PODCAST

The Skeptics Guide to Emergency Medicine

Dr. Ken Milne

Meet ’em, greet ’em, treat ’em and street ’em

education medicine

All Episodes

28:06

SGEM#305: Somebody Get Me A Doctor – But Do I Need...

The Skeptics Guide to Emergency Medicine ·

2020/10/17

Date: October 14th, 2020 Guest Skeptic: Dr.Salim Rezaie is a community emergency physician at Greater San Antonio Emergency Physicians (GSEP), where he is the director of clinical education. Salim is probably better known as the creator and founder of the wonderful knowledge translation project called REBEL EM. It is a free, critical appraisal blog and podcast that try to cut down knowledge translation gaps of research to bedside clinical practice. Reference: Rowell et al. Effect of

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32:25

SGEM Xtra: Money, Money, Money It’s A Rich Man’s...

The Skeptics Guide to Emergency Medicine ·

2020/10/07

Date: September 28th, 2020 Guest Skeptic: Dr.Michelle Cohen (@DocMCohen). She is a rural Family Physician, writer (CBC News, Toronto Star and McLean’s Magazine), Assistant Professor Queens University and the Co-Chair of the Advocacy Committee of Canadian Women in Medicine. Dr. Michell Cohen This is an SGEM Xtra episode based on an article by Dr. Cohen and Dr. Kiran published in the Canadian Medical Association Journal (CMAJ). The article was called Closing the gender pay gap in Canadian

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23:27

SGEM#303: Two Can Make It – Less likely to have...

The Skeptics Guide to Emergency Medicine ·

2020/10/03

Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the Emergency Department of the Erasmus University Medical Center in Rotterdam, the Netherlands. She is the creator of the HEART Score and an enthusiastic researcher. Reference: Claiborne Johnston S et al. Ticagrelor and Aspirin or Aspirin Alone in Acute Ischemic Stroke or TIA. NEJM July 2020 Case: A 65-year-old man with a history of well controlled hypertension presents to the emergency department and is

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26:15

SGEM#302: We Didn’t Start the Fire but Can Antacid...

The Skeptics Guide to Emergency Medicine ·

2020/09/26

Date: September 22nd, 2020 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician in Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Reference: Warren et al. Antacid monotherapy is more effective in relieving epigastric pain than in combination with lidocaine. A randomized double-blind clinical trial. AEM Sept 2020. Case: A 34-year-old male presents to the emergency department with burning epigastric pain after eating two hours ago

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19:46

SGEM#301: You Can’t Stop GI Bleeds with TXA

The Skeptics Guide to Emergency Medicine ·

2020/09/19

Date: September 16th, 2020 Guest Skeptics: Dr. Robert Goulden and Dr. Audrey Marcotte are Chief Residents from the Royal College of Emergency Medicine Program at McGill University. Robert’s academic interests include research and evidence-based medicine. Alongside his EM residency, he is doing a PhD in epidemiology. Audrey’s academic interests include trauma and resuscitation. Outside of medicine, Audrey likes to play rugby and run. Reference: Roberts et al. Effects of a high-dose 24-h infusion

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35:09

SGEM Xtra: The Water is Wide

The Skeptics Guide to Emergency Medicine ·

2020/09/12

Date: September 11th, 2020 This is an SGEM Xtra episode. I was invited by the College of Physicians and Surgeons of Ontario (CPSO) to give a talk at their council meeting on burnout. It was an opportunity to share my journey and give an important message about kindness. I have discussed burnout and wellness a number of times on the SGEM: SGEM#289: I Want a Dog to Relieve My Stress in the Emergency Department SGEM Xtra: CAEP Wellness Week 2019 SGEM Xtra: On the Edge of Burnout SGEM Xtra:

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25:37

SGEM#300: The Lung is Up Where it Belongs – With or...

The Skeptics Guide to Emergency Medicine ·

2020/09/06

Date: August 27th, 2020 Guest Skeptic: Dr. Malthaner is the Chair/Chief of the Division of Thoracic Surgery, Director of Thoracic Surgery Research and Simulation, and Professor in the Departments of Surgery, Oncology, and Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry and Western University. Rick is also the founder of Western University’s Department of Surgery Journal Club and runs The Skeptik Thoracik Journal Club. Reference: Brown et al. Conservative versus

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7:01

SGEM Xtra: Read It In Books – Season#6

The Skeptics Guide to Emergency Medicine ·

2020/09/05

Date: September 3rd, 2020 It has been a tough year for all of us with the global pandemic of COVID19. I hope everyone is safe and taking care of themselves both physically and mentally. It is more important than ever during these difficult times to stay socially connected to those we love and care about. You are all leaders in your own way and can set the tone for your community. Lead by example: wash your hands well, practice physical distancing (not social distancing) and be smart about wearing

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31:10

SGEM#299: Learning to Test for COVID19

The Skeptics Guide to Emergency Medicine ·

2020/08/22

Date: August 18th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Carpenter et al. Diagnosing COVID-19 in the Emergency Department: A Scoping Review of Clinical Exam, Labs, Imaging Accuracy and Biases. AEM August 2020 Case: You are working in the emergency department during the COVID-19 outbreak, and you see a patient with oxygen saturations of 75% on room air, a fever, and a cough. Upon

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37:25

SGEM Xtra: EBM and the Changingman

The Skeptics Guide to Emergency Medicine ·

2020/07/25

Date: July 20th, 2020 Guest Skeptic: Professor Simon Carley is Creator, Webmaster, owner and Editor in Chief of the St. Emlyn’s blog and podcast. He is Professor of Emergency Medicine at Manchester Metropolitan University and a Consultant in adult and paediatric Emergency Medicine at Manchester Foundation Trust. Dr. Carley is even verified on twitter as @EMManchester. Reference: Carley et al. Evidence-based medicine and COVID-19: what to believe and when to change. BMJ_EMJ July 2020 This is an

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29:35

SGEM#298: What’s the Signs and the Symptoms of...

