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SGEM#219: Shout, Shout, PERC Rule Them Out

Posted by on May 19, 2018 in Cardiac, Featured, Podcasts, Pulmonary | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM219.mp3Podcast: Play in new window | Download Date: May 16, 2018 Reference: Freund et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events
 Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. JAMA February 2018. Guest Skeptic: Dr. Jeffrey Kline (@klinelab) is the Vice Chair of Research in Emergency Medicine and a professor of physiology, Indiana University School of Medicine. He is the editor in chief of AEM, creator of Pulmonary Embolism Rule-out Criteria (PERC) Rule and...

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SGEM#218: Excited Delirium Syndrome

Posted by on May 12, 2018 in Featured, Neurologic, Pharmacology/Toxicology, Podcasts, Psychiatric | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM218.mp3Podcast: Play in new window | Download Date: May 12th, 2018 Reference: Gonin P et al. Excited Delirium: A Systematic Review. AEM May 2018. Guest Skeptic: Dr. Chris Bond 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). Case: A 24-year-old male is brought into...

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SGEM#217: The Batman Effect on Improving Perseverance

Posted by on May 5, 2018 in Featured, Podcasts, Psychiatric | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM217.mp3Podcast: Play in new window | Download Date: March 6th, 2018 Reference: White et al. The “Batman Effect”: Improving Perseverance in Young Children. Child Development December 2016. Guest Skeptic: Dr. Casey Parker is a rural Generalist working in Broome, Australia. He has particular interests in Emergency Care, Aboriginal Health, Paediatrics, Trauma and Women’s Anaesthesia. Casey has this great blog and podcast called Broome Docs. Casey and I made a #Batdoc video at SMACCdub. Case: It is flu season and there is an...

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SGEM Xtra: Petition to Retire the Surviving Sepsis Campaign Guidelines

Posted by on May 2, 2018 in Featured, Infectious, Podcasts | 0 comments

Recently the SGEM was contacted by a group of doctors organizing a petition. They were concerned about the new Surviving Sepsis Campaign (SCC) guidelines that were just released. Specifically, the fluid, antibiotics and pressor requirements within the first hour of being triaged in the emergency department. The SGEM was invited to be involved in a global effort to express the concerns about the SSC guidelines. Below is the letter being released from a number of #FOAMed people from around...

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SGEM#216: Pump It Up – Corticosteroids for Patients with Pneumonia Admitted to Hospital

Posted by on Apr 28, 2018 in Featured, Infectious, Podcasts, Pulmonary | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM216.mp3Podcast: Play in new window | Download Date: April 25th, 2018 Reference: Stern A et al, Corticosteroids for pneumonia (Review). Cochrane Database of Systematic Reviews. December 2017. Guest Skeptic: Dr. Jake Turner, a foundation doctor working in the UK. Case: A 72-year-old gentleman presents to your emergency department. He has been generally unwell for around one week, with a worsening cough, shortness of breath and fever. He is now feeling extremely short of breath, appears confused and is pyrexial at 39 degrees...

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SGEM#215: Love Will Tear Us Apart – Diagnostic Challenges of Aortic Dissection

Posted by on Apr 21, 2018 in Cardiac, Featured, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM215a.mp3Podcast: Play in new window | Download Date: April 12th, 2018 Reference: Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). Case: You are in the emergency department caring for a 65-year-old man with sharp chest pain radiating to the back. Blood pressure is elevated, and his pain was sudden in...

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SGEM#214: Woman – The TXA Trial for Post-Partum Hemorrhage

Posted by on Apr 14, 2018 in Featured, Gynecologic, Hematologic, Podcasts | 0 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM214.mp3Podcast: Play in new window | Download Date: April 13th, 2018 Reference: Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. The Lancet 2017 Guest Skeptic: Dr. Nick Papalia completed his MD at Western University. He is currently completing his third year of Obstetrics and Gynecology residency at the University of Calgary. Case: 37-year-old primiparous woman has a spontaneous vaginal delivery following an induction of labour at...

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SGEM Xtra: The Danger Within Us

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

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM-Xtra-Danger-Within-Us-.mp3Podcast: Play in new window | Download Date: March 23rd, 2018 This is a SGEM Xtra book review. I had the pleasure of interviewing Jeanne Lenzer. She is an award-winning independent medical investigative journalist who has written for the BMJ. Jeanne has also written for the Atlantic, the New York Times Magazine, Mother Jones, Huffington Post and Slate. Jeanne book is called The Danger Within Us: America’s Untested, Unregulated Medical Device Industry and One Man’s Battle to Survive It. In the book, she takes a critical look at the...

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SGEM#213: Upside Down You Convert Me Out of SVT?

Posted by on Apr 1, 2018 in Cardiac, Featured, Pediatrics, Podcasts | 5 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM213-SVT.mp3Podcast: Play in new window | Download Date: March 30th, 2018 Reference: Bronzetti et al. Upside-down position for the out of hospital management of children with supraventricular tachycardia.  International Journal of Cardiology. February 2018. Guest Skeptic: Dr. Robert Edmonds is an Emergency physician in the US Air Force. This is his 6th visit to the SGEM. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force. Case:A seven-year-old girl presents to your emergency...

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SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma

Posted by on Mar 25, 2018 in Featured, Podcasts, Trauma | 5 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM212-GeriTrauma.mp3Podcast: Play in new window | Download Date: March 20th, 2018 Reference: Sawa et al. Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review. CJEM March 2018 Guest Skeptic: Dr. Christina Shenvi is an Emergency Physician at University of North Carolina. She is fellowship trained in Geriatric Emergency Medicine and has a podcast called GEMCAST. Christina loves serving as the assistant residency director, writing things, reading things, teaching people, and having kids. Case: An 85-year-old woman with...

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SGEM#211: Pins and Needles – Acupuncture for Migraine Prophylaxis

Posted by on Mar 18, 2018 in Featured, Neurologic, Podcasts | 2 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM211.mp3Podcast: Play in new window | Download Date: March 18th, 2018 Reference: Zhao et al. The Long-Term Effect of Acupuncture for Migraine Prophylaxis:  A Randomized Clinical Trial. JAMA Internal Medicine 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, an Assistant Clinical Professor of Emergency Medicine, an Active Researcher and faculty member for the Emergency Medicine and Acute...

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SGEM#210: (Don’t) Let it Bleed – TXA for Epistaxis in Patients on Anti-Platelet Drugs

Posted by on Mar 10, 2018 in Featured, Hematologic, Podcasts | 7 comments

http://media.blubrry.com/thesgem/p/content.blubrry.com/thesgem/SGEM210.mp3Podcast: Play in new window | Download Date: March 6th, 2018 Reference: Zahed et al. Topical Tranexamic Acid Compared With Anterior Nasal Packing for Treatment of Epistaxis in Patients Taking Antiplatelet Drugs: Randomized Controlled Trial. AEM March 2018. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of the excellent #FOAMed project called First10EM.com Case: A 77-year-old woman with known coronary artery disease is on clopidogrel and...

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