The Skeptics Guide to Emergency Medicine

By Dr. Ken Milne

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Meet 'em, greet 'em, treat 'em and street 'em

Episode Date
SGEM Xtra: Catch of the Day – CAEP19
11:13
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)…
May 24, 2019
SGEM Twitter Poll #257
May 22, 2019
SGEM Paper in a Pic #257
May 21, 2019
SGEM Memes #257
May 20, 2019
SGEM#257: EMTALA – It’s the Law of the Land
28:27
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: …
May 19, 2019
SGEM Twitter Poll #256
May 15, 2019
SGEM Paper in a Pic #256
May 13, 2019
SGEM Memes #256
May 13, 2019
SGEM#256: Doctor Doctor Give Me the News, I Gotta Bad Case of RLQ Pain – Should I have an Appendectomy?
32:50
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…
May 11, 2019
SGEM Paper in a Pic #255
May 08, 2019
SGEM Twitter Poll #255
May 08, 2019
SGEM Memes #255
May 06, 2019
SGEM#255: It Don’t Matter Now – Fluid Type and Infusion Rate in Paediatric DKA
24:38
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…
May 04, 2019
SGEM Paper in a Pic #254
May 02, 2019
SGEM Twitter Poll #254
May 01, 2019
SGEM Twitter Poll #253
Apr 29, 2019
SGEM Memes #254
Apr 29, 2019
SGEM#254: Probiotics for Pediatric Gastroenteritis – I Can’t Go For that…No Can Do
15:05
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…
Apr 27, 2019
SGEM Paper in a Pic #253
Apr 25, 2019
SGEM Memes #253
Apr 22, 2019
SGEM#253: Everybody’s Working on the Weekend
21:25
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…
Apr 20, 2019
SGEM Twitter Poll #252
Apr 18, 2019
SGEM Paper in a Pic #252
Apr 18, 2019
SGEM Memes #252
Apr 15, 2019
SGEM#252: Blue Monday- Screening Adult ED Patients for Risk of Future Suicidality
33:04
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…
Apr 14, 2019
SGEM Xtra: What Do All the People Know about Confirming ETT Placement?
47:48
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…
Apr 13, 2019
SGEM Paper in a Pic #251
Apr 11, 2019
SGEM Twitter Poll #251
Apr 10, 2019
SGEM Paper in a Pic #250
Apr 08, 2019
SGEM Memes #251
Apr 08, 2019
SGEM Twitter Poll #250
Apr 08, 2019
SGEM#251: Nothing Compares to You…Because there was No Comparison Group
24:57
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…
Apr 06, 2019
SGEM Xtra: The REBEL vs. The Skeptic – SMACC 2019
Date: March 29th, 2019 On the last day of the last SMACC conference, Dr. Salim Razaie (REBEL EM) and I had a cage match debating four critical care controversies. It was all done in good fun and we both respect each other very much. If you were not able to attend SMACC you can watch…
Mar 29, 2019
SGEM Twitter Poll #250
Mar 27, 2019
SGEM Xtra: SMACC 2019 Workshop
Date: March 26th, 2019 Today was the SMACC pre-conference workshop called Emergency Medicine Updates. There was a series of fantastic talks by fabulous presenters (Jeremy Faust, John Vassiliadis, Lauren Westafer, Salim Rezaie, Aidan Baron, Adam Rehak, Ahilan Parameswaran, Barbra Backus, Alister Martin and Gerrie Potgieter). Here is a brief history of SMACC. I had the…
Mar 26, 2019
SGEM Memes #250
Mar 24, 2019
SGEM#250: Scribes – I Want to Break Free (from the EMR)
24:20
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…
Mar 23, 2019
SGEM Paper in a Pic #249
Mar 21, 2019
SGEM Twitter Poll #249
Mar 21, 2019
SGEM Memes #249
 …
Mar 19, 2019
SGEM#249: Ace in the Hole – Confirming Endotracheal Tube Placement with POCUS
19:11
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…
Mar 16, 2019
SGEM Paper in a Pic #248
Mar 14, 2019
SGEM Twitter Poll #248
Mar 13, 2019
SGEM Memes #248
Mar 11, 2019
SGEM#248: She Works Hard for the Money – Time’s Up in Healthcare
26:35
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…
Mar 09, 2019
SGEM Paper in a Pic #247
Mar 07, 2019
SGEM Twitter Poll #247
Mar 07, 2019
SGEM Xtra: Walk of Life – Thrombolysis for Acute Ischemic Stroke
1:04:17
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…
Mar 06, 2019
SGEM Memes #247
Mar 04, 2019
SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?
27:04
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…
Mar 03, 2019
SGEM Paper in a Pic #246
Feb 28, 2019
SGEM Twitter Poll #246
Feb 28, 2019
SGEM Xtra: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke
48:19
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)…
Feb 27, 2019
SGEM Memes #246
Feb 25, 2019
SGEM#246: I Start the Line – But Will It Make a Difference?
14:52
Date: February 22nd, 2019 Reference: Lane et al. Association Between Early Intravenous Fluids Provided by Paramedics and Subsequent In-Hospital Mortality Among Patients With Sepsis. JAMA 2018 Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: A 77-year-old man’s partner calls…
Feb 23, 2019
SGEM Paper in a Pic #245
Feb 21, 2019
SGEM Twitter Poll #245
Feb 20, 2019
SGEM Memes #245
 …
Feb 18, 2019
SGEM#245: Flash-errrs (POCUS for Retinal Detachments)
31:20
Date: February 15th, 2019 Reference: Gottileb, Holladay and Peksa. Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis. AEM January 2019. Guest Skeptic: Dr. Daniel Theodoro is an Assistant Professor of Emergency Medicine at Washington University School of Medicine in St. Louis and the Emergency Medicine Point of Care Ultrasound…
Feb 17, 2019
SGEM Paper in a Pic #244
Feb 14, 2019
SGEM Twitter Poll #244
Feb 13, 2019
SGEM Memes #244
Feb 11, 2019
SGEM#244: Magnesium AF
17:14
Date: February 7th, 2019 Reference: Bouida et al. LOw dose MAGnesium sulfate versus HIgh dose in the early management of rapid atrial fibrillation: randomised controlled double-blind study. AEM February 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…
Feb 09, 2019
SGEM Paper in a Pic #243
Feb 07, 2019
SGEM Xtra: Western University Bootcamp 2019
Date: February 6th, 2019 I had the pleasure of participating in Western University Schulich School of Medicine and Dentistry Bootcamp. It is an annual two day event designed to teach residents how to be better teachers. Program Directors nominate exemplary residents with an interest in teaching. It is described as “an intensive 2-day program focusing…
Feb 06, 2019
SGEM Memes #243
Feb 05, 2019
SGEM#243: Enough is Enough (O2 Saturation of 94-96%)
13:30
Date: January 28th, 2019 Reference:  Chu DK et al. Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis. The Lancet 2018. Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s ninth visit to the…
Feb 02, 2019
SGEM Twitter Poll #242
Feb 01, 2019
SGEM Paper in a Pic #242
Feb 01, 2019
SGEM Xtra: CAEP Wellness Week 2019
22:55
Date: January 30th, 2019 This is the third annual Canadian EM Wellness Week from CAEP. Emergency Medicine Ottawa is posting new episodes each day focusing on the humanity in emergency medicine. Day 1: Finessing your Finances in Residency Day 2: You’ve Got A Friend in Me – The Importance of Social Wellness and Being a…
Jan 31, 2019
SGEM Twitter Poll #241b
Jan 30, 2019
SGEM Twitter Poll #241
Jan 30, 2019
SGEM Twitter Poll #239
Jan 30, 2019
SGEM Twitter Poll #238
Jan 30, 2019
SGEM Twitter Poll #236
Jan 30, 2019
SGEM Twitter Poll #234
Jan 30, 2019
SGEM Twitter Poll #233
Jan 30, 2019
SGEM Twitter Poll #232