The Skeptics Guide to Emergency Medicine ·

2020/07/18

Date: July 13th, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com. He has a great new blog post about increasing diversity in medicine using something called the BSAP approach and an interesting Broome Doc podcast with Dr. Casey Parker called EBM 2.0. Reference: Ebell et al. Accuracy of Signs and Symptoms for the Diagnosis of Community‐acquired Pneumonia: A Meta‐analysis. AEM July 2020 Case: A 67-year-old

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34:47

SGEM#297: tPA Advocates Be Like – Never Gonna Give...

The Skeptics Guide to Emergency Medicine ·

2020/07/04

Date: June 30th, 2020 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. He is Head of the Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research; Professor of Emergency Medicine, University of Western Australia; and Director of Research for Royal Perth Hospital. Reference: Alper et al. Thrombolysis with alteplase 3–4.5 hours after acute ischaemic stroke: trial

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1:02:45

SGEM Xtra: Presenting in a Northern Constellation

The Skeptics Guide to Emergency Medicine ·

2020/06/27

Date: June 27th, 2020 I had the pleasure of presenting at the Northern Constellation Faculty Development Conference 2020 on May 8th. This was the 9th annual conference put on by the Northern School of Medicine (NOSM). Dr. Sarah McIsaac was kind enough to invite me to present at the Northern Constellation Conference. She is an anesthesiologist/intensivist at Health Sciences North, Assistant Professor and Medical Director of Faculty Development for NOSM. This presentation is available to watch on

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30:39

SGEM#296: She’s Got the Fever but Does She Need an...

The Skeptics Guide to Emergency Medicine ·

2020/06/20

Date: June 14th, 2020 Guest Skeptic: Dr. Dennis Ren is a Pediatric Emergency Medicine fellow at Children’s National Hospital in Washington, DC. Reference: Kuppermann et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019. Case: A 5-week-old full term female presents to the Emergency Department (ED) for fever with rectal temp of 100.6F (38.1C). Her mother states that she has been fussier today. She also seems

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36:13

SGEM#295: Teacher Teacher – Tell Me How to Do It...

The Skeptics Guide to Emergency Medicine ·

2020/06/13

Date: June 9th, 2020 Guest Skeptic: Dr. Chris Bond is an Emergency Medicine Physician and Assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Reference: Westafer et al. Provider Perspectives on the Use of Evidence-based Risk Stratification Tools in the Evaluation of Pulmonary Embolism: A Qualitative Study. AEM June 2020. Case: A 63-year-old female presents to the emergency department (ED) with chest pain for

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19:47

SGEM#294: Blood Pressure – Do Better, Keep Rising...

The Skeptics Guide to Emergency Medicine ·

2020/06/06

Date: June 2nd, 2020 Reference: Permpikul et al. Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial. Respir Crit Care Med 2019. Guest Skeptic: Dr. Max Hockstein trained as an Emergency Medicine physician at University of Texas Southwestern and is finishing his Intensive Care fellowship at Emory. Max is then going to Georgetown to be an attending in both EM and ICU. Case: It’s another day in your emergency department (ED). Six hours into your shift, you finish

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35:12

SGEM#293: CRASH in the US, CRASH in the US, CRASH-2...

The Skeptics Guide to Emergency Medicine ·

2020/05/30

Date: May 29th, 2020 Reference: Erramouspe et al. Mortality and Complication Rates in Adult Trauma Patients Receiving Tranexamic Acid: A Single-center Experience in the Post–CRASH-2 Era. AEM May 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: A 44-year-old male presents to your level 1 trauma center by EMS after a motor vehicle collision. He is hypotensive and tachycardic. You suspect abdomen and

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20:54

SGEM#292: With or Without You – Endovascular...

The Skeptics Guide to Emergency Medicine ·

2020/05/23

Date: May 19th, 2020 Reference: Yang P et al. Endovascular thrombectomy with or without intravenous alteplase in acute stroke. NJEM 2020. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Joseph’s Regional Medical Center in Paterson, NJ. Managing editor of EM:RAP and Associate Editor at REBEL EM. Case: A 53-year-old previously healthy man presents with 1.5 hours of right sided weakness as well as slurred speech. A rapid bedside assessment gives you a

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1:03:38

SGEM Xtra: Masks4All in Canada Debate

The Skeptics Guide to Emergency Medicine ·

2020/05/18

Date: May 18th, 2020 I was asked to participate in a debate regarding the issue of Masks4All in Canada by the people involved in the COVID Information for Canadian Physicians Facebook group. This is a private group ~22,000 physicians, residents, students and nurse practitioners from around the world. Dr. Joe Vipond I was reluctant to participate but was convinced after having a good conversation with the organizers and Dr. Vipond. They assured me it would be respectful, focus on the evidence and

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27:40

SGEM Xtra: COVID19 Treatments – Be Skeptical

The Skeptics Guide to Emergency Medicine ·

2020/05/09

Date: May 9th, 2020 Guest Skeptic: Dr. Sean Moore is an Assistant Professor at the Northern Ontario School of Medicine (NOSM), Chief of Emergency Services at Lake of the Woods Hospital in Kenora, Medical director with Ornge, and Associate Medical Director with CritiCall Ontario. CAEP Town Hall We had the pleasure of presenting for the Canadian Association of Emergency Physicians (CAEP) COVID-19 Town Hall this week. CAEP is the national voice of emergency medicine (EM) in Canada and provides

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The Skeptics Guide to Emergency Medicine

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