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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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SGEM#200: Dr. Alexander Hamilton and Bloodletting for Camp Fever

Posted by on Dec 23, 2017 in Featured, Holiday, Infectious, Podcasts | 1 comment

Podcast Link: SGEM200 Date: December 19th, 2017 Reference: Lesassier Hamilton A. Dissertatio Medica lnauguralis De Synocho Castrensi [Inaugural medical dissertation on camp fever]. Edinburgh: J Ballantyne, 1816. Guest Skeptic: Dr. Robert Leeper is an assistant professor of surgery at Western University and the London Health Sciences Centre.  His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. This is the 200th episode of the SGEM and it is the 2017 holiday edition....

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SGEM#199: Therapeutic Hypothermia – What is it Good For?

Posted by on Dec 17, 2017 in Featured, Neurologic, Podcasts | 4 comments

Podcast Link: SGEM199 Date: November 27th, 2017 Reference: Legriel et al. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. Case: Johnny is a 22-year-old male patient who presents to the emergency department via EMS with a seizure. He is known to have poorly controlled epilepsy. It...

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SGEM#198: Better Slow Down – Push vs. Short Infusion of Low Dose Ketamine for Pain in the Emergency Department

Posted by on Dec 9, 2017 in Featured, Pharmacology/Toxicology, Podcasts | 5 comments

Podcast Link: SGEM198 Date: November 28th, 2017 Reference: Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. AJEM 2017. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas. He is the founder and creator of REBEL EM and REBEL Cast. Case: A 54-year old female patient with acute...

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SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests

Posted by on Dec 3, 2017 in Cardiac, Featured, Podcasts | 10 comments

Podcast Link: SGEM197 Date: November 24th, 2017 Reference: Andersen et al. Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force.  He is currently deployed, practicing emergency medicine in an undisclosed location. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force. Case: You are working a regular shift in the emergency department when you...

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SGEM#196: Gastroparesis – I Feel Like Throwing Up

Posted by on Nov 26, 2017 in Featured, GastroIntestinal, Podcasts | 14 comments

Podcast Link: SGEM196 Date: November 24th, 2017 Reference: Roldan et al. Trial Comparing Haloperidol Combined With Conventional Therapy to Conventional Therapy Alone in Patients With Symptomatic Gastroparesis. AEM November 2017 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: You charge nurse approaches as you finish charting on the trauma patient who was just transferred out. “Mrs. G. is...

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SGEM#195: Some Like It Hot – ED Temperature and ICU Survival

Posted by on Nov 19, 2017 in Featured, Infectious, Podcasts | 4 comments

Podcast Link: SGEM195 Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017. Guest Skeptic: Jesse Spurr works as a Nurse Educator in the Emergency Department at Redcliffe Hospital in Australia. Outside his family and work, Jesse pours energy into his professional hobbies: healthcare simulation podcast Simulcast, nursing practice development blog and podcast Injectable Orange and faculty and team member of The...

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SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations

Posted by on Nov 12, 2017 in Featured, Pediatrics, Podcasts | 9 comments

Podcast Link: SGEM194 Date: November 9th, 2017 Reference: Cronin JJ et al. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. Ann Emerg Med 2016 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine provider who works at Harlem Hospital Center in New York and Children’s National Medical Center in Washington, DC.  He was Director of Emergency Department Simulation and the Co-Fellowship Director at ST Luke’s-Roosevelt Hospital in New...

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SGEM Xtra: Western University Resident Teaching Boot Camp

Posted by on Nov 8, 2017 in Podcasts | 5 comments

Date: November 8th, 2017 I had the pleasure of demonstrating how to teach evidence-based medicine yesterday to Western University residents. It was part of a Boot Camp put on by the Schulich School of Medicine and Dentistry. It is an annual event designed to teach residents how to be better teachers. The conference is officially called Boot Camp for Resident Teachers. Program Directors nominate exemplary residents with an interest in teaching. It is described as “an intensive 2-day program focusing on...

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