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SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis

Posted by on Mar 4, 2018 in Featured, Infectious, Podcasts | 6 comments

Podcast Link: SGEM209 Date: February 27th, 2018 Reference: Moran et al. Effect of Cephalexin plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis – A Randomized Clinical Trial. JAMA May 2017. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. He also hosts a great #FOAMed blog and podcast called TOTAL EM. Case: A 22-year-old male with no significant past medical history arrives to your department for an area of...

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SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock

Posted by on Feb 24, 2018 in Featured, Infectious, Podcasts | 11 comments

Podcast Link: SGEM208 Date: February 14th, 2018 Reference: Venkatesh S et al. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. NEJM January 2018. Guest Skeptic: Dr. Rory Spiegel (@EMNerd_) is a clinical instructor at University of Maryland, a recent graduate of Stony Brook’s Resuscitation Fellowship, and a current Critical Care fellow at University of Maryland. He writes an excellent blog called EM Nerd, which he describes as nihilistic ramblings. Case: 64-year-old male presents to your emergency department with worsening abdominal pain, nausea,...

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SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis.

Posted by on Feb 17, 2018 in Featured, Infectious, Podcasts | 9 comments

Podcast Link: SGEM207 Date: February 14th, 2018 Reference: Alam N et al. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. The Lancet Nov 2017. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: EMS is dispatched to a retirement home. They have a 73-year-old man who complains of weakness and a cough for the last 48 hours. You arrive and find the...

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SGEM#206: I’m Wheezy Like A Pre-Schooler – Prednisolone for Wheezy Children

Posted by on Feb 10, 2018 in Featured, Infectious, Pediatrics, Podcasts, Pulmonary | 10 comments

Podcast Link: SGEM206a Date: February 6th, 2018 Reference: Foster SJ et al. Oral prednisolone in preschool children with virus-associated wheeze: a prospective, randomised, double-blind, placebo-controlled trial. Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. She is also the co-founder of Don’t Forget the Bubbles and on the FeminEM Speaker Bureau. Case: Tom is a 4-year-old boy who comes into the emergency department with a wheeze following a viral illness....

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SGEM#205: Twist & Shout – Testicular Torsion

Posted by on Feb 3, 2018 in Featured, Genitourinary, Podcasts | 7 comments

Podcast Link: SGEM205 Date: January 31st, 2018 Reference: Frohlich LC, et al. Prospective validation of clinical score for males presenting with an acute scrotum. AEM Dec 2017. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. Melissa is passionate about clinical and translational research and focuses most of her work on the use of capnography or end-tidal carbon dioxide monitoring. In her spare time, Melissa also enjoys being the fellowship director to an...

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SGEM#204: Hold the Line – IVs Aren’t Always Required

Posted by on Jan 28, 2018 in Featured, Podcasts | 22 comments

Podcast Link: SGEM204 Date: January 25th, 2018 Reference: Hawkins et al. Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study. AEM Jan 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency. Case: You are caring for a patient with a fever in the emergency department and the nurse asks if you want to start an intravenous (IV) line or just draw blood. You think for a minute…your...

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SGEM Xtra: Eight Days a Week

Posted by on Jan 26, 2018 in Administration, Featured, Podcasts | 0 comments

Podcast Link: SGEM Xtra Eight Days a Week Date: January 26th, 2018 Happy New Years again SGEMers. This is just a quick SGEM Xtra episode to let you know what I am going to be trying to do in 2018 to help you cut the knowledge translation (KT) window down from over ten years to less than one year. It involves following a weekly schedule of social media interaction.   Weekly SGEM Schedule   Saturday/Sunday SGEM: A new episodes of the SGEM will...

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SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid

Posted by on Jan 20, 2018 in Featured, Infectious, Pharmacology/Toxicology, Podcasts, Pulmonary | 5 comments

Podcast Link: SGEM203 Date: January 15th, 2018 Reference: Sadeghirad B, et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, and is a part of the ALiEM Capsules Team.  Case: 50-year-old man presents with a one day history of sore throat, cough and...

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SGEM#202: Lidocaine for Renal Colic?

Posted by on Jan 14, 2018 in Featured, Genitourinary, Podcasts | 10 comments

Podcast Link: SGEM202 Lidocaine Date: January 9th, 2018 Reference: Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Dr. Rachel Littlefield is a PGY2 in Emergency Medicine at the University of Arkansas. Knowledge Translation Window: A short note to point out that this paper was not published in the last year. However, it is less...

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SGEM#201: It’s in the Way That You Use It – Ottawa SAH Tool

Posted by on Jan 7, 2018 in Featured, Neurologic, Podcasts | 8 comments

Podcast Link: SGEM201 SAH Date: December 19th, 2017 Reference: Perry J et al. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. Case:  A 35-year-old female presents to your emergency department three-hours after the onset of a severe frontal headache.  She describes the headache as throbbing, left retro-orbital, and associated with nausea...

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SGEM Xtra: I Am Woman

Posted by on Dec 29, 2017 in Featured, Holiday, Podcasts | 1 comment

Podcast Link: SGEM Xtra I Am Woman Date: December 28th, 2017 This is a special year end episode of the SGEM. It is time to reflect upon 2017 while at the same time look forward to 2018. It has been an incredible year for a number of reasons. We had some fantastic papers to review, excellent guest skeptics and super SGEM Xtras. I am very energized to keep the momentum rolling for this knowledge translation project in 2018. From my perspective,...

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SGEM Xtra: Every Day I Write the Book – SGEM Season#3

Posted by on Dec 25, 2017 in Featured, Holiday, Podcasts | 1 comment

Podcast Link: SGEM Xtra Season#3 Date: December 25th, 2017 Happy holidays to all the SGEMers. Please accept this PDF book of Season#3. It is a holiday gift from me to you to say thank you for all the support and encouragement over the last few years. There are now close to 35,000 subscribers and the SGEM is translated into four other languages. Who would have thought back in 2012 that an emergency medicine  physician from Canada could reach so many people...

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