PODCAST

The Skeptics Guide to Emergency Medicine

Dr. Ken Milne

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

education medicine

All Episodes

25:15

SGEM#277: In the Pregnant YEARS – Diagnosing...

The Skeptics Guide to Emergency Medicine ·

2019/11/30

Date: November 13th, 2019 Reference: van der Pol et al. Pregnancy-Adapted YEARS Algorithm forDiagnosis of Suspected Pulmonary Embolism. NEJM 2019 Guest Skeptic: Dr. Theresa Robertson-Chenier is currently an Emergency Physician practicing at the Peterborough Regional Health Centre. She is also an adjunct faculty member with Queen's University, Department of Family Medicine. Case: A 32-year-old female, G1P0, who is 22 weeks pregnant, presents to your local emergency department with the chief

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39:17

SGEM#276: FOCUS on PE in Patients with Abnormal Vital...

The Skeptics Guide to Emergency Medicine ·

2019/11/23

Date: November 21st, 2019 Reference: Daley et al. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You are caring for a 45-year-old male patient in the emergency department with pleuritic chest pain. You suspect he has a pulmonary embolism (PE), and the

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26:34

SGEM#275: 10th Avenue Freeze Out – Therapeutic...

The Skeptics Guide to Emergency Medicine ·

2019/11/16

Date: November 6th, 2019 Reference: Lascarrou et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm. NEJM Oct 2019 Guest Skeptic: Dr. Laura Melville (@lmelville535) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director. Case: A 59-year-old woman comes is brought into your emergency department (ED) by EMS in cardiac arrest. She had a witnessed arrest,

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22:49

SGEM#274: Hocus POCUS for Appendicitis?

The Skeptics Guide to Emergency Medicine ·

2019/11/09

Date: November 2nd, 2019 Reference: Lee and Yun. Diagnostic Performance of Emergency Physician-Performed Point-of-Care Ultrasonography for Acute Appendicitis: A Meta-Analysis. AJEM 2019. 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. Chip is the CEO of an ultrasound education company called Practical POCUS which is based in the United States but

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18:01

SGEM#273: My Buddy (Tape) for Boxer’s Fractures

The Skeptics Guide to Emergency Medicine ·

2019/11/02

Date: October 29th, 2019 Reference: Pellatt et al. Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial. Annals of EM 2019 Bootcamp Buddies Guest Skeptic: Martha Roberts is a critical and emergency care, triple certified nurse practitioner, currently living and working in western Massachusetts. She is the host of EM BOOTCAMP in Las Vegas, as well as a usual speaker and faculty member for The Center

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46:06

SGEM#272: Take the Money and Run without Getting a CT

The Skeptics Guide to Emergency Medicine ·

2019/10/26

Date: October 22nd, 2019 Reference: Iyengar R et al. The Effect of Financial Incentives on Patient Decisions to Undergo Low-value Head Computed Tomography Scans. AEM October 2019. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: A 21-year-old comes into the emergency department after being knocked unconscious while playing rugby. The patient is now feeling great, or as they say in New Zealand “sweet as”. He

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27:35

SGEM#271: Bougie Wonderland for First Pass Success

The Skeptics Guide to Emergency Medicine ·

2019/10/19

Date: October 17th, 2019 Reference: Driver et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation. A Randomized Clinical Trial. JAMA May 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic

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20:37

SGEM#270: CRASH-3 TXA for Traumatic Head Bleeds?

The Skeptics Guide to Emergency Medicine ·

2019/10/14

Date: October 14th, 2019 Reference: CRASH-3 Trial Collaborators. Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. The Lancet October 2019 Guest Skeptic: Dr. Salim Rezaie currently works as a community emergency physician at Greater San Antonio Emergency Physicians (GSEP), where he is the director of clinical education. He is also the creator and founder of

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14:20

SGEM Xtra: See A Dentist – Because I’m an Emergency...

The Skeptics Guide to Emergency Medicine ·

2019/10/09

Date: October 9th, 2019 Guest Skeptic: Dr. Hasan Sheikh is an emergency and addictions physician in downtown Toronto and a graduate student studying public policy at the Harvard Kennedy School of Government. This is an SGEM Xtra and the result of Dr. Sheikh's recent Canadian Association of Emergency Physicians (CAEP) Position Statement on Dental Care in Canada. It calls for the expansion of publicly funded and publicly delivered dental care in Canada. The Canadian Association of Emergency

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22:05

SGEM#269: Pre-Hospital Nitroglycerin for Acute Stroke...

The Skeptics Guide to Emergency Medicine ·

2019/10/06

Date: September 25th, 2019 Reference: Bath PM et al. Prehospital transdermal glyceryl trinitrate in patients with ultra-acute presumed stroke (RIGHT-2): an ambulance-based, randomized, sham-controlled, blinded, phase 3 trial. The Lancet March 2019. Guest Skeptic: Clay Odell is a Paramedic/RN for New London Hospital EMS in New Hampshire, USA which provides 9-1-1 coverage and Mobile Integrated Healthcare for seven rural communities. He’s been involved in EMS for over 30 years in a variety of roles

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24:33

SGEM#268: Vitamin C Not Ready for Graduation to...