Jan 30, 2019
SGEM Twitter Poll #231
Jan 30, 2019
SGEM Twitter Poll #230
Jan 30, 2019
SGEM Twitter Poll #229
Jan 30, 2019
SGEM Twitter Poll #228
Jan 30, 2019
SGEM Twitter Poll #227
Jan 30, 2019
SGEM Twitter Poll #226
Jan 30, 2019
SGEM Twitter Poll #225
Jan 30, 2019
SGEM Twitter Poll #223
Jan 30, 2019
SGEM Twitter Poll #222
Jan 30, 2019
SGEM Twitter Poll #221
Jan 30, 2019
SGEM Twitter Poll #220
Jan 30, 2019
SGEM Twitter Poll #219
Jan 30, 2019
SGEM Twitter Poll #218
Jan 30, 2019
SGEM Twitter Poll #217
Jan 30, 2019
SGEM Twitter Poll #215
Jan 30, 2019
SGEM Twitter Poll #214
Jan 30, 2019
SGEM Twitter Poll #213
Jan 30, 2019
SGEM Twitter Poll #212
Jan 30, 2019
SGEM Twitter Poll #211
Jan 30, 2019
SGEM Twitter Poll #210
Jan 30, 2019
SGEM Twitter Poll #209
Jan 30, 2019
SGEM Twitter Poll #208
Jan 30, 2019
SGEM Twitter Poll #207
Jan 30, 2019
SGEM Twitter Poll #206
Jan 30, 2019
SGEM Twitter Poll #205
Jan 30, 2019
SGEM Twitter Poll #204
Jan 30, 2019
SGEM Twitter Poll #202
Jan 30, 2019
SGEM Twitter Poll #201
Jan 30, 2019
SGEM Twitter Poll #199
Jan 30, 2019
SGEM Twitter Poll #198
Jan 30, 2019
SGEM Twitter Poll #197
Jan 30, 2019
SGEM Twitter Poll #196
Jan 30, 2019
SGEM Twitter Poll #195
Jan 30, 2019
SGEM Twitter Poll #194
Jan 30, 2019
SGEM Twitter Poll #193
Jan 30, 2019
SGEM Twitter Poll #192
Jan 30, 2019
SGEM Twitter Poll #191
Jan 30, 2019
SGEM Twitter Poll #190
Jan 30, 2019
SGEM Twitter Poll #189
Jan 30, 2019
SGEM Twitter Poll #188
Jan 30, 2019
SGEM Twitter Poll #187
Jan 30, 2019
SGEM Twitter Poll #186
Jan 30, 2019
SGEM Memes #242
Jan 29, 2019
SGEM#242: Pain, Pain, Go Away – IN Ketamine vs. IN Fentanyl for Pediatric Pain Management
24:17
Date: January 22nd , 2019 Reference:  Frey et al Effect of Intranasal Ketamine vs Fentanyl on Pain Reduction for Extremity Injuries in Children: The PRIME Randomized Clinical Trial. JAMA Pediatrics December 2018 Guest Skeptic: Dr. Samina Ali is a pediatric emergency physician, clinician-scientist, and Professor of Pediatrics & Emergency Medicine at the University of Alberta…
Jan 26, 2019
SGEM Memes #241
Jan 25, 2019
SGEM Memes #240
Jan 25, 2019
SGEM Paper in a Pic #241
Jan 24, 2019
SGEM Memes #239
Jan 21, 2019
SGEM Memes #238
Jan 21, 2019
SGEM Memes #237
Jan 21, 2019
SGEM Memes #236
Jan 21, 2019
SGEM Memes #235
Jan 21, 2019
SGEM Memes #234
Jan 21, 2019
SGEM Memes #233
Jan 21, 2019
SGEM Memes #232
Jan 21, 2019
SGEM Memes #231
Jan 21, 2019
SGEM Memes #230
Jan 21, 2019
SGEM Memes #229
Jan 21, 2019
SGEM Memes #228
Jan 21, 2019
SGEM Memes #227
Jan 21, 2019
SGEM Memes #226
Jan 21, 2019
SGEM Memes #225
Jan 21, 2019
SGEM Memes #223
Jan 21, 2019
SGEM Memes #222
Jan 21, 2019
SGEM Memes #221
Jan 21, 2019
SGEM Memes #220
Jan 21, 2019
SGEM Memes #219
Jan 21, 2019
SGEM Memes #218
Jan 21, 2019
SGEM Memes #217
Jan 21, 2019
SGEM Memes #216
Jan 21, 2019
SGEM Memes #215
Jan 21, 2019
SGEM Memes #214
Jan 21, 2019
SGEM Memes #213
Jan 21, 2019
SGEM Memes #212
Jan 21, 2019
SGEM Memes #211
Jan 21, 2019
SGEM Memes #210
Jan 21, 2019
SGEM Memes #209
Jan 21, 2019
SGEM Memes #208
Jan 21, 2019
SGEM Memes #207
Jan 21, 2019
SGEM Memes #206
Jan 21, 2019
SGEM Memes #205
Jan 21, 2019
SGEM Memes #204
Jan 21, 2019
SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule
38:49
Date: January 17th , 2019 Reference:  Clemency et al. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. AEM December 2018 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: A 33-year-old man arrives via emergency medical services (EMS)…
Jan 19, 2019
SGEM Paper in a Pic #240
Jan 18, 2019
SGEM#240: I Can’t Get No Satisfaction for My Chronic Non-Cancer Pain
24:07
Date: January 10th , 2019 Reference:  Busse JW et al. Opioids for Chronic Noncancer Pain A Systematic Review and Meta-analysis. JAMA December 2018 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on…
Jan 12, 2019
SGEM Xtra: Auld Lang Five
9:59
Date: December 30th, 2018 Happy New Years to all the SGEMers out there in the #FOAMed world.  It is time to reflect upon 2018 and look forward to 2019. Last year we named 2017 the year of FeminEM and celebrated 15 amazing women in emergency medicine. This year I am going to highlight five of…
Dec 30, 2018
SGEM Xtra: Let it Snow, Let it Snow, Let it Snow (Season#5 Book)
5:34
Date: December 21st, 2018 Happy holidays to all the SGEMers.  For everyone in the Northern hemisphere, let it snow, let it snow, let it snow. For those in the Southern hemisphere, I suggest you listen to the Tim Minchin song about having white wine in the sun. Regardless of where you are, I hope everyone…
Dec 22, 2018
SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen?
28:26
Date: December 13th , 2018 Reference: Murata et al. Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics. 2018 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Associate Professor for the University of Leicester’s SAPPHIRE group. He specialises in Paediatric Emergency Medicine and is…
Dec 15, 2018
SGEM Xtra: Message in a Book by the SGU
48:18
Date: December 4th, 2018 Guest Skeptic: Dr. Steven Novella is a Yale Neurologist, host and producer of the popular science podcast called the Skeptics Guide to the Universe and executive editor of Science Based Medicine blog. This is an SGEM Xtra book review. I had the privilege of interviewing Dr. Novella about the new book…
Dec 12, 2018
SGEM#238: The Epi Don’t Work for OHCA
19:23
Date: December 6th , 2018 Reference: Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. NEJM 2018. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: A 51-year-old man experiences a cardiac arrest on the street. You…
Dec 07, 2018
SGEM Xtra: On the Edge of Burnout ACEM18
48:15
[display_podcast] Date: November 24th, 2018 As you may know, I was invited to give a keynote address on burnout at the Australasia College of Emergency Medicine 2018 Annual Scientific Meeting (#ACEM18) in Perth, Australia. This turned out to be a very meta event. A few months leading up to the presentation my dad, Dr. Ken…
Nov 24, 2018
SGEM#237: Screening Tool for Child Sex Trafficking
[display_podcast] Date: November 10th , 2018 Reference: Kaltiso et al. Evaluation of a Screening Tool for Child Sex Trafficking Among Patients with High-Risk Chief Complaints in a Pediatric Emergency Department. AEM October 2018. Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. He is also an avid FOAM supporter/producer…
Nov 17, 2018
SGEM#236: TXA – Not for Brain Bleeds
14:32
[display_podcast] Date: November 6th , 2018 Reference: Sprigg et al. Tranexamic acid for hyperacute primary IntraCerebral Haemorrhage (TICH-2): an international randomised, placebo-controlled, phase 3 superiority trial. Lancet. 2018 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s eighth visit to the SGEM. DISCLAIMER: The views…
Nov 07, 2018
SGEM#235: Edoxaban for Cancer Associated VTE – Would the NEJM Lie to You?
[display_podcast] Date: October 30th , 2018 Reference: Raskob GE et al. Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism. NEJM 2018 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…
Oct 31, 2018
SGEM#234: Contrast Induced Nephropathy – A Unicorn?
