PODCAST

The Skeptics Guide to Emergency Medicine

Dr. Ken Milne

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

education medicine

All Episodes

16:53

SGEM#261: CriSTAL Ball to Assess Older Patients in...

The Skeptics Guide to Emergency Medicine ·

2019/06/29

Date: June 28th, 2019 Reference: Cardona et al. Prospective Validation of a Checklist to Predict Short-term Death in Older Patients After Emergency Department Admission in Australia and Ireland. AEM June 2019. Guest Skeptic:Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: An 83-year-old man with early dementia, congestive heart failure (CHF), prior myocardial infarction (MI) with three stents, chronic obstructive pulmonary

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25:28

SGEM#260: Quit Playing Game with My Heart – Early or...

The Skeptics Guide to Emergency Medicine ·

2019/06/22

Date: June 20th, 2019 Reference: Pluymaeker et al. Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation. NEJM 2019 Guest Skeptic: Dr. David Glaser, emergency physician from a community teaching hospital in Denver and faculty member for the annual Emergency Medicine and Acute Care course series. Dave is also residency-trained and boarded in internal medicine. Case: A 62-year-old woman with a history of hypertension presents with four hours of palpitations, described as a racing heart

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22:25

SGEM#259: Eat for Two – If I Didn’t have Nausea and...

The Skeptics Guide to Emergency Medicine ·

2019/06/15

Date: June 11th, 2019 Reference: Huybrechts et al. Association of Maternal First-Trimester Ondansetron Use With Cardiac Malformations and Oral Clefts in Offspring. JAMA Dec 2018. Guest Skeptic: Dr. Nick Papalia completed his MD at Western University. He is currently completing an Obstetrics and Gynecology residency at the University of Calgary. Case: A 24-year-old woman G2T1P1A0L1 who presents with nausea and vomiting of pregnancy at nine weeks gestational age. She has stopped her iron pills,

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24:14

SGEM Xtra: FIX19 You Up

The Skeptics Guide to Emergency Medicine ·

2019/06/06

Date: May 15th, 2019 Guest Skeptic: Dr. Dara Kass is an Assistant Professor, Emergency Medicine, Columbia University Medical Center. This is an SGEM Xtra that was recorded at the Society of Academic Emergency Medicine 2019 (SAEM) annual meeting. Dr. Kass received the SAEM Award for the Advancement of Women in Academic Emergency Medicine at the meeting in Las Vegas. This award recognizes an SAEM member who has made significant contributions to the advancement of women in academic emergency

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14:52

SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics Guide to Emergency Medicine ·

2019/05/25

Date: May 23rd, 2019 Reference: Joseph et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surgery March 2019. Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s tenth 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: You are working at a Level 1 Trauma Center and are alerted to an

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11:13

SGEM Xtra: Catch of the Day – CAEP19

The Skeptics Guide to Emergency Medicine ·

2019/05/24

Date: May 21st, 2019 Guest Skeptic: Dr. Andrew Worster is full professor at McMaster University and the creator of Best Evidence in Emergency Medicine (BEEM). BEEM is an international, non-profit, emergency medicine, knowledge translation project created by emergency physicians for emergency physicians. The BEEM faculty is heading to the Canadian Association of Emergency Physicians (CAEP) annual conference in Halifax, Nova Scotia May 26-29, 2019. The faculty includes the following: Dr. Andrew

en-US

28:27

SGEM#257: EMTALA – It’s the Law of the Land

The Skeptics Guide to Emergency Medicine ·

2019/05/19

Date: May 15th, 2019 Reference: Terp et al. Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018. AEM May 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 working in your emergency department at a hospital that has an on-site psychiatric unit. You are holding several patients in the

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32:50

SGEM#256: Doctor Doctor Give Me the News, I Gotta Bad...

The Skeptics Guide to Emergency Medicine ·

2019/05/11

Date: May 6th, 2019 Reference: Sceats et al. Nonoperative Management of Uncomplicated Appendicitis Among Privately Insured Patients. JAMA Surgery 2018 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. Case: An 18-year-old woman presents with a Grade 1 appendicitis (Tominaga et al J

en-US

24:38

SGEM#255: It Don’t Matter Now – Fluid Type and...

The Skeptics Guide to Emergency Medicine ·

2019/05/04

Date: April 29th, 2019 Reference: Kuppermann et al. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. NEJM June 2018 Guest Skeptic: Dr. Nikki Abela is a final year trainee in Emergency Medicine and Paediatric Emergency Medicine in Liverpool, UK from sunny Malta. She is a blog editor for RCEM Learning . She is a mum of one who wants to run. Case: 6-year-old Caroline is brought to the emergency department by her parents. She is known to have diabetes and has had diarrhea and

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15:05

SGEM#254: Probiotics for Pediatric Gastroenteritis –...

The Skeptics Guide to Emergency Medicine ·

2019/04/27

Date: April 16th, 2019 Reference: Schnadower et al. Lactobacillus rhamnosus GG versus placebo for acute gastroenteritis in children. NEJM 2018 Guest Skeptic: Dr. Anthony G. Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. He is an Associate Professor at McMaster University. Anthony is known for his online RANThonys and website SketchyEBM. Case: A two-year-old girl presents with two days of

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21:25

SGEM#253: Everybody’s Working on the Weekend

The Skeptics Guide to Emergency Medicine ·

2019/04/20

Date: April 17th, 2019 Reference: Little et al. Major trauma: Does weekend attendance increase 30-day mortality? Injury 2019 Guest Skeptic: Alison Armstrong is a Certified Emergency Nurse, Trauma Program Coordinator and TNCC Course Director. This was a special episode of the SGEM done live at the Talk Trauma 2019 Conference help in London, Ontario. Talk Trauma is a two-day conference for nurses, allied health and EMS professionals involved in providing care for the adult and paediatric trauma

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33:04

SGEM#252: Blue Monday- Screening Adult ED Patients...