The Skeptics Guide to Emergency Medicine ·

2019/09/29

Date: September 11th, 2019 Reference: Putzu et al. The Effect of Vitamin C on Clinical Outcome in Critically Ill Patients: A Systematic Review with Meta-Analysis of Randomized Controlled Trials. Critical Care Medicine. June 2019. Guest Skeptics: Dr. Erin Willard is a PGY-3 Emergency Medicine Resident, Department of Emergency Medicine, University of Arkansas for Medical Sciences. Dr. Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency

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28:09

SGEM#267: Afib of the Night – Chemical vs. Electrical...

The Skeptics Guide to Emergency Medicine ·

2019/09/21

Date: September 18th, 2019 Reference: Scheuermeyer et al. A Multicenter Randomized Trial to Evaluate a Chemical-first Cardioversion Strategy for Patients with Uncomplicated Acute Atrial Fibrillation. AEM Sept 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Case: A 55-year-old male presents to the emergency department with sudden onset of palpitations

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8:41

SGEM Xtra: I’m in a FIX State of Mind

The Skeptics Guide to Emergency Medicine ·

2019/09/18

Date: September 18th, 2019 I had the honour of presenting at FIX19 conference in New York City. Thank you to Dr. Dara Kass and the organizing committee for giving me the opportunity to present at this amazing conference. FIX stands for FeminEM Idea Exchange and is part of FeminEM. While attending FIX19, I had the opportunity to interview a couple of fantastic women. One of them was Dara Kass. She is an Assistant Professor, Emergency Medicine, Columbia University Medical Center. Dara has been on

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30:53

SGEM#266: Old Man Take a Look at the Canadian CT Head...

The Skeptics Guide to Emergency Medicine ·

2019/09/14

Date: September 10th, 2019 Reference: Fournier et al. Adapting the Canadian CT head rule age criteria for mild traumatic brain injury. Emergency Medicine Journal 2019. Guest Skeptics: Dr. Sarah Berg is a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. Louis. She is interested in social determinants of health in the emergency department and health policy. Dr. Ian Holley is also a PGY-3 resident in Emergency Medicine at Washington University School of Medicine

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25:43

SGEM#265: Total EcLiPSE of the Seizure – What a ConSEPT

The Skeptics Guide to Emergency Medicine ·

2019/09/07

Date: September 5th, 2019 Reference: Dalziel et al. Levetiracetam versus phenytoin for second-line treatment of convulsive status epilepticus in children (ConSEPT): an open-label, multicentre, randomised controlled trial. The Lancet May 2019 Guest Skeptic: Dr. Tessa Davis is a Paediatrician specializing in Paediatric Emergency Medicine and currently practicing at the Royal London Hospitals. She is also the co-founder of Don’t Forget the Bubbles and on the FeminEM Speaker Bureau. Case: Julia is a

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22:03

SGEM Xtra: Life is a Highway – The Cochrane...

The Skeptics Guide to Emergency Medicine ·

2019/08/25

Date: May 14th, 2019 Dr. Michael Brown Guest Skeptic: Dr. Michael Brown is founding chair of the Department of Emergency Medicine at the Michigan State University College of Human Medicine. He is affiliated with multiple hospitals, including Spectrum Health Gerber Memorial and Spectrum Health United Hospital. Dr. Brown received his medical degree from Michigan State University College of Human Medicine and has been in practice for more than 20 years. He has a Masters degree in Epidemiology and

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32:57

SGEM#264: Hooked On A Feeling? Opioid Use and Misuse...

The Skeptics Guide to Emergency Medicine ·

2019/08/17

Date: August 9th, 2019 Reference: Daoust et al. Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain. AEM August 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You are taking care of a 56-year-old woman who presented to the emergency department with a Jones fracture. During your discharge discussion, you offer her a prescription for oxycodone/acetaminophen and she gets

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25:13

SGEM Xtra: OR Barbie Let’s Go Party

The Skeptics Guide to Emergency Medicine ·

2019/08/10

Date: August 6th, 2019 Guest Skeptic: Dr. Alyssa Stroud (@TheBlondeMD) is a PGY2 surgery resident who is trying to survive the hardships of residency and dating, one glass of wine at a time. This is an SGEM Xtra episode that was recorded in Algonquin Park where I am volunteering to be the camp doctor at the Taylor Statten Camps. You may hear sounds in the background of nature or campers when listening to the podcast. Dr. Stroud was invited on the SGEM to discuss a recent twitter thread she posted

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31:15

SGEM#263: Please Stop, Prescribing – Antibiotics for...

The Skeptics Guide to Emergency Medicine ·

2019/07/27

Date: July 22nd, 2019 Reference: Yadav et al. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Case: A 25-year-old female presents to the urgent care with two days of cough, purulent sputum,

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30:52

SGEM#262: Omadacycline – Is it non-inferior to...

The Skeptics Guide to Emergency Medicine ·

2019/07/20

Date: July10th, 2019 Reference: O’Riordan W et al. Omadacycline for Acute Bacterial Skin and Skin-Structure Infections. NEJM Feb 2019 Guest Skeptic: Dr. Anand Swaminathan is an assistant professor of Emergency Medicine at the St. Joseph’s Regional Medical Center in Patterson, NJ. He is a deputy editor for EM: RAP and, associate editor for REBEL EM. Case: A 22-year-old woman presents with redness and swelling of her left lower leg from the top of the ankle to about midway up the calf on the medial

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The Skeptics Guide to Emergency Medicine

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