[display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Acute Kidney Injury After Computed Tomography: A Meta-analysis. Ann Emerg Med 2018 (CRD42017056195) Reference #2: Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. NEJM 2018 (ClinicalTrials.gov NCT01467466.) Guest Skeptic: Dr. Lauren Westafer…
Oct 20, 2018
SGEM#233: Larry in the Den with Kiwis (LDK) – Low Dose Ketamine vs. Opioids for Acute Pain
[display_podcast] Date: October 10th , 2018 Reference: Karlow et al. A Systematic Review And Meta-Analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department. AEM Oct 2018. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME Editor for Academic Emergency Medicine. Case:…
Oct 13, 2018
SGEM#232: I Can See Clearly Now the Collar is Gone – Thanks to the Triage Nurse
[display_podcast] Date: October 5th , 2018 Reference: Stiell et al. A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses. Annals of EM Oct 2018 Guest Skeptic: Alison Armstrong is an Emergency Department Nurse, TNCC Course Director, Trauma Program Coordinator and Canadian C-Spine Rule Nurse Champion. Case: There are two case…
Oct 06, 2018
SGEM#231: You’re So Vein – IO vs. IV Access for OHCA
[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. His primary interests are…
Sep 29, 2018
SGEM#230: Tamsulosin – You’ve Lost that Loving Feeling – For Renal Colic
[display_podcast] Date: September 17th, 2018 Reference: Meltzer, A. et al. Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial. JAMA Internal Med, 2018. Guest Skeptics: Dr. Tony Seupaul, Professor and Chair, University of Arkansas for Medical Sciences Department of Emergency Medicine. Dr. Daniel Holleyman, Chief Resident at University of Arkansas for…
Sep 22, 2018
SGEM#229: I Fought the Law and the Law Won – But Would it Matter if I had a Resident?
[display_podcast] Date: September 10th, 2018 Reference: Gurley et al. Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases. AEM September 2018 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of the excellent #FOAMed project called First10EM.com…
Sep 16, 2018
SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?
[display_podcast] Date: September 5th, 2018 Reference:  Franklin et al. A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. NEJM March 2018. Guest Skeptic: Dr. Ben Lawton is a paediatric emergency physician in Brisbane Australia. He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have…
Sep 08, 2018
SGEM#227: A Message to you Rudy – About Rudeness
[display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. Rudeness and Medical Team Performance. Pediatrics. February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. He is currently redeployed in Medical Education on “Burnout Sabbatical” but is…
Sep 01, 2018
SGEM Xtra: The Top 10 Ch-ch-ch-changes to ATLS 10th Edition
[display_podcast] Date: August 25th, 2018 Guest Skeptic: Dr. Neil Parry is an Associate Professor of Surgery and Critical Care at Western University. He is the Medical Director of the Trauma Program for London Health Sciences Centre and the Site Chief of Surgery at Victoria Hospital. Dr. Parry is also a national member of the Committee…
Aug 26, 2018
SGEM#226: I Want A New Drug – One that Doesn’t Cause an Adverse Drug Event
[display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. Prospective Validation of Clinical Criteria to Identify Emergency Department Patients at High Risk for Adverse Drug Events. AEM Aug 2018. Guest Skeptic: Dr. Chris Bond is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts,…
Aug 18, 2018
SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument
[display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency…
Jul 17, 2018
SGEM Xtra: SGEM Season#4 Book
[display_podcast] Date: July 13th, 2018 It’s summer time here in Canada and Season#6 of the SGEM is coming to an end. I hope SGEMers in the northern hemisphere are getting some time off for holidays with family and friend. There will still be new content uploaded over the summer. We have the monthly SGEM Hot…
Jul 13, 2018
SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That
[display_podcast] Date: June 20th, 2018 Reference: Fox LM et al. Battlefield acupuncture to treat low back pain in the emergency department. Am J  EM 2018 Guest Skeptics: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s seventh visit to the SGEM, and his first since returning from…
Jun 30, 2018
SGEM#223: Haven’t Got Time for the Pain – What about IV Lidocaine?
[display_podcast] Date: June 15th, 2018 Reference: Silva et al. Safety and Efficacy of Intravenous Lidocaine for Pain Management in the Emergency Department: A Systematic Review. Ann Emerg Med. 2018 Guest Skeptics: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Lucas Silva is a…
Jun 24, 2018
SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway
[display_podcast] Date: June 12th, 2018 Reference: DeMeester S et al. Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018 Guest Skeptic: Dr. Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is…
Jun 16, 2018
SGEM#221: Smells Like Isopropyl Alcohol for Nausea
[display_podcast] Date: June 8th, 2018 Reference: April MD, et al. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. She’s recently transitioned into industry, taking…
Jun 09, 2018
SGEM Xtra: Don’t Give Up – The Power of Kindness with Brian Goldman
[display_podcast] Date: May 26th, 2018 This is a SGEM Xtra book review. I had the honour of meeting and interviewing Dr. Brian Goldman at the Canadian Association of Emergency Physician (CAEP) annual scientific assembly in Calgary. Dr. Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto. He is the host…
Jun 02, 2018
SGEM#220: Acupuncture vs. Morphine for Renal Colic
[display_podcast] Date: May 16th, 2018 Reference: Beltaief K et al. Acupuncture versus titrated morphine in acute renal colic: a randomized controlled trial. J Pain Res. 2018 Guest Skeptic: Dr. Tony Seupaul  is the Chairman of the Department of Emergency Medicine, University of Arkansas. Dr. Cordell Cunningham is a PGY 2 in Emergency Medicine at University…
May 26, 2018
SGEM#219: Shout, Shout, PERC Rule Them Out
[display_podcast] Date: May 16, 2018 Reference: Freund et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events
 Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. JAMA February 2018. Guest Skeptic: Dr. Jeffrey Kline (@klinelab) is the Vice Chair of Research in Emergency Medicine and a professor of physiology, Indiana University…
May 19, 2018
SGEM#218: Excited Delirium Syndrome
[display_podcast] Date: May 12th, 2018 Reference: Gonin P et al. Excited Delirium: A Systematic Review. AEM May 2018. Guest Skeptic: Dr. Chris Bond is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris…
May 13, 2018
SGEM#217: The Batman Effect on Improving Perseverance
[display_podcast] Date: March 6th, 2018 Reference: White et al. The “Batman Effect”: Improving Perseverance in Young Children. Child Development December 2016. Guest Skeptic: Dr. Casey Parker is a rural Generalist working in Broome, Australia. He has particular interests in Emergency Care, Aboriginal Health, Paediatrics, Trauma and Women’s Anaesthesia. Casey has this great blog and podcast…
May 05, 2018
SGEM Xtra: Petition to Retire the Surviving Sepsis Campaign Guidelines
Recently the SGEM was contacted by a group of doctors organizing a petition. They were concerned about the new Surviving Sepsis Campaign (SCC) guidelines that were just released. Specifically, the fluid, antibiotics and pressor requirements within the first hour of being triaged in the emergency department. The SGEM was invited to be involved in a…
May 02, 2018
SGEM#216: Pump It Up – Corticosteroids for Patients with Pneumonia Admitted to Hospital
[display_podcast] Date: April 25th, 2018 Reference: Stern A et al, Corticosteroids for pneumonia (Review). Cochrane Database of Systematic Reviews. December 2017. Guest Skeptic: Dr. Jake Turner, a foundation doctor working in the UK. Case: A 72-year-old gentleman presents to your emergency department. He has been generally unwell for around one week, with a worsening cough,…
Apr 28, 2018
SGEM#215: Love Will Tear Us Apart – Diagnostic Challenges of Aortic Dissection
[display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). Case: You are in the emergency department caring…
Apr 21, 2018
SGEM#214: Woman – The TXA Trial for Post-Partum Hemorrhage
[display_podcast] Date: April 13th, 2018 Reference: Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. The Lancet 2017 Guest Skeptic: Dr. Nick Papalia completed his MD at Western University. He is currently completing his third year of Obstetrics and Gynecology…
Apr 14, 2018
SGEM Xtra: The Danger Within Us
[display_podcast] Date: March 23rd, 2018 This is a SGEM Xtra book review. I had the pleasure of interviewing Jeanne Lenzer. She is an award-winning independent medical investigative journalist who has written for the BMJ. Jeanne has also written for the Atlantic, the New York Times Magazine, Mother Jones, Huffington Post and Slate. Jeanne book is…
Apr 08, 2018
SGEM#213: Upside Down You Convert Me Out of SVT?
