PODCAST

The Skeptics Guide to Emergency Medicine

Dr. Ken Milne

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

education medicine

All Episodes

27:32

SGEM#321: The Times they are a Changin’ for TXA in...

The Skeptics Guide to Emergency Medicine ·

2021/03/06

Date: March 4th, 2021 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. Reference: Reuben A et al. The Use of Tranexamic Acid to Reduce the Need for Nasal Packing in Epistaxis (NoPAC): Randomized Controlled Trial. Ann Emerg Med 2021 Case: A 70-year-old man presents with epistaxis. He’s got a history of atrial fibrillation and hypertension. His

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28:28

SGEM#320: The RAMPED Trial – It’s a Gas, Gas, Gas

The Skeptics Guide to Emergency Medicine ·

2021/02/27

Date: February 18th, 2021 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: Brichko et al. Rapid Administration of Methoxyflurane to Patients in the Emergency Department (RAMPED): A Randomised controlled trial of Methoxyflurane vs Standard care. AEM Feb 2021. Case: A 46-year-old female presents to the emergency department

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46:24

SGEM Xtra: Dogmalysis 2021

The Skeptics Guide to Emergency Medicine ·

2021/02/20

Date: February 19th, 2021 This is an SGEM Xtra episode. I had the honour of presenting at the Lehigh Valley Health Network Grand Rounds on February 4th, 2021. The title of the talk "Dogmalysis: Five Medical Myths in Emergency Medicine". The presentation is available to listen to on iTunes and GooglePlay and all the slides can be downloaded using this LINK. Five Medical Myths in Emergency Medicine Myth #1: The use of non-selective NSAIDs will cause a nonunion in long bone fractures

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30:01

SGEM#319: Is it Aseptic Meningitis or More Than This?

The Skeptics Guide to Emergency Medicine ·

2021/02/13

Date: February 12th, 2021 Guest Skeptic: Dr. Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Reference: Mintegi S et al. Clinical Prediction Rule for Distinguishing Bacterial from Aseptic Meningitis. Pediatrics 2020 Case: A 4-year-old immunized girl presents to the emergency department (ED) with a fever and rhinorrhea for the past four days. Her parents report that she has been complaining of a headache and seems more tired and sleepy in the

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34:06

SGEM#318: Why Am I Throwing Up – Because You Got High

The Skeptics Guide to Emergency Medicine ·

2021/02/07

Date: January 20th, 2021 Guest Skeptics: Dr. Thorben Doll and Dr. Johannes Pott. They are both fourth year resident doctors in anesthesiology, intensive care and emergency care in St. Bernward Hospital in Hildesheim, Germany. Thorben and Johannes have a knowledge translation project called Pin-Up-Docs. It is a German emergency medicine and intensive care podcast. Their mission is to share knowledge with paramedics, nurses, medical student and also young doctors as they take their first

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39:33

SGEM#316: What A Difference An A.P.P. Makes?...

The Skeptics Guide to Emergency Medicine ·

2021/01/23

Date: January 20th, 2021 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and research methodology editor for Annals of Emergency Medicine and as an Associate Editor for the NEJM Journal Watch Emergency Medicine. Reference: Pines et al. Emergency

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44:23

SGEM#315: Comfortably Numb with Topical Tetracaine...

The Skeptics Guide to Emergency Medicine ·

2021/01/16

Date: January 5th, 2021 Reference: Shipman et al. Short-Term Topical Tetracaine Is Highly Efficacious for the Treatment of Pain Caused by Corneal Abrasions: A Double-Blind, Randomized Clinical Trial. Annals of EM 2020 Dr. Glaucomflecken Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “Dr. Glaucomflecken” on Twitter and TikTok. Effortlessly blending humor with education, Dr. Glaucomflecken has spent the last five years informing

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22:35

SGEM#314: OHCA – Should you Take ‘em on the Run Baby...

The Skeptics Guide to Emergency Medicine ·

2021/01/09

Date: January 5th, 2021 Reference: Grunau et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services at Tacoma Community College. Case: During a busy emergency department (ED) shift the paramedic phone rings. On

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16:45

SGEM Xtra: Happy New Year 2021

The Skeptics Guide to Emergency Medicine ·

2021/01/07

Date: January 7th, 2021 Happy New Years to all the SGEMers. I know 2020 has been a bit of a dumpster fire. We have all faced challenges During the COVID19 global pandemic. I tried not to contribute to the large volume of information coming out on Sars-Cov2. There were only four episodes that directly addressed COVID19: SGEM Xtra: Mask4All Debate SGEM#229: Learning to Test for COVID19 SGEM Xtra: CAEP National Grand Rounds - COVID19 Treatments SGEM#309: That’s All Joe Asks of You – Wear a

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1:32:49

SGEM Xtra: EBM Master Class – McGill University Grand...

