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Health & Fitness
Medicine

The Skeptics Guide to Emergency Medicine

Updated 8 days ago

Education
Health & Fitness
Medicine
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Meet 'em, greet 'em, treat 'em and street 'em

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

iTunes Ratings

72 Ratings
Average Ratings
59
5
3
3
2

Annoying host

By Sergeant Damien Scott - Apr 26 2019
Read more
Better podcasts out there for EM. Content is "meh". Listening to the host makes me really want to take his lunch money

Amazing Podcast

By Sieglerj - Jan 06 2013
Read more
As an intern, this is a great podcast to help me with knowledge translation and BEEM

iTunes Ratings

72 Ratings
Average Ratings
59
5
3
3
2

Annoying host

By Sergeant Damien Scott - Apr 26 2019
Read more
Better podcasts out there for EM. Content is "meh". Listening to the host makes me really want to take his lunch money

Amazing Podcast

By Sieglerj - Jan 06 2013
Read more
As an intern, this is a great podcast to help me with knowledge translation and BEEM
Cover image of The Skeptics Guide to Emergency Medicine

The Skeptics Guide to Emergency Medicine

Latest release on Feb 22, 2020

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

Rank #1: SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis

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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

Play

Rank #2: SGEM#280: This Old Heart of Mine and Troponin Testing

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Date: January 16th, 2020
Reference: Troponin Testing and Coronary Syndrome in Geriatric Patients With Nonspecific Complaints: Are We Overtesting? AEM January 2020
Guest Skeptics:

Dr. James VandenBerg: James has a master’s degree in clinical investigation from Washington University in St. Louis, and is currently the Chief Resident at Detroit Receiving Hospital.
Dr. Andrew Huang: Andy…

Jan 18 2020

30mins

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Rank #3: SGEM#244: Magnesium AF

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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

17mins

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Rank #4: SGEM#243: Enough is Enough (O2 Saturation of 94-96%)

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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

13mins

Play

Rank #5: SGEM#219: Shout, Shout, PERC Rule Them Out

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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

Play

Rank #6: SGEM#270: CRASH-3 TXA for Traumatic Head Bleeds?

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

Oct 14 2019

20mins

Play

Rank #7: SGEM#264: Hooked On A Feeling? Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain

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Date: August 9th, 2019
Reference: Daoust et al. Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain. AEM August 2019
Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.
Case: You are taking care of a 56-year-old woman…

Aug 17 2019

32mins

Play

Rank #8: SGEM#242: Pain, Pain, Go Away – IN Ketamine vs. IN Fentanyl for Pediatric Pain Management

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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

24mins

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Rank #9: SGEM#272: Take the Money and Run without Getting a CT

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Date: October 22nd, 2019
Reference: Iyengar R et al. The Effect of Financial Incentives on Patient Decisions to Undergo Low-value Head Computed Tomography Scans. AEM October 2019.
Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com
Case: A 21-year-old comes into the emergency department after…

Oct 26 2019

46mins

Play

Rank #10: SGEM Xtra: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke

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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

48mins

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Rank #11: SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway

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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

Play

Rank #12: SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock

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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

Play

Rank #13: SGEM Xtra: The Top 10 Ch-ch-ch-changes to ATLS 10th Edition

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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

Play

Rank #14: SGEM#226: I Want A New Drug – One that Doesn’t Cause an Adverse Drug Event

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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

Play

Rank #15: SGEM#213: Upside Down You Convert Me Out of SVT?

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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

Play

Rank #16: SGEM#233: Larry in the Den with Kiwis (LDK) – Low Dose Ketamine vs. Opioids for Acute Pain

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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

Play

Rank #17: SGEM#221: Smells Like Isopropyl Alcohol for Nausea

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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

Play

Rank #18: SGEM#263: Please Stop, Prescribing – Antibiotics for Viral Acute Respiratory Infections

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Date: July 22nd, 2019
Reference: Yadav et al. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. AEM July 2019
Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. He is also an avid FOAM supporter/producer through various…

Jul 27 2019

31mins

Play

Rank #19: SGEM Xtra: See A Dentist – Because I’m an Emergency Physician

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Date: October 9th, 2019
Guest Skeptic: Dr. Hasan Sheikh is an emergency and addictions physician in downtown Toronto and a graduate student studying public policy at the Harvard Kennedy School of Government.
This is an SGEM Xtra and the result of Dr. Sheikh’s recent Canadian Association of Emergency Physicians (CAEP) Position Statement on Dental Care…

Oct 09 2019

14mins

Play

Rank #20: SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma

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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

Play

SGEM Xtra: Right, You’re Bloody Well Right, You’ve got the Bloody Right to Care

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Date: January 27th, 2020
Guest Skeptics: Dr. Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine. Dr. Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center.
Reference: Dorsett et al. Bringing value, balance and humanity to the emergency department: The Right Care Top…

Feb 22 2020

39mins

Play

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

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Date: February 11th, 2020
Reference: Yeh et al. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. BMJ 2018.
Guest Skeptic: Marcus Prescott is a nurse in Norway. He is also now a third-year medical student.
Case: A 32-year-old woman with no previous medical history calls you while a…

Feb 15 2020

20mins

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SGEM#283: Can You Be Absolutely Right in Diagnosing a SAH Using a Clinical Decision Instrument?