[display_podcast] Date: March 30th, 2018 Reference: Bronzetti et al. Upside-down position for the out of hospital management of children with supraventricular tachycardia.  International Journal of Cardiology. February 2018. Guest Skeptic: Dr. Robert Edmonds is an Emergency physician in the US Air Force. This is his 6th visit to the SGEM. DISCLAIMER: The views and opinions…
Apr 02, 2018
SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma
[display_podcast] Date: March 20th, 2018 Reference: Sawa et al. Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review. CJEM March 2018 Guest Skeptic: Dr. Christina Shenvi is an Emergency Physician at University of North Carolina. She is fellowship trained in Geriatric Emergency Medicine and has a podcast called GEMCAST.…
Mar 25, 2018
SGEM#211: Pins and Needles – Acupuncture for Migraine Prophylaxis
[display_podcast] Date: March 18th, 2018 Reference: Zhao et al. The Long-Term Effect of Acupuncture for Migraine Prophylaxis:  A Randomized Clinical Trial. JAMA Internal Medicine 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New…
Mar 19, 2018
SGEM#210: (Don’t) Let it Bleed – TXA for Epistaxis in Patients on Anti-Platelet Drugs
[display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Topical Tranexamic Acid Compared With Anterior Nasal Packing for Treatment of Epistaxis in Patients Taking Antiplatelet Drugs: Randomized Controlled Trial. AEM March 2018. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is…
Mar 10, 2018
SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis
[display_podcast] Date: February 27th, 2018 Reference: Moran et al. Effect of Cephalexin plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis – A Randomized Clinical Trial. JAMA May 2017. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. He also hosts a great…
Mar 04, 2018
SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock
[display_podcast] Date: February 14th, 2018 Reference: Venkatesh S et al. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. NEJM January 2018. Guest Skeptic: Dr. Rory Spiegel (@EMNerd_) is a clinical instructor at University of Maryland, a recent graduate of Stony Brook’s Resuscitation Fellowship, and a current Critical Care fellow at University of Maryland. He writes…
Feb 25, 2018
SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis.
[display_podcast] Date: February 14th, 2018 Reference: Alam N et al. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. The Lancet Nov 2017. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: EMS is dispatched to…
Feb 18, 2018
SGEM#206: I’m Wheezy Like A Pre-Schooler – Prednisolone for Wheezy Children
[display_podcast] Date: February 6th, 2018 Reference: Foster SJ et al. Oral prednisolone in preschool children with virus-associated wheeze: a prospective, randomised, double-blind, placebo-controlled trial. Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. She is also the co-founder of Don’t…
Feb 11, 2018
SGEM#205: Twist & Shout – Testicular Torsion
[display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Prospective validation of clinical score for males presenting with an acute scrotum. AEM Dec 2017. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. Melissa is passionate about clinical and translational research and focuses…
Feb 03, 2018
SGEM#204: Hold the Line – IVs Aren’t Always Required
[display_podcast] Date: January 25th, 2018 Reference: Hawkins et al. Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study. AEM Jan 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency. Case: You are caring for a patient with a…
Jan 28, 2018
SGEM Xtra: Eight Days a Week
[display_podcast] Date: January 26th, 2018 Happy New Years again SGEMers. This is just a quick SGEM Xtra episode to let you know what I am going to be trying to do in 2018 to help you cut the knowledge translation (KT) window down from over ten years to less than one year. It involves following…
Jan 26, 2018
SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid
[display_podcast] Date: January 15th, 2018 Reference: Sadeghirad B, et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. She has contributed to the Academic Life in Emergency Medicine and EM…
Jan 20, 2018
SGEM#202: Lidocaine for Renal Colic?
[display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Dr. Rachel Littlefield is a PGY2 in Emergency…
Jan 14, 2018
SGEM#201: It’s in the Way That You Use It – Ottawa SAH Tool
[display_podcast] Date: December 19th, 2017 Reference: Perry J et al. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. Case:  A 35-year-old female presents…
Jan 07, 2018
SGEM Xtra: I Am Woman
[display_podcast] Date: December 28th, 2017 This is a special year end episode of the SGEM. It is time to reflect upon 2017 while at the same time look forward to 2018. It has been an incredible year for a number of reasons. We had some fantastic papers to review, excellent guest skeptics and super SGEM…
Dec 29, 2017
SGEM Xtra: Every Day I Write the Book – SGEM Season#3
[display_podcast] Date: December 25th, 2017 Happy holidays to all the SGEMers. Please accept this PDF book of Season#3. It is a holiday gift from me to you to say thank you for all the support and encouragement over the last few years. There are now close to 35,000 subscribers and the SGEM is translated into…
Dec 25, 2017
SGEM#200: Dr. Alexander Hamilton and Bloodletting for Camp Fever
[display_podcast] Date: December 19th, 2017 Reference: Lesassier Hamilton A. Dissertatio Medica lnauguralis De Synocho Castrensi [Inaugural medical dissertation on camp fever]. Edinburgh: J Ballantyne, 1816. 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…
Dec 23, 2017
SGEM#199: Therapeutic Hypothermia – What is it Good For?
[display_podcast] Date: November 27th, 2017 Reference: Legriel et al. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. Case: Johnny…
Dec 17, 2017
SGEM#198: Better Slow Down – Push vs. Short Infusion of Low Dose Ketamine for Pain in the Emergency Department
[display_podcast] Date: November 28th, 2017 Reference: Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. AJEM 2017. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San…
Dec 09, 2017
SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests
[display_podcast] Date: November 24th, 2017 Reference: Andersen et al. Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force.  He is currently deployed, practicing emergency medicine in an undisclosed location. DISCLAIMER: The views and opinions of this podcast…
Dec 03, 2017
SGEM#196: Gastroparesis – I Feel Like Throwing Up
[display_podcast] Date: November 24th, 2017 Reference: Roldan et al. Trial Comparing Haloperidol Combined With Conventional Therapy to Conventional Therapy Alone in Patients With Symptomatic Gastroparesis. AEM November 2017 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of the…
Nov 26, 2017
SGEM#195: Some Like It Hot – ED Temperature and ICU Survival
[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017. Guest Skeptic: Jesse Spurr works as a Nurse Educator in the Emergency Department at Redcliffe Hospital in Australia. Outside his family and work,…
Nov 19, 2017
SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations
[display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. Ann Emerg Med 2016 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine provider who works at Harlem Hospital Center in New…
Nov 12, 2017
SGEM Xtra: Western University Resident Teaching Boot Camp
Date: November 8th, 2017 I had the pleasure of demonstrating how to teach evidence-based medicine yesterday to Western University residents. It was part of a Boot Camp put on by the Schulich School of Medicine and Dentistry. It is an annual event designed to teach residents how to be better teachers. The conference is officially…
Nov 08, 2017
SGEM#193: Stop, In the Name of Love
[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. Sweet Solutions to Reduce Procedural Pain in Neonates: A Meta-analysis. Pediatrics 2017 Guest Skeptic: Dr. Anthony 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. Anthony is also the creator of …
Oct 29, 2017
SGEM Xtra: Dr. Jennifer Gunter – Super Hero of Science
[display_podcast] Date: October 20th, 2017 Dr. Jen Gunter is an gynaecologist from Canada who practices in San Fransisco. She writes a blog discussing women’s health issues and debunking pseudoscience. She is known to wield the lasso of truth, just like Wonder Woman. Jen became an internet sensation recently after challenging Gwyneth Paltrow and her lifestyle…
Oct 27, 2017
SGEM#192: Sometimes, All You Need is the Air that You Breathe
[display_podcast] Date: October 19th, 2017 Reference: Hofmann et al. Oxygen Therapy in Suspected Acute Myocardial Infarction. NEJM Sept 2017. Guest Skeptic: Marcus Prescott is a nurse in Norway. He is also now a first-year medical student. Case: A 68-year-old man with a history of hypertension and dyslipidemia develops chest pain while grocery shopping. Emergency medical…
Oct 22, 2017
SGEM Xtra: ASMUQ Scientific Conference
Date: October 18th, 2017 Thank you to the organizing committee for inviting me to Montreal to present at the ASMUQ annual conference. It was wonderful to see existing friends and make a few new friends. The first talk was called The Medical Myth Menace.  It addressed six emergency medicine myths by reviewing six recent publications.…
Oct 18, 2017
SGEM Xtra: SEMAC IX
Date: October 15th, 2017 I had the privilege to present a plenary talk at the Saskatchewan Emergency Medicine Annual Conference (SEMAC). It was held in the majestic Delta Hotel in Saskatoon. Thank you to Dr. James Stempien, Dr. Paul Olszynski and the organizing committee for inviting me and showing me such hospitality.   The plenary…
Oct 15, 2017
SGEM#191: No Time for Physio – Roll With It
