PODCAST

The Skeptics Guide to Emergency Medicine

Dr. Ken Milne

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

education medicine

All Episodes

13:41

SGEM#291: Who’s Gonna Drive you to…the ED – with...

The Skeptics Guide to Emergency Medicine ·

2020/05/02

Date: April 24th, 2020 Reference: Watanabe et al. Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? A Contemporary Analysis Using National EMS Information System (NEMSIS) Data. Annals of Emergency Medicine. July 2019 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s eleventh visit to the SGEM. Disclaimer: The views and opinions of this podcast do not represent the United States Government or the US

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15:42

SGEM#290: Neurologist Led Stroke Teams – Working 9 to 5

The Skeptics Guide to Emergency Medicine ·

2020/04/25

Date: April 21st, 2020 Reference: Juergens et al. Effectiveness of emergency physician determinations of the need for thrombolytic therapy in acute stroke. Proc Baylor Univ Med Center Oct 2019 Guest Skeptic: Dr. Chuck Sheppard is an attending Emergency Department Physician at Mercy Hospital in Springfield, Missouri and the medical director for Mercy Life Line air medical service. He has been practicing in Emergency Medicine for over 40 years and involved in EMS services for over 30

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33:45

SGEM#289: I Want a Dog to Relieve My Stress in the...

The Skeptics Guide to Emergency Medicine ·

2020/04/11

Date: April 9th, 2020 Reference: Kline et al. Randomized trial of therapy dogs versus deliberative coloring (art therapy) to reduce stress in emergency medicine providers. AEM April 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: It has been a hard shift. You wish you could say “uncharacteristically”, but recently all your shifts in the emergency department have felt a little hard. The increased

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26:00

SGEM Xtra: The REBEL vs. The SKEPTIC at SMACC 2019

The Skeptics Guide to Emergency Medicine ·

2020/04/04

Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie (REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia. It was the EBM rumble down under for SMACC 2019. How the world has changed with COVID19. You can see the original SGEM Xtra post from March 2019. It has more details about each issue we discussed and our slides. This is being posted now because a high-definition video is available on YOUTUBE for those who could not attend or for

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31:38

SGEM#287: Difficult to Breathe – It Could Be Pneumonia

The Skeptics Guide to Emergency Medicine ·

2020/03/21

Date: March 18th, 2020 Reference: Ebell et al. Accuracy of Biomarkers for the Diagnosis of Adult Community-Acquired Pneumonia: A Meta-analysis. AEM March 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. Disclaimer: This is Not an Episode on COVID19 Things are changing quickly with the COVID19 pandemic. Here are five basic

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54:30

SGEM Xtra: She Blinded Me with Science – Not...

The Skeptics Guide to Emergency Medicine ·

2020/03/14

Date: March 12th, 2020 Dr. Jonathan Stea Guest Skeptic: Dr. Jonathan Stea (@Jonathanstea) is a PhD Clinical Psychologist working at the Foothills Medical Centre in Calgary, Alberta. He is also an Adjunct Assistant Professor, Department of Psychology, University of Calgary. This SGEM Xtra is based on a tweet from about a month ago on The 10 Commandments of helping distinguish between science from pseudoscience for psychology students. It was written by Scott O. Lilienfeld (Association for

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24:42

SGEM#286: Behind the Mask – Does it need to be an N95...

The Skeptics Guide to Emergency Medicine ·

2020/03/07

Date: March 4th, 2020 Reference: Radonovich et al. N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel. A Randomized Clinical Trial. JAMA 2019 The Respiratory Protection Effectiveness Clinical Trial (ResPECT) Guest Skeptics: Dr. Christopher Patey is an Assistant Professor with Memorial University Medical School in St. John’s, Newfoundland Canada. Over the past seventeen years he has practiced as a rural emergency and family physician and Clinical Chief of

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35:55

SGEM#285: And I See Your True Colours Calming You –...

The Skeptics Guide to Emergency Medicine ·

2020/02/29

Date: February 28th, 2020 Reference: Rajendran et al. Randomised control trial of adult therapeutic colouring for the management of significant anxiety in the Emergency Department. AEM February 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: One night during an overnight shift, you are taking care of a patient who presented to the emergency department (ED) due to anxiety and vague suicidal ideation

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39:01

SGEM Xtra: Right, You’re Bloody Well Right, You’ve...

The Skeptics Guide to Emergency Medicine ·

2020/02/22

Date: January 27th, 2020 Guest Skeptics: Dr. Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine. Dr. Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Reference: Dorsett et al. Bringing value, balance and humanity to the emergency department: The Right Care Top 10 for emergency medicine. Emerg Med J 2019 This is an SGEM Xtra based on a recent publication by Dr. Dorsett and her team. It is an article of

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20:29

SGEM#284: Might as Well Jump, but We would Recommend...

The Skeptics Guide to Emergency Medicine ·

2020/02/15

Date: February 11th, 2020 Reference: Yeh et al. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. BMJ 2018. Guest Skeptic: Marcus Prescott is a nurse in Norway. He is also now a third-year medical student. Case: A 32-year-old woman with no previous medical history calls you while a passenger on a crashing plane. She has been offered a parachute by the flight attendant but is unsure whether jumping from the plane is wise. You quickly scour the

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23:58

SGEM#283: Can You Be Absolutely Right in Diagnosing a...

