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The Skeptics Guide to Emergency Medicine

Updated 1 day 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

76 Ratings
Average Ratings
61
7
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

76 Ratings
Average Ratings
61
7
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 May 30, 2020

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

Rank #1: 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

Play

Rank #2: SGEM#285: And I See Your True Colours Calming You – From your Anxiety

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Date: February 28th, 2020
Reference: Rajendran et al. Randomised control trial of adult therapeutic colouring for the management of significant anxiety in the Emergency Department. AEM February 2020
Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.
Case: One night during an…

Feb 29 2020

35mins

Play

Rank #3: SGEM#286: Behind the Mask – Does it need to be an N95 mask?

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Date: March 4th, 2020
Reference: Radonovich et al. N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel. A Randomized Clinical Trial. JAMA 2019 The Respiratory Protection Effectiveness Clinical Trial (ResPECT)
Guest Skeptics: Dr. Christopher Patey is an Assistant Professor with Memorial University Medical School in St. John’s, Newfoundland Canada. Over the past…

Mar 07 2020

24mins

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Rank #4: SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule

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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

38mins

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Rank #5: 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

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Rank #6: 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

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Rank #7: 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

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Rank #8: 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

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Rank #9: 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

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Rank #10: 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 #11: 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

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Rank #12: 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

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Rank #13: 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

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Rank #14: SGEM Xtra: OR Barbie Let’s Go Party

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Date: August 6th, 2019
Guest Skeptic: Dr. Alyssa Stroud (@TheBlondeMD) is a PGY2 surgery resident who is trying to survive the hardships of residency and dating, one glass of wine at a time.
This is an SGEM Xtra episode that was recorded in Algonquin Park where I am volunteering to be the camp doctor at…

Aug 10 2019

25mins

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Rank #15: SGEM#234: Contrast Induced Nephropathy – A Unicorn?

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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

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Rank #16: 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 #17: 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

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Rank #18: SGEM#255: It Don’t Matter Now – Fluid Type and Infusion Rate in Paediatric DKA

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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

24mins

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Rank #19: SGEM#236: TXA – Not for Brain Bleeds

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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

14mins

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Rank #20: 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

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SGEM#293: CRASH in the US, CRASH in the US, CRASH-2 in the USA

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Date: May 29th, 2020
Reference: Erramouspe et al. Mortality and Complication Rates in Adult Trauma Patients Receiving Tranexamic Acid: A Single-center Experience in the Post–CRASH-2 Era. AEM May 2020
Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.
Case: A 44-year-old male…

May 30 2020

35mins

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SGEM#292: With or Without You – Endovascular Treatment with or without tPA for Large Vessel Occlusions

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Date: May 19th, 2020
Reference: Yang P et al. Endovascular thrombectomy with or without intravenous alteplase in acute stroke. NJEM 2020.
Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Joseph’s Regional Medical Center in Paterson, NJ. Managing editor of EM:RAP and Associate Editor at REBEL EM.
Case: A 53-year-old…

May 23 2020

20mins

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SGEM Xtra: Masks4All in Canada Debate

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Date: May 18th, 2020
I was asked to participate in a debate regarding the issue of Masks4All in Canada by the people involved in the COVID Information for Canadian Physicians Facebook group. This is a private group ~22,000 physicians, residents, students and nurse practitioners from around the world.
I was reluctant to participate but was…

May 18 2020

1hr 3mins

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SGEM Xtra: COVID19 Treatments – Be Skeptical

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Date: May 9th, 2020
Guest Skeptic: Dr. Sean Moore is an Assistant Professor at the Northern Ontario School of Medicine (NOSM), Chief of Emergency Services at Lake of the Woods Hospital in Kenora, Medical director with Ornge, and Associate Medical Director with CritiCall Ontario.
We had the pleasure of presenting for the Canadian Association of…

May 09 2020

27mins

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SGEM#291: Who’s Gonna Drive you to…the ED – with Lights & Sirens?

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Date: April 24th, 2020
Reference: Watanabe et al. Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? A Contemporary Analysis Using National EMS Information System (NEMSIS) Data. Annals of Emergency Medicine. July 2019
Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia.  This…

May 02 2020

13mins

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SGEM#290: Neurologist Led Stroke Teams – Working 9 to 5

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Date: April 21st, 2020
Reference:Juergens et al. Effectiveness of emergency physician determinations of the need for thrombolytic therapy in acute stroke. Proc Baylor Univ Med Center Oct 2019
Guest Skeptic: Dr. Chuck Sheppard is an attending Emergency Department Physician at Mercy Hospital in Springfield, Missouri and the medical director for Mercy Life Line air medical…

Apr 25 2020

15mins

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SGEM#289: I Want a Dog to Relieve My Stress in the Emergency Department

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Date: April 9th, 2020
Reference: Kline et al. Randomized trial of therapy dogs versus deliberative coloring (art therapy) to reduce stress in emergency medicine providers. AEM April 2020
Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com
Case: It has been a hard shift. You…

Apr 11 2020

33mins

Play

SGEM Xtra: The REBEL vs. The SKEPTIC at SMACC 2019

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Date: April 4th, 2020
It has been just over a year since Dr. Salim Razaie (REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia. It was the EBM rumble down under for SMACC 2019. How the world has changed with COVID19.
You can see the original SGEM…

Apr 04 2020

26mins

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SGEM#288: Crazy Game of POCUS to Diagnose Shoulder Dislocations

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Date: March 27th, 2020
Reference: Secko et al. Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A ProspectiveCohort. Ann Emerg Med Feb 2020
Guest Skeptic: Dr. Tony Zitek is an Emergency Medicine physician in Miami, Florida. He is an Assistant Professor of Emergency Medicine for Florida International University and Nova Southeastern University, and Tony is the Research…

Mar 28 2020

24mins

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SGEM#287: Difficult to Breathe – It Could Be Pneumonia

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Date: March 18th, 2020
Reference: Ebell et al. Accuracy of Biomarkers for the Diagnosis of Adult Community-Acquired Pneumonia: A Meta-analysis. AEM March 2020
Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.

Disclaimer:…

Mar 21 2020

31mins

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SGEM Xtra: She Blinded Me with Science – Not Pseudoscience

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Date: March 12th, 2020
Guest Skeptic: Dr. Jonathan Stea (@Jonathanstea) is a PhD Clinical Psychologist working at the Foothills Medical Centre in Calgary, Alberta. He is also an Adjunct Assistant Professor, Department of Psychology, University of Calgary.
This SGEM Xtra is based on a tweet from about a month ago on The 10 Commandments of…

Mar 14 2020

54mins

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SGEM#286: Behind the Mask – Does it need to be an N95 mask?

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Date: March 4th, 2020
Reference: Radonovich et al. N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel. A Randomized Clinical Trial. JAMA 2019 The Respiratory Protection Effectiveness Clinical Trial (ResPECT)
Guest Skeptics: Dr. Christopher Patey is an Assistant Professor with Memorial University Medical School in St. John’s, Newfoundland Canada. Over the past…

Mar 07 2020

24mins

Play

SGEM#285: And I See Your True Colours Calming You – From your Anxiety

Podcast cover
Read more
Date: February 28th, 2020
Reference: Rajendran et al. Randomised control trial of adult therapeutic colouring for the management of significant anxiety in the Emergency Department. AEM February 2020
Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.
Case: One night during an…

Feb 29 2020

35mins

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

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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

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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

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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

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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

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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

iTunes Ratings

76 Ratings
Average Ratings
61
7
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