[display_podcast] Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. He served with the Canadian Forces as a…
Oct 08, 2017
SGEM#190: Wee are the Champions of Pediatric Urine Samples
[display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17. Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to…
Oct 01, 2017
SGEM Xtra: CALS Conference on Rural Emergency Care
Date: Sept 30th, 2017 I had the pleasure of presenting at the CALS Conference on Rural Emergency Care held in beautiful Minneapolis, Minnesota yesterday.  Thank you to Dr. Todd Grant and the conference committee for inviting me. Everyone made me feel very welcome. The keynote address was called Looking Back/Looking Ahead. I was asked to…
Sep 30, 2017
SGEM#189: Bring Me To Life in OHCA
[display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. September 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine…
Sep 24, 2017
SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema
[display_podcast] Date: September 12th, 2017 Reference: Sinert et al. Randomized Trial of Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Upper Airway Angioedema. J Allergy Clin Immunol Pract 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The…
Sep 17, 2017
SGEM Xtra: Stronger – Esther Choo
[display_podcast] Date: September 11th, 2017 Guest Skeptic: Dr. Esther Choo is an emergency physician and researcher who studies health disparities, substance use disorders, and gender bias. She obtained her MD from Yale University, did her clinical training at Yale-New Haven Hospital and Boston Medical Center, and completed a health services research fellowship at Oregon Health…
Sep 15, 2017
SGEM#187: Pin Cushion – Acupuncture in the Emergency Department
[display_podcast] Date: September 7th, 2017 Reference: Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. MJA 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New…
Sep 10, 2017
SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation
[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). AEM 2017. Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. He writes…
Sep 03, 2017
SGEM Xtra: Richard Bukata – Legend of Emergency Medicine
[display_podcast] Date: August 26th, 2017  Guest Skeptic: Dr. Richard Bukata is the Medical Director, The Center for Medical Education, Inc. Started Emergency Medical Abstracts in 1977. A Clinical Professor of Emergency Medicine, Los Angeles County / USC Medical Center, Los Angeles, California.   Legends of Emergency Medicine: This is the final episode of the summer…
Aug 27, 2017
SGEM Xtra: Jerome Hoffman – Legend of Emergency Medicine
[display_podcast] Date: June 5th, 2017  Guest Skeptic: Dr. Jerome Hoffman. Associate Program Director, Emergency Medicine & Acute Care, Professor Emeritus of Medicine and Emergency Medicine, University of California, Los Angeles.     Legends of Emergency Medicine: This is the sixth episode in the summer series of SGEM Xtras called Legends of Emergency Medicine (#LegendofEM). These…
Aug 20, 2017
SGEM Xtra: Judith Tintinalli – Legend of Emergency Medicine
[display_podcast] Date: July 24th, 2017 Guest Skeptic: Dr. Judith Tintinalli is an emergency physician in Chapel Hill, North Carolina, which is affiliated with University of North Carolina. She received her medical degree from Wayne State University School of Medicine and wrote the book on emergency medicine (Tintinalli’s Emergency Medicine).   Legends of Emergency Medicine: This…
Aug 13, 2017
SGEM Xtra: Ian Stiell – Legend of Emergency Medicine
[display_podcast] Date: July 13th, 2017 Guest Skeptic: Dr. Ian Stiell is Professor, Department of Emergency Medicine, University of Ottawa. He is internationally recognized for his research in emergency medicine with a focus on the development of clinical decision rules. Ian is best known for the development of the Ottawa Ankle Rules and Canadian C-Spine Rule,…
Aug 06, 2017
SGEM Xtra: Joseph Lex – Legend of Emergency Medicine
[display_podcast] Date:  June 21st, 2017 Guest Skeptic: Dr. Joseph Lex is considered by many to be the Godfather of the FOAM (Free Open Access to Medication) movement. Joe is a retired Professor of Emergency Medicine from Temple University. He created a site called Free Emergency Medicine Talks that has thousands of recorded of lectures. It…
Jul 30, 2017
SGEM Xtra: Diane Birnbaumer – Legend of Emergency Medicine
[display_podcast] Date:  May 12th, 2017 Guest Skeptic: Dr. Diane Birnbaumer is a Senior Clinical Faculty at Harbor-UCLA Medical Center in Torrance, CA. She is also an Emeritus Professor of Medicine at the David Geffen School of Medicine at UCLA. Diane will be a keynote speaker at FeminEM conference in New York City this October called …
Jul 23, 2017
SGEM#185: Every EHR Wants to “Rule” the World
[display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. AEM July 2017. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is…
Jul 16, 2017
SGEM Xtra: Andrew Worster – Legend of Emergency Medicine
[display_podcast] Date: May 30th, 2017 Guest Skeptic: Dr. Andrew Worster. Andrew is a Professor of Emergency Medicine at McMaster University, home of evidence based medicine (EBM), Associate Member of Department of Health Research Methods, Evidence and Impact, creator of the Best Evidence in Emergency Medicine (BEEM) and my EBM mentor. Legends of Emergency Medicine: This…
Jul 10, 2017
SGEM#184: We Weren’t Born to Follow-Up – The PEITHO Long-Term Follow-up Study
[display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al. Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did her Medical School at Manchester, with a History of…
Jul 02, 2017
SGEM#183: Don’t RINSE, Don’t Repeat
[display_podcast] Date: June 20th, 2017 Reference: Bernard et al. Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Circulation 2016. Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London.  His background includes working as…
Jun 25, 2017
SGEM Xtra: FeminEM – Stronger Together
[display_podcast] Date: June 20th, 2017 Guest Skeptic: Dr. Dara Kass is an Emergency Physician, mother of three, wife of one and champion for the evolution of women in medicine. She is also the Editor in Chief of FeminEM (Females in Emergency Medicine). This is an SGEM Xtra so we will not be doing a structured…
Jun 21, 2017
SGEM Xtra: IAEMC 2017 #Puravida
Date: June 14th, 2017 I had the pleasure of presenting at the Intra America Emergency Medicine Conference (#IAEMC17) held in Costa Rica last month. Thank you to Dr. Manrique Umana for inviting me and the conference organizers for putting on such an amazing  and educational event. I had a fantastic time meeting so many wonderful…
Jun 15, 2017
SGEM#182: Platelet Transfusions for Intracerebral Hemorrhage (PATCH) – Don’t Do It.
[display_podcast] Date: June 5th, 2017 Reference: Baharoglu et al. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. Lancet 2016. Guest Skeptic: Dr. Robert Edmonds is an Emergency Medicine staff physician in Newport News, VA and a recent graduate of…
Jun 11, 2017
SGEM#181: Did You Ever Have to Make Up Your Mind, Pan Scan or Leave Other Scans Behind?
[display_podcast] Date: June 3rd, 2017 Reference: Sierink et al. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet August 2016. Guest Skeptic: Dr. Marcel Emond is an Associate Professor, Laval University, Emergency Physician at the Level 1 Trauma Center of the CHU…
Jun 04, 2017
SGEM#180: The First Cut is the Deepest – N.O.T. for Paediatric Appendicitis
[display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Efficacy and Safety of Nonoperative Treatment for Acute Appendicitis: A Meta-analysis. Pediatrics 2017. Guest Skeptic: Dr. Ross Fisher is a Paediatric Surgeon in Sheffield, England. When he is not waxing lyrical about presentation skills (P Cubed) over at ffolliet.com, giving the Greatest Presentation in the World…
May 28, 2017
SGEM#179: Chase the Dragon and Naloxone
[display_podcast] Date: May 19th, 2017 Reference: Willman et al. Do heroin overdose patients require observation after receiving naloxone? Clinical Toxicology 2017. Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. He is also the host of EMToxCast and gave a talk at the Association…
May 21, 2017
SGEM#178: Mindfulness – It’s not Better to Burnout than it is to Rust
[display_podcast] Date: May 12th, 2017 Reference: Ireland et al. A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners. Medical Teacher 2017. Guest Skeptic: Dr. Diane Birnbaumer is a Senior Clinical Faculty at Harbor-UCLA Medical Center in Torrance, CA. She is also an Emeritus Professor of Medicine at the David…
May 14, 2017
SGEM#177: POCUS – A New Sensation for Diagnosing Pediatric Fractures
[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor…
May 07, 2017
SGEM#176: Somebody’s Watching Me – Cardiac Monitoring for Chest Pain
[display_podcast] Date: April 26th, 2017 Reference: Syed et al. Prospective validation of a clinical decision rule to identify patients presenting to the emergency department with chest pain who can safely be removed from cardiac monitoring. CMAJ Jan 2017 Guest Skeptics: Drs. Ryan Tam and Antony Robert are chief residents from the Royal College Emergency Medicine…
Apr 30, 2017
SGEM#175: Dancing on the Ceiling with Ketorolac for Pain
[display_podcast] Date: April 20th, 2017 Reference: Motov et al. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med Dec 2016 Guest Skeptic: Dr. Ken Milne is a front line community emergency medicine physician passionate about skepticism, evidence based medicine and knowledge…
Apr 23, 2017
SGEM#174: Don’t Believe the Hype – Vitamin C Cocktail for Sepsis
[display_podcast] Date: April 6th, 2017 Reference: Marik et al. Hydrocortisone, Vitamin C and Thiamine for the Treatment of Severe Sepsis and Septic Shock: A Retrospective Before-After Study. Chest Dec 2016 Guest Skeptic: Dr. Jeremy Faust is an attending emergency physician at Brigham and Women’s Hospital in Boston Massachusetts and an instructor at Harvard Medical School.…