The Skeptics Guide to Emergency Medicine ·

2021/01/04

Date: January 4th, 2021 This is an SGEM Xtra episode. I had the honour of presenting at the McGill University Emergency Medicine Academic Grand rounds. They titled the talk "Evidence-Based Medicine Master Class". The presentation is available to watch on YouTube, listen to on iTunes and all the slides can be downloaded (McGill 2020 Part 1 and McGill 2020 Part 2). Five Objectives: Look at the burden of proof and talk about what is science Discuss EBM and give a five step process of

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31:56

SGEM#313: Here Comes A Regular to the ED

The Skeptics Guide to Emergency Medicine ·

2020/12/26

Date: December 18th, 2020 Reference: Hulme et al. Mortality among patients with frequent emergency department use for alcohol-related reasons in Ontario: a population-based cohort study. CMAJ 2020 Guest Skeptic: Dr. Hasan Sheikh is an emergency and addictions physician in Toronto and a lecturer at the University of Toronto. He holds a Masters in Public Administration from the Harvard Kennedy School of Government. Hasan was on an SGEM Xtra last year discussing the Canadian Association of Emergency

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1:01:14

SGEM Xtra: Relax – Damm It!

The Skeptics Guide to Emergency Medicine ·

2020/12/23

Date: December 21st, 2020 Professor Tim Caulfield This is a SGEM Xtra book review. I had the pleasure of interviewing Professor Timothy Caulfield. Tim is a Canadian professor of law at the University of Alberta, the Research Director of its Health Law Institute, and current Canada Research Chair in Health Law and Policy. His area of expertise is in legal, policy and ethical issues in medical research and its commercialization. Tim came on the SGEM and discussed his new book called Relax, Dammit

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25:21

SGEM#312: Oseltamivir is like Bad Medicine – for...

The Skeptics Guide to Emergency Medicine ·

2020/12/19

Date: December 16th, 2020 Reference: Butler et al. Oseltamivir plus usual care versus usual care for influenza-like illness in primary care: an open-label, pragmatic, randomised controlled trial. The Lancet 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. He has a great new blog post about how we are failing to protect our healthcare workers during COVID-19. Case: A 45-year-old female presents to her primary care

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32:54

SGEM#311: Here We Go Loop De Loop to Treat Abscesses

The Skeptics Guide to Emergency Medicine ·

2020/12/12

Date: December 10th, 2020 Reference: Ladde et al. A Randomized Controlled Trial of Novel Loop Drainage Technique Versus Drainage and Packing in the Treatment of Skin Abscesses. AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She is Chair of the Royal College of Emergency Medicine Women in Emergency Medicine group and involved with the RCEM

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28:21

SGEM#310: I Heard A Rumour – ER Docs are Not Great at...

The Skeptics Guide to Emergency Medicine ·

2020/12/05

Date: November 30th, 2020 Reference: Ohle R et al. Can Emergency Physicians Accurately Rule Out a Central Cause of Vertigo Using the HINTS Examination? A Systematic Review and Meta-analysis. AEM 2020 Guest Skeptic: Dr. Mary McLean is an Assistant Program Director at St. John’s Riverside Hospital Emergency Medicine Residency in Yonkers, New York. She is the New York ACEP liaison for the Research and Education Committee and is a past ALL NYC EM Resident Education Fellow. Case: A 50-year-old female

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30:20

SGEM#309: That’s All Joe Asks of You – Wear a Mask

The Skeptics Guide to Emergency Medicine ·

2020/11/28

Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. He is the President of the national charity Canadian Association of Physicians for the Environment (CAPE), as well as the co-founder and co-chair of the local non-profit the Calgary Climate Hub, and during COVID, the co-founder of Masks4Canada. Joe grew up in Calgary and continues to live there with his wife and two

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32:20

SGEM#308: Taking Care of Patients Everyday with...

The Skeptics Guide to Emergency Medicine ·

2020/11/21

Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Pines et al. The impact of advanced practice provider staffing on emergency department care: productivity, flow, safety, and experience. AEM November 2020. Case: You are the medical director of a medium sized urban emergency department (ED). Volumes have increased over the past few years and you’re considering adding an

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20:02

SGEM#307: Buff up the lido for the local anesthetic

The Skeptics Guide to Emergency Medicine ·

2020/10/31

Date: October 29th, 2020 Guest Skeptic: Martha Roberts is a critical and emergency care, triple-certified nurse practitioner currently living and working in Sacramento, California. She is the host of EM Bootcamp in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education (CCME). She writes a blog called The Procedural Pause for Emergency Medicine News and is the lead content editor and director for the video series soon to be included in Roberts &

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20:56

SGEM#306: Fire Brigade and the Staying Alive App for...

The Skeptics Guide to Emergency Medicine ·

2020/10/24

Date: October 21st, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician, creator of the excellent #FOAMed project called First10EM.com and a member of the #SGEMHOP team. Reference: Derkenne et al. Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year "Greater Paris Fire Brigade" Experience. AEM Oct 2020. Case: You are waiting in line for coffee, discussing the latest SGEM Hot Off the Press episode on twitter, when an

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48:12

SGEM Xtra: How to Think, Not What to Think

The Skeptics Guide to Emergency Medicine ·

2020/10/21

Date: October 21st, 2020 This is an SGEM Xtra episode. I had the honour of presenting at the Department of Family Medicine's Grand Rounds at the Schulich School of Medicine and Dentistry. The title of the talk was: How to think, not what to think. The presentation is available to watch on YouTube, listen to on iTunes and all the slides can be downloaded from this LINK. Five Objectives: Discuss what is science Talk about who has the burden of proof Discuss Evidence-based medicine (EBM),

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The Skeptics Guide to Emergency Medicine

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