The Skeptics Guide to Emergency Medicine ·

2020/02/08

Date: January 29th, 2020 Reference: Perry et al. Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule. Stroke 2019 Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the Emergency Department and Critical Care department. He also has this amazing #FOAMed blog called EM Nerd. Case: A 48-year-old male presents to your emergency department with a sudden onset headache, which started about one-hour prior to arrival. The headache

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2:43

SGEM#281ss: Balance of Prognostic Factors in...

The Skeptics Guide to Emergency Medicine ·

2020/01/29

Date: January 25th, 2020 SGEM#281: EM Docs Got an AmbuBag Statistically Significant: Dan Lane We want to make the SGEM even better and address some of the criticisms from the ClinEpi world about clinicians trying to do critical appraisal. In order to do that we now have a Dr. Dan Lane who has a PhD in Clinical Epidemiology. He will be commenting on each the SGEM episodes. Dr. Dan Lane On this episode of Statistically Significant we are going to discuss the importance of balance of

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15:05

SGEM#281: EM Docs Got an AmbuBag – The PreVent Trial

The Skeptics Guide to Emergency Medicine ·

2020/01/25

Date: January 9th, 2020 Reference: Casey et al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. NEJM February 2019 Guest Skeptic: Andrew Merelman is a critical care paramedic and second year medical student at Rocky Vista University in Colorado. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Case: A 60-year-old male is in your emergency department with sepsis from pneumonia. He has worsening work of breathing and a

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9:46

SGEM Xtra: It’s All About the Bayes, ‘Bout the Bayes,...

The Skeptics Guide to Emergency Medicine ·

2020/01/22

Guest Skeptic: Dr. Dan Lane has a Masters in Health Services Research at the University of Calgary, a Doctor of Philosophy in Clinical Epidemiology from the University of Toronto and is currently a medical student at the University of Calgary. Dan is naturally a contrarian, he strives to understand first principles of conventions in medical research in order to identify and challenge poor practices that have become dogma. He is passionate about statistics and epidemiology and wants to share that

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30:11

SGEM#280: This Old Heart of Mine and Troponin Testing

The Skeptics Guide to Emergency Medicine ·

2020/01/18

Date: January 16th, 2020 Reference: Troponin Testing and Coronary Syndrome in Geriatric Patients With Nonspecific Complaints: Are We Overtesting? AEM January 2020 Guest Skeptics: Dr. James VandenBerg: James has a master’s degree in clinical investigation from Washington University in St. Louis, and is currently the Chief Resident at Detroit Receiving Hospital. Dr. Andrew Huang: Andy is the Chief Resident at Sinai-Grace Hospital. Case: As the resident, you have just finished seeing a

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32:34

SGEM#279: Do You Really Want to Hurt Me and Use a...

The Skeptics Guide to Emergency Medicine ·

2020/01/11

Date: January 10th, 2020 Reference: Dodick DW et al. Ubrogepant for the Treatment of Migraine. NEJM 2019 Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Joseph’s Hospital in Paterson, NJ. He is also the managing editor of EM:RAP and associate editor at REBEL EM. Case: A 23-year-old man with a history of migraines presents with two days of headache, nausea and photo-photophobia typical of his prior migraines. He’s tried a number of medications at home

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28:24

SGEM Xtra: Come Together, Right Now – Over Renal Colic

The Skeptics Guide to Emergency Medicine ·

2019/12/28

Date: December 16th, 2019 Reference: Moore et al. Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus. Annals of EM, JU, and JACR 2019. Dr. Chris Moore Guest Skeptics: Dr. Christopher Moore is an Associate Professor of Emergency Medicine a Yale School of Medicine. He is also the Chief for the Section of Emergency Ultrasound and Director of the Emergency Ultrasound Fellowship. Dr. Kevan Sternberg is an Associate Professor of Urology at the

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31:51

SGEM Xtra: NNT – WET or DRI

The Skeptics Guide to Emergency Medicine ·

2019/12/21

Date: December 17th, 2019 Reference: Reeves and Reynolds. The NNT-WET and NNT-DRI: (Mostly) Satirical New Metrics to Emphasize the Inherent Inefficiency of Clinical Practice. AEM Dec 2019. Guest Skeptics: Dr. Mathew Reeves is a Professor and Interim Chair of the Department of Epidemiology and Biostatistics at the College of Human Medicine at MSU. Dr. Joshua Reynolds is an Associate Professor of Emergency Medicine at the College of Human Medicine at MSU. Outside of his academic duties, he works

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28:50

SGEM#278: Seen Your Video for Acute Otitis Media...

The Skeptics Guide to Emergency Medicine ·

2019/12/14

Date: December 13th, 2019 Reference: Belisle et al. Video discharge instructions for acute otitis media in children: a randomized controlled open-label trial. AEM December 2019 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. Case: An 18-month-old, previously healthy female presents to the emergency department with 24 hours of fever. The

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15:04

SGEM Xtra: Strange BRUE

The Skeptics Guide to Emergency Medicine ·

2019/12/07

Date: October 2nd, 2019 Reference: Ramgopal et al. Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh. This is an SGEM Xtra and it was inspired by the recent publication in Pediatrics on BRUEs. This will not be a traditional nerdy critical appraisal. We wanted to change things up a bit and just have a conversation about this

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The Skeptics Guide to Emergency Medicine

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