Apr 09, 2017
SGEM Xtra: Talk Trauma 2017- Tales from the Outer Rim
Date: April 7th, 2017 Superstar Nurse Brenda Palsa and I had a wonderful time presenting at Talk Trauma 2017 this week in London, Ontario. It is a one day conference for nurses, allied health & EMS professionals involved in providing care for adult and paediatric trauma patients. Talk Trauma is put on by the London…
Apr 07, 2017
SGEM#173: Diazepam Won’t Get Back Pain Down
[display_podcast] Date: March 21st, 2017 Reference: Friedman BW et al. Diazepam is no better than placebo when added to naproxen for acute low back pain. Ann Emerg Med 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of EM at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL…
Apr 02, 2017
SGEM Xtra: Pura Vida IAEMC 2017
[display_podcast] Date: March 23rd, 2017 Guest Skeptic: Dr. Manrique Umaña: Specialist in Emergency Medicine (ME), working as an assistant at San Juan de Dios Hospital and Hospital Cima, in San José, Costa Rica. He is the current National Coordinator and Professor of the Postgraduate Emergency Medicine (University of Costa Rica). He is also Professor of…
Mar 31, 2017
SGEM#172: Don’t Bring My Blood Pressure Down (Intensively) – The ATACH2 Trial
[display_podcast] Date: March 21st, 2017 Reference: Qureshi et al. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. NEJM June 2016 Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant working primarily in rural Missouri in community hospitals. He has international experience in critical care and emergency medicine. He hosts a blog and podcast…
Mar 26, 2017
SGEM#171: Step-by-Step Approach to the Febrile Infant
[display_podcast] Date: February 27th, 2017 Reference: Gomez et al. Validation of the “Step-by-Step” Approach in the Management of Young Febrile Infants. Pediatrics 2016. Guest Skeptic: Dr. Anthony 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 also the…
Mar 12, 2017
SGEM#170: Don’t Go Breaking My Heart – Ottawa Heart Failure Risk Scale
[display_podcast] Date: March 2nd, 2017 Reference: Stiell et al. Prospective and Explicit Clinical Validation of the Ottawa Heart Failure Risk Scale, With and Without Use of Quantitative NT-proBNP. AEM March 2017 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the…
Mar 05, 2017
SGEM#169: Stuck in the Middle with Food (Glucagon for Esophageal Foreign Body Impaction)
[display_podcast] Date: February 2nd, 2017 Reference: Bodkin et al. Effectiveness of glucagon in relieving esophageal foreign body impaction: a multicenter study. AJEM June of 2016 Guest Skeptic: : Meghan Groth (@EMpharmGirl) is an emergency medicine pharmacist. She has contributed to the Academic Life in Emergency Medicine (AliEM) and Emergency Medicine PharmD blogs, and is a…
Feb 05, 2017
SGEM#168: HYPRESS – Doesn’t Got the Power
[display_podcast] Date: January 19th, 2017 Reference: Keh D et al. Effect of Hydrocortisone on Development of Shock Among Patients With Severe Sepsis: The HYPRESS Randomized clinical Trial. JAMA 2016. Guest Skeptic: Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas. He is the founder and creator of…
Jan 22, 2017
SGEM Xtra: CAEP Choosing Wisely
[display_podcast] Date: November 29th, 2016 Guest Skeptic: Dr. Amy Cheng is an Emergency Physician, the Emergency Department Director of Quality Improvement and the Interim Medical Director of Quality and Patient Safety, at St. Michael’s Hospital in Toronto. She is also the National Co-Chair for Choosing Wisely Canada in Emergency Medicine. This is another SGEM Xtra…
Dec 28, 2016
SGEM#167: The Management of Bronchiolitis in Community Hospitals
[display_podcast] Date: December 14th, 2016 Reference: Plint et al. Management of Bronchiolitis in Community Hospitals in Ontario: a Multicentre Cohort Study. CJEM November 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from…
Dec 19, 2016
SGEM Xtra: MedSkl.com
[display_podcast] Date: November 2nd, 2016 Guest Skeptic: Dr. Sanjay Sharma is a professor of ophthalmology and epidemiology at Queen’s University in Kingston, Ontario, Canada. He has authored over 200 research articles and three books including the American Medical Association’s Evidence-Based to Value-Based Medicine. His research is in macular degeneration, health economics and medical education. This…
Dec 11, 2016
SGEM#166: Which febrile child with sickle cell disease should get a chest x-ray?
[display_podcast] Date: November 21st, 2016 Reference: Eisenbrown et al. Which Febrile Children with Sickle Cell Disease Need a Chest X-Ray? AEM November 2016 Guest Skeptic: Dr. Corey Heitz is an associate professor of emergency medicine at the Virginia Tech Carilion School of Medicine in Roanoke Virginia. He is also the CME editor for Academic Emergency…
Dec 04, 2016
SGEM#165: I Wanna Be Sedated – But Do I Need To Be NPO?
[display_podcast] Date: November 22nd, 2016 Reference: Beach et al. Major Adverse Events and Relationship of Nil per Os Status in Pediatric Sedation/Anesthesia Outside the Operating Room. Anesthesiology January 2016 Guest Skeptic: Dr. Bob Edmonds has just completed his residence in Emergency Medicine from the University of Missouri in Kansas City. He is now an emergency…
Nov 27, 2016
SGEM Xtra: Is #FOAMed Scary?
[display_podcast] Date: October 26th, 2016 Guest Skeptic: We have a number of guest skeptics for this episode. Dr. Munsif Bhimani is the program director of the CCFP-EM program at Western University. Drs. Kevinjeet Mahngar, Kelsey Cassidy, Jatin Kacker and Ben Fregeau are residents in the CCFP-EM program at Western University. Dr. Sean Ryan is a …
Oct 31, 2016
SGEM#164: Cuts Like a Knife – But you Might Also Need Antibiotics for Uncomplicated Skin Abscesses
[display_podcast] Date: October 13th, 2016 Reference: Talan et al. Trimethoprim–Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess. NEJM March 2016 Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant working primarily in rural Missouri in community hospitals. He has international experience in critical care and emergency medicine. He has a new blog called TOTAL EM,…
Oct 17, 2016
SGEM#163: Shuffle off to Buffalo to Talk Thrombolysis for Acute Pulmonary Embolism
[display_podcast] Date: October 6th, 2016 Reference: Piazza et al. A Prospective, Single-Arm, Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism. JACC 2015 Guest Skeptic: Dr. Essie Reed is one of the Chief Residents in the Department of Emergency Medicine at the University of Buffalo. Case: A 75-year-old female with…
Oct 10, 2016
SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA
[display_podcast] Date: September 29th, 2016 Reference: Kudenchuk et al. Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. NEJM April 2016 Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. He writes an excellent blog called EM Nerd, which he describes as nihilistic…
Oct 02, 2016
SGEM#161: Sternal Fractures – Break on Through to the Other Side – Delayed Complications and Functional Outcomes
[display_podcast] Date: September 21st, 2016 Reference: Racine et al. Delayed complications and functional outcome of isolated sternal fracture after emergency department discharge: a prospective, multicentre cohort study. CJEM Sept 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP…
Sep 25, 2016
SGEM#160: Oh Baby, You’re Too Sensitive – High Sensitivity Troponin
[display_podcast] Date: September 8th, 2016 Reference: Body et al. The use of very low concentrations of high sensitivity troponin T to rule out acute myocardial infarction using a single blood test. AEM Sept 2016. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the director of simulation education at Markham Stouffville Hospital in Ontario.…
Sep 12, 2016
SGEM Xtra: Freeze Frame – Paper in a Pic
[display_podcast] Date: September 1st, 2016 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did Medical School at Manchester, with a History of Medicine BSc at the same time. Kirsty did her residency in North West England and has a PhD in Health…
Sep 04, 2016
SGEM Xtra: Top 10 Emergency Department Tips for Families
[display_podcast] Date: July 5th, 2016 Guest Skeptic: Dr. Rodrick Lim. Rod is the Chair for the Pediatric section of the Canadian Association of Emergency Physicians, and the standards lead for the Pediatric section of International Federation for Emergency Medicine. He is an associate professor of Pediatrics at Western University, Schulich School of Medicine. Rod is…
Jul 17, 2016
SGEM#159: Computer Games – Computer Provider Order Entry (CPOE)
[display_podcast] Date: July 5th, 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding…
Jul 10, 2016
SGEM Xtra: RANThony #4 X-rays for Pediatric Constipation
[display_podcast] Date: June 26th, 2016 Guest Skeptic: Dr. Anthony 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 known on YouTube for his RANThony‘s. These are short rants on pediatric topics. They were inspired by the rants done…
Jun 26, 2016
SGEM#158: Tempted by the Fruit of Another – Dilute Apple Juice for Pediatric Dehydration
[display_podcast] Date: June 15th, 2016 Guest Skeptic: Dr. Anthony 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 the creator of SketchyEBM. Case: A 2-year-old girl presents with a two-day history of vomiting and diarrhea. She is minimally…
Jun 19, 2016
SGEM#157: Nebulized Hypertonic Saline for Acute Bronchiolitis
[display_podcast] Date: June 6th, 2016 Guest Skeptic: Dr. Chantal Guimont. Chantal is a Family Doctor who works in a in a mixed pediatric and adults tertiary care center in Quebec City. She has a PhD in epidemiology and is on faculty at Laval University. Case: You are working in the emergency department when an eight…
Jun 12, 2016
SGEM#156: Working at the Abscess Wash – Irrigation of Cutaneous Abscesses?
