Date: March 26th, 2015 Guest Skeptics: Dr. Suneel Upadhye (BEEM Group) and Dr. Tiffany Osborn (ProMISe Author) Suneel is an Associate Clinical Professor Emergency Medicine at McMaster University and Associate Member of Clinical Epidemiology and Biostatistics. He is also the Chair CAEP standards committee and a sepsis researcher. Tiffany is the second author on the ProMISe Trial. She is an Associate Professor in the Department of Surgery and the Department of Emergency Medicine at Washington University, St. Louis. Case: ...

Read More

SGEM#112: Bang Your Head – Paediatric Concussions

Posted by on Mar 22, 2015 in Featured, Neurologic, Pediatrics, Podcasts | 0 comments

Podcast Link: SGEM112 Concussion Date: March 7th, 2014 Guest Skeptic: Dr. Anthony Crocco. Associate Professor, McMaster University, Medical Director and Division Head McMaster Children’s Hospital Emergency Department. Case: 11yo snowboarder fails to land epic jump. She was wearing helmet. There was a brief loss of consciousness and she is amnestic to the event. The only complaint is a mild headache. Her examination is normal and a shared decision is made to observe her rather than getting a CT scan. She is...

Read More