The Skeptics Guide to Emergency Medicine ·

2019/04/14

Date: April 11th, 2019 Reference: Brucker et al. Assessing Risk of Future Suicidality in Emergency Department Patients. AEM April 2019 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com WARNING: This SGEM episode discusses suicide. This is a warning to those listening to the podcast or reading the blog post. The SGEM is free and open access initiative trying to cut the knowledge translation down from over ten

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47:48

SGEM Xtra: What Do All the People Know about...

The Skeptics Guide to Emergency Medicine ·

2019/04/13

Date: April 10th, 2019 Guest Skeptic: Dr. Scott Weingart. He is an ED intensivist from New York City and runs the popular EMCrit blog and podcast. Scott is attempting to bring upstairs care, downstairs one podcast at a time. This is an SGEM Xtra that came about due to SGEM#249. That episode was with Chip Lange from TOTAL EM and looked at using point of care ultrasound (POCUS) for endotracheal tube (ETT) confirmation. It sparked a bit of a twitter conversation and lead to a key tweet by

en-US

24:57

SGEM#251: Nothing Compares to You…Because there was...

The Skeptics Guide to Emergency Medicine ·

2019/04/06

Date: April 5th, 2019 Reference: Connolly et al. Full Study Report of Andexanet Alfa for Bleeding Associated with Factor Xa Inhibitors. NEJM 2019 Guest Skeptic: Dr. Ryan Radecki is an Emergency Physician at Kaiser Permanente NW, co-host of the Annals of Emergency Medicine podcast and Journal Club section editor. Case: You are caring for a 72-year-old man who comes in after having slipped on the ice. A routine evaluation finds only minor bumps and bruises, including a rather nasty one on his occiput

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24:20

SGEM#250: Scribes – I Want to Break Free (from the EMR)

The Skeptics Guide to Emergency Medicine ·

2019/03/23

Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. She is a clinical researcher at Cabrini Hospital and an Adjunct Clinical Associate Professor at Monash University. Case: The emergency department is backing up. You have ambulances ramping and patients queuing at triage. Your medical team is great, but you notice that the busier you all become, the more you see your docs at their computers, rather than at patient bedsides. You are frustrated that

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19:11

SGEM#249: Ace in the Hole – Confirming Endotracheal...

The Skeptics Guide to Emergency Medicine ·

2019/03/16

Date: March 12th, 2019 Reference: Gottlieb, Holladay and Peksa. Ultrasonography for the Confirmation of Endotracheal Tube Intubation: A Systematic Review and Meta-Analysis. Ann Emerg Med 2018. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. He hosts a great #FOAMed blog and podcast called TOTAL EM. Chip is also the CEO of a new educational company called Practical POCUS. Case: A 48-year-old male is in cardiac

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26:35

SGEM#248: She Works Hard for the Money – Time’s Up in...

The Skeptics Guide to Emergency Medicine ·

2019/03/09

Date: March 8th, 2019 Reference: Wiler et al. Continuation of Gender Disparities in Pay Among Academic Emergency Medicine Physicians. AEM March 2019. Guest Skeptic: Dr. Esther Choo. She is an emergency physician and researcher who studies health disparities, substance use disorders, and gender bias. Esther is an Associate Professor at Oregon Health and Sciences University and also is a founding member of the non-profit TIME'S UP Healthcare. This SGEMHOP was recorded on International Women's Day

en-US

28:22

SGEM Xtra: Walk of Life – Thrombolysis for Acute...

The Skeptics Guide to Emergency Medicine ·

2019/03/06

Date: February 18th, 2019 Guest Skeptic: Dr. Shahriar Zehtabchi is a tenured professor and Vice Chair of Academic Affairs in the Department of Emergency Medicine at SUNY Downstate Medical Center & Kings County Hospital. He has been teaching evidence-base medicine for many years and currently is the editor-in-chief of the EBM website TheNNT.com. Shahriar also serves as an editorial board member and associate editor for Academic Emergency Medicine journal. Dr. Shahriar Zehtabchi Shahriar and I

en-US

27:04

SGEM#247: Supraglottic Airways Gonna Save You for an...

The Skeptics Guide to Emergency Medicine ·

2019/03/03

Date: February 26th, 2019 Reference: Benger et al. Effect of a Strategy of a Supraglottic Airway Device vs. Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome. The AIRWAYS-2 Randomized Clinical Trial. JAMA 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 program. Case: EMS arrive

en-US

48:19

SGEM Xtra: No Retreat, No Surrender – Thrombolysis...

The Skeptics Guide to Emergency Medicine ·

2019/02/27

Date: February 4th, 2019 Guest Skeptic: Dr. Jerome Hoffman is a Professor Emeritus of Medicine and Emergency Medicine, University of California, Los Angeles. Dr. Hoffman has been a voice of reason for decades and taught a generation of physicians critical appraisal skills. This has been through various peer reviewed publications, doing Emergency Medicine Abstracts (EMA) audio program with Dr. Rick Bukata, teaching at the Emergency Medicine and Acute Care Course among other things. There was a

en-US

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The Skeptics Guide to Emergency Medicine

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