[display_podcast] Date: May 25th, 2016 Guest Skeptic: Chip Lange is an emergency medicine Physician Assistant (PA) working primarily in rural Missouri community hospitals. He has international experience in critical care and emergency medicine. Currently, he is working on developing a new blog and podcast specifically for PAs in emergency medicine but wants all those who…
Jun 05, 2016
SGEM#155: Girls Just Want To Have Fun – Not Appendicitis
[display_podcast] Date: May 24th, 2016 Guest Skeptics:  Dr. Anthony 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 the creator of SketchyEBM. Case: A 15-year-old female patient presents to your emergency department with a chief compliant of abdominal…
May 29, 2016
SGEM#154: Here I Go Again, Kidney Stone
[display_podcast] Date: May 12th, 2016 Guest Skeptics: Dr. Tony Seupaul and Dr. Marc Phan. Tony is the Chairman of the Department of Emergency Medicine, University of Arkansas. Marc is a PGY-3 resident in the Emergency Medicine program at the University of Arkansas. Case: 48 year old man presents to the emergency department complaining of right…
May 15, 2016
SGEM#153: Simulation for Ultrasound Education
[display_podcast] Date: May 2nd, 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlight educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding…
May 08, 2016
SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA
[display_podcast] Date: April 22nd, 2016 Guest Skeptic: Jay Loosley. Jay is a Registered Nurse, Paramedic and Research Assistant. He was a Professor at Fanshawe College but is currently the Superintendent of Education for Middlesex-London Emergency Medical Services. Case: A 43 male patient calls with chest pain from 14th floor of a downtown high-rise apartment building.…
Apr 25, 2016
SGEM#151: Groove is in the HEART Pathway
[display_podcast] Date: April 10th, 2016 Guest Skeptic: Dr. Salim Rezaie. Salim is an Associate Clinical Professor of Emergency Medicine Internal Medicine University of Texas Health Science Center at San Antonio and the creator/founder of REBEL EM @srrezaie. Salim is also part of The Teaching Course. Case: A 40 year-old male arrives to the emergency department…
Apr 17, 2016
SGEMXtra: Enter the METRIQ
[display_podcast] Date: March 23rd, 2016 Guest Skeptic: Dr. Brent Thoma. Brent is an emergency physician, trauma team leader, Clinical Assistant Professor and the Director of EM research at the University of Saskatoon in Saskatchewan. As of July 1st, he will become the EM Program Director. Brent was last on SGEM#56: BEEM Me Up (Impact Factor…
Apr 03, 2016
SGEM#150: Hypertonic Saline for Traumatic Brain Injury
[display_podcast] Date: March 24th, 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding…
Mar 27, 2016
SGEM#149: Share Decision Making for Pain Control in Older ED Patients
[display_podcast] Date: March 10th, 2016 Guest Skeptic: Dr. Tim Platts-Mills. Tim is an Assistant Professor of Emergency Medicine; Director, Clinical Research; Co-Director of Geriatric Emergency Medicine at the University of North Carolina. His career goal is to improve the quality of emergency care for older adults through research, research mentorship, and support of the larger…
Mar 21, 2016
SGEM#148: Stuck on You – Skin Glue for Peripheral IVs
[display_podcast] Date: March 6th, 2016 Guest Skeptic: Dr. Simon Carley. Simon is Professor of Emergency Medicine in Manchester, England. He is a keen educator and loves sharing what he knows through the blog and podcast at St. Emlyn’s. Case: You are working hard in the emergency department. It is a busy night and you are…
Mar 13, 2016
SGEM#147: This is a SVT and I’m Gonna REVERT It – Using a Modified Valsalva Manoeuvre
[display_podcast] Date: February 12th, 2016 Guest Skeptic: Dr. Robert Edmonds. Bob is a third year Emergency Medicine Resident at the University of Missouri at Kansas City. Prior to medical school, he graduated from the US Air Force Academy, and when he completes his training will rejoin the Air Force for nine years as an Emergency…
Feb 15, 2016
SGEM#146: The HEAT is On – IV Acetaminophen for Fever in the ICU
[display_podcast] Date: February 2nd, 2016 Guest Skeptic: Dr. Justin Morgenstern. Justin is an emergency physician and the director of simulation education at Markham Stouffville Hospital in Ontario. He loves skepticism and medical education, especially when it is free and open access. He is the author of the #FOAMed blog First10EM.com and is an associate editor…
Feb 07, 2016
SGEM#145: Topical Anesthetics for ED Patients with Corneal Abrasions
[display_podcast] Date: January 20th, 2016 Guest Host: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medical Abstracts. Guest Skeptics: Dr. Kara Otterness from Stony Brook University Hospital on Long Island.  Kara is an assistant clinical professor of Emergency Medicine at Stony Brook. Dr. Salim Rezaie…
Jan 31, 2016
SGEM#144: That Smell of Isopropyl Alcohol for Nausea in the Emergency Department
[display_podcast] Date: January 20th, 2016 Guest Skeptic: Meghan Groth (@EMPharmGirl). Meghan is the emergency medicine pharmacy specialist at the University of Vermont Medical Center, and an adjunct professor of pharmacy at the Albany College of Pharmacy and Health Sciences. Case: A 34-year-old male presents to your emergency department with complaints of severe nausea for the…
Jan 25, 2016
SGEM Memes #203
Jan 20, 2016
SGEM Memes #202
Jan 20, 2016
SGEM Memes #201
Jan 20, 2016
SGEM#143: Call Me Maybe for Bystander CPR
[display_podcast] Date: January 14th, 2016 Guest Skeptics: Dave Harrison, Carl Berdahl and Todd Schneberk are Emergency Medicine residents in the Department of Emergency Medicine at the Keck School of Medicine of the University of Southern California. Case: A 78-year-old man with a history of hypertension and coronary artery disease suddenly collapses at home in front…
Jan 18, 2016
SGEM#142: We Need Asthma Education
[display_podcast] Date: January 5th, 2016 Guest Skeptics: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medical Abstracts. Dr. Brian Rowe is a Professor, Department of Emergency Medicine, at the University of Alberta. He is a Canadian Research Chair in Evidence-Based Emergency Medicine and is also…
Jan 11, 2016
SGEM Paper in a Pic #239
SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen? Murata et al. Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics. 2018…
Jan 09, 2016
SGEM Paper in a Pic #238
SGEM#238: The Epi Don’t Work for OHCA. Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. NEJM 2018.…
Jan 09, 2016
SGEM Paper in a Pic #237
SGEM#237: Screening Tool for Child Sex Trafficking. Kaltiso et al. Evaluation of a Screening Tool for Child Sex Trafficking Among Patients with High-Risk Chief Complaints in a Pediatric Emergency Department. AEM October 2018.…
Jan 09, 2016
SGEM Paper in a Pic #236
SGEM#236: TXA – Not for Brain Bleeds. Sprigg et al. Tranexamic acid for hyperacute primary IntraCerebral Haemorrhage (TICH-2): an international randomised, placebo-controlled, phase 3 superiority trial. Lancet. 2018…
Jan 09, 2016
SGEM Paper in a Pic #235
SGEM#235: Edoxaban for Cancer Associated VTE – Would the NEJM Lie to You? Raskob GE et al. Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism. NEJM 2018…
Jan 09, 2016
SGEM Paper in a Pic #234
SGEM#234: Contrast Induced Nephropathy – A Unicorn? Aycock, Westafer et al. Acute Kidney Injury After Computed Tomography: A Meta-analysis. Ann Emerg Med 2018 (CRD42017056195) Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. NEJM 2018 (ClinicalTrials.gov NCT01467466.)…
Jan 09, 2016
SGEM Paper in a Pic #233
SGEM#233: Larry in the Den with Kiwis (LDK) – Low Dose Ketamine vs. Opioids for Acute Pain. Karlow et al. A Systematic Review And Meta-Analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department. AEM Oct 2018.…
Jan 09, 2016
SGEM Paper in a Pic #232
SGEM#232: I Can See Clearly Now the Collar is Gone – Thanks to the Triage Nurse. Stiell et al. A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses. Annals of EM Oct 2018…
Jan 09, 2016
SGEM Paper in a Pic #231
SGEM#231: You’re So Vein – IO vs. IV Access for OHCA. Kawano et al. Kawano et al. Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Annals of EM May 2018…
Jan 09, 2016