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Date: January 29th, 2020
Reference: Perry et al. Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule. Stroke 2019
Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the Emergency Department and Critical Care department. He also has this amazing #FOAMed blog called EM Nerd.
Case:…

Feb 08 2020

23mins

Play

SGEM#281ss: Balance of Prognostic Factors in Randomized Controlled Trials

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Date: January 25th, 2020
SGEM#281: EM Docs Got an AmbuBag

Statistically Significant: Dan Lane

We want to make the SGEM even better and address some of the criticisms from the ClinEpi world about clinicians trying to do critical appraisal. In order to do that we now have a Dr. Dan Lane who has a PhD…

Jan 29 2020

2mins

Play

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

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

Jan 25 2020

15mins

Play

SGEM Xtra: It’s All About the Bayes, ‘Bout the Bayes, No Fisher

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Guest Skeptic: Dr. Dan Lane has a Masters in Health Services Research at the University of Calgary, a Doctor of Philosophy in Clinical Epidemiology from the University of Toronto and is currently a medical student at the University of Calgary.
Dan is naturally a contrarian, he strives to understand first principles of conventions in medical…

Jan 22 2020

9mins

Play

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

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Date: January 16th, 2020
Reference: Troponin Testing and Coronary Syndrome in Geriatric Patients With Nonspecific Complaints: Are We Overtesting? AEM January 2020
Guest Skeptics:

Dr. James VandenBerg: James has a master’s degree in clinical investigation from Washington University in St. Louis, and is currently the Chief Resident at Detroit Receiving Hospital.
Dr. Andrew Huang: Andy…

Jan 18 2020

30mins

Play

SGEM#279: Do You Really Want to Hurt Me and Use a Placebo Control for a Migraine Trial?

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Date: January 10th, 2020
Reference: Dodick DW et al. Ubrogepant for the Treatment of Migraine. NEJM 2019
Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Joseph’s Hospital in Paterson, NJ. He is also the managing editor of EM:RAP and associate editor at REBEL EM.
Case: A 23-year-old man with…

Jan 11 2020

32mins

Play

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

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

Dec 28 2019

28mins

Play

SGEM Xtra: NNT – WET or DRI

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

Dec 21 2019

31mins

Play

SGEM#278: Seen Your Video for Acute Otitis Media Discharge Instructions?

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Date: December 13th, 2019
Reference: Belisle et al. Video discharge instructions for acute otitis media in children: a randomized controlled open-label trial. AEM December 2019
Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including …

Dec 14 2019

28mins

Play

SGEM Xtra: Strange BRUE

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Date: October 2nd, 2019  
Reference: Ramgopal et al. Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). Pediatrics 2019
Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh.
This is an SGEM Xtra and it was inspired by the recent publication in Pediatrics on BRUEs.…

Dec 07 2019

15mins

Play

SGEM#277: In the Pregnant YEARS – Diagnosing Pulmonary Embolism

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

Nov 30 2019

25mins

Play

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

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Date: November 21st, 2019
Reference: Daley et al. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. AEM November 2019
Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.
Case: You are caring for…

Nov 23 2019

39mins

Play

SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest

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Date: November 6th, 2019
Reference: Lascarrou et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm. NEJM Oct 2019
Guest Skeptic: Dr. Laura Melville (@lmelville535) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director.…

Nov 16 2019

26mins

Play

SGEM#274: Hocus POCUS for Appendicitis?

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Date: November 2nd, 2019
Reference: Lee and Yun. Diagnostic Performance of Emergency Physician-Performed Point-of-Care Ultrasonography for Acute Appendicitis: A Meta-Analysis. AJEM 2019.
Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. He also hosts a great #FOAMed blog and podcast called TOTAL EM. Chip is…

Nov 09 2019

22mins

Play

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

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Date: October 29th, 2019
Reference: Pellatt et al. Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial. Annals of EM 2019
Guest Skeptic: Martha Roberts is a critical and emergency care, triple certified nurse practitioner, currently living and working in western Massachusetts.…

Nov 02 2019

18mins

Play

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

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Date: October 22nd, 2019
Reference: Iyengar R et al. The Effect of Financial Incentives on Patient Decisions to Undergo Low-value Head Computed Tomography Scans. AEM October 2019.
Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com
Case: A 21-year-old comes into the emergency department after…

Oct 26 2019

46mins

Play

SGEM#271: Bougie Wonderland for First Pass Success

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

Oct 19 2019

27mins

Play

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

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

Oct 14 2019

20mins

Play

iTunes Ratings

72 Ratings
Average Ratings
59
5
3
3
2

Annoying host

By Sergeant Damien Scott - Apr 26 2019
Read more
Better podcasts out there for EM. Content is "meh". Listening to the host makes me really want to take his lunch money

Amazing Podcast

By Sieglerj - Jan 06 2013
Read more
As an intern, this is a great podcast to help me with knowledge translation and BEEM