SGEM Paper in a Pic #230
SGEM#230: Tamsulosin – You’ve Lost that Loving Feeling – For Renal Colic. Meltzer, A. et al. Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial. JAMA Internal Med, 2018.…
Jan 09, 2016
SGEM Paper in a Pic #229
SGEM#229: I Fought the Law and the Law Won – But Would it Matter if I had a Resident? Gurley et al. Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases. AEM September 2018…
Jan 09, 2016
SGEM Paper in a Pic #228
SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?  Franklin et al. A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. NEJM March 2018.…
Jan 09, 2016
SGEM Paper in a Pic #227
SGEM#227: A Message to you Rudy – About Rudeness. Riskin A, Erez A, Foulk TA, et al. Rudeness and Medical Team Performance. Pediatrics. February 2017…
Jan 09, 2016
SGEM Paper in a Pic #226
SGEM#226: I Want A New Drug – One that Doesn’t Cause an Adverse Drug Event. Hohl C et al. Prospective Validation of Clinical Criteria to Identify Emergency Department Patients at High Risk for Adverse Drug Events. AEM Aug 2018.…
Jan 09, 2016
SGEM Paper in a Pic #225
SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument. Gupta M et al. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. AEM July 2018…
Jan 09, 2016
SGEM Paper in a Pic #224
SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That. Fox LM et al. Battlefield acupuncture to treat low back pain in the emergency department. Am J  EM 2018…
Jan 09, 2016
SGEM Paper in a Pic #223
SGEM#223: Haven’t Got Time for the Pain – What about IV Lidocaine? Silva et al. Safety and Efficacy of Intravenous Lidocaine for Pain Management in the Emergency Department: A Systematic Review. Ann Emerg Med. 2018…
Jan 09, 2016
SGEM Paper in a Pic #222
SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway. DeMeester S et al. Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018…
Jan 09, 2016
SGEM Paper in a Pic #221
SGEM#221: Smells Like Isopropyl Alcohol for Nausea. April MD, et al. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018…
Jan 09, 2016
SGEM Paper in a Pic #220
SGEM#220: Acupuncture vs. Morphine for Renal Colic. Beltaief K et al. Acupuncture versus titrated morphine in acute renal colic: a randomized controlled trial. J Pain Res. 2018…
Jan 09, 2016
SGEM Paper in a Pic #219
SGEM#219: Shout, Shout, PERC Rule Them Out. Freund et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events
 Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. JAMA February 2018.…
Jan 09, 2016
SGEM Paper in a Pic #218
SGEM#218: Excited Delirium Syndrome. Gonin P et al. Excited Delirium: A Systematic Review. AEM May 2018.…
Jan 09, 2016
SGEM Paper in a Pic #217
SGEM#217: The Batman Effect on Improving Perseverance. White et al. The “Batman Effect”: Improving Perseverance in Young Children. Child Development December 2016.…
Jan 09, 2016
SGEM Paper in a Pic #216
SGEM#216: Pump It Up – Corticosteroids for Patients with Pneumonia Admitted to Hospital. Stern A et al, Corticosteroids for pneumonia (Review). Cochrane Database of Systematic Reviews. December 2017.…
Jan 09, 2016
SGEM Paper in a Pic #215
SGEM#215: Love Will Tear Us Apart – Diagnostic Challenges of Aortic Dissection. Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM April 2018…
Jan 09, 2016
SGEM Paper in a Pic #214
SGEM#214: Woman – The TXA Trial for Post-Partum Hemorrhage. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. The Lancet 2017…
Jan 09, 2016
SGEM Paper in a Pic #213
SGEM#213: Upside Down You Convert Me Out of SVT? Bronzetti et al. Upside-down position for the out of hospital management of children with supraventricular tachycardia.  International Journal of Cardiology. February 2018.…
Jan 09, 2016
SGEM Paper in a Pic #212
SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma. Sawa et al. Risk factors for adverse outcomes in older adults with blunt chest trauma: A systematic review. CJEM March 2018…
Jan 09, 2016
SGEM Paper in a Pic #211
SGEM#211: Pins and Needles – Acupuncture for Migraine Prophylaxis. Zhao et al. The Long-Term Effect of Acupuncture for Migraine Prophylaxis: A Randomized Clinical Trial. JAMA Internal Medicine 2017…
Jan 09, 2016
SGEM Paper in a Pic #210
SGEM#210: (Don’t) Let it Bleed – TXA for Epistaxis in Patients on Anti-Platelet Drugs. Zahed et al. Topical Tranexamic Acid Compared With Anterior Nasal Packing for Treatment of Epistaxis in Patients Taking Antiplatelet Drugs: Randomized Controlled Trial. AEM March 2018.…
Jan 09, 2016
SGEM Paper in a Pic #209
SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis. Moran et al. Effect of Cephalexin plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis – A Randomized Clinical Trial. JAMA May 2017.…
Jan 09, 2016
SGEM Paper in a Pic #208
SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock. Venkatesh S et al. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. NEJM January 2018.…
Jan 09, 2016
SGEM Paper in a Pic #207
SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis. Alam N et al. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. The Lancet Nov 2017.…
Jan 09, 2016
SGEM Paper in a Pic #206
SGEM#206: I’m Wheezy Like A Pre-Schooler – Prednisolone for Wheezy Children. Foster SJ et al. Oral prednisolone in preschool children with virus-associated wheeze: a prospective, randomised, double-blind, placebo-controlled trial. Lancet January 2018…
Jan 09, 2016
SGEM Paper in a Pic #205
SGEM#205: Twist & Shout – Testicular Torsion. Frohlich LC, et al. Prospective validation of clinical score for males presenting with an acute scrotum. AEM Dec 2017.…
Jan 09, 2016
SGEM Paper in a Pic #204
SGEM#204: Hold the Line – IVs Aren’t Always Required. Hawkins et al. Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study. AEM Jan 2018…
Jan 09, 2016
SGEM Paper in a Pic #203
SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid. Sadeghirad B, et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ 2017…
Jan 09, 2016
SGEM Paper in a Pic #202
SGEM#202: Lidocaine for Renal Colic? Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012…
Jan 09, 2016
SGEM Paper in a Pic #201
SGEM#201: It’s in the Way That You Use It – Ottawa SAH Tool. Perry J et al. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ Nov 2017…
Jan 09, 2016
SGEM Paper in a Pic #199
SGEM#199: Therapeutic Hypothermia – What is it Good For? Legriel et al. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. NEJM Dec 2016…
Jan 09, 2016
SGEM Paper in a Pic #198
SGEM#198: Better Slow Down – Push vs. Short Infusion of Low Dose Ketamine for Pain in the Emergency Department. Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. AJEM…
Jan 09, 2016
SGEM Paper in a Pic #197
SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests. Andersen et al. Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. JAMA 2017…
Jan 09, 2016
SGEM Paper in a Pic #196
SGEM#196: Gastroparesis – I Feel Like Throwing Up. Roldan et al. Trial Comparing Haloperidol Combined With Conventional Therapy to Conventional Therapy Alone in Patients With Symptomatic Gastroparesis. AEM November 2017…
Jan 09, 2016
SGEM Paper in a Pic #195
SGEM#195: Some Like It Hot – ED Temperature and ICU Survival. Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017.…
Jan 09, 2016
SGEM Paper in a Pic #194
SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations. Cronin JJ et al. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. Ann Emerg Med 2016…
Jan 09, 2016
SGEM Paper in a Pic #193
SGEM#193: Stop, In the Name of Love. Harrison et al. Sweet Solutions to Reduce Procedural Pain in Neonates: A Meta-analysis. Pediatrics 2017…
Jan 09, 2016
SGEM Paper in a Pic #192
SGEM#192: Sometimes, All You Need is the Air that You Breathe. Hofmann et al. Oxygen Therapy in Suspected Acute Myocardial Infarction. NEJM Sept 2017.…
Jan 09, 2016
SGEM Paper in a Pic #191
SGEM#191: No Time for Physio – Roll With It. Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016.…
Jan 09, 2016
SGEM Paper in a Pic #190
SGEM#190: Wee are the Champions of Pediatric Urine Samples. Kaufman, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ April 17.…
Jan 09, 2016
SGEM Paper in a Pic #189
SGEM#189: Bring Me To Life in OHCA. Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. September 2017.…
Jan 09, 2016