Podcasts about sgem

Reference:  St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Children's Hospital where she is the Head of Department. She is also on the […] The post SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Cohen et al; SUSPECT study group. Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial. J Orthop Traumatol. 2025 Date: May 1, 2025 Guest Skeptic: Dr. Matt Schmitz is an orthopedic surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. He practices at the Rady Children's Hospital in […] The post SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures first appeared on The Skeptics Guide to Emergency Medicine.

Date: May 6, 2025 Guest Skeptic: Actor, producer and director Noah Wyle. Many of us know him as Dr. John Carter from ER, the show that arguably influenced an entire generation of EM physicians. Since that groundbreaking show, he has been busy with multiple movie roles (Pirates of Silicon Valley, Donnie Darko, White Oleander, Shot, and […] The post SGEM Xtra: Doctor, Doctor – Paging Dr. Robby first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Umana E, et al. Performance of clinical decision aids for the care of young febrile infants: A multicenter prospective cohort study. eClinicalMedicine Lancet December 2024 Date: March 6, 2025 Guest Skeptic: Dr. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University in London. Case: […] The post SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants? first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025  Date: April 24, 2025 Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago, College of Medicine at Rockford. Prior to that, he […] The post SGEM#473: Did You Ever Have To Make Up Your Mind – Midazolam or Ketamine for Acute Agitation in the Pre-Hospital Setting first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Kareemi et al Artificial intelligence-based clinical decision support in the emergency department: a scoping review. AEM April 2025. Date: April 15, 2025 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It may be April, but as you sit in your departmental meeting with your emergency physician colleagues, you all […] The post SGEM#472: Together In Electric Dreams – Or Is It Reality? first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date: February 12, 2025 Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Children's National Hospital in Washington DC and soon to be attending physician at Seattle Children’s. His research […] The post SGEM#471: Are ESI Levels Accurate for Triage of Pediatric Patients? first appeared on The Skeptics Guide to Emergency Medicine.

Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic was the zombie idea that emergency department crowding is due to non-urgent patients. You can click on this LINK and get a PDF copy of my slides. The […] The post SGEM Xtra Zombie Idea: ED Crowding is Due to Non-Urgent Patients first appeared on The Skeptics Guide to Emergency Medicine.

Date: March 23, 2025 I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team for putting on one of the best conferences ever. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in […] The post SGEM Xtra: 5 Papers in 15 Minutes (Incrementum 2025) first appeared on The Skeptics Guide to Emergency Medicine.

Date: February 22, 2025 Guest Skeptic: Nicholas Peoples, who is a medical student at Baylor College of Medicine in Houston, Texas. Nick's career has been an exciting blend of global health and emergency medicine. In 2015, Nick was part of the first-ever class to study at Duke University's new campus in China, where he earned […] The post SGEM Xtra: On the Boulevard of Broken Dreams – Citation Errors in the Biomedical Literature first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Pessano S, et al. Positioning for lumbar puncture in newborn infants. Cochrane Database Syst Rev. December 2023 Date: February 7, 2025 Guest Skeptic: Dr. Lauren Rosenfeld is a PGY-3 emergency medicine resident at George Washington University. She is also a new podcast host for Emergency Medicine Residents' Association (EMRA) Cast Series. Case: A five-day-old […] The post SGEM #470: Here We Go Up Up Up or Lateral for Infant Lumbar Punctures first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Bannelier et al. Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embolism: Ancillary analysis of three European studies. AEM Feb 2025 Date: February 27, 2025 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is […] The post SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Agnello et al. Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School […] The post SGEM#468: Wide Open Monocytes – Using MDW to Diagnose Sepsis first appeared on The Skeptics Guide to Emergency Medicine.

Date: February 11, 2025 Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is another SGEM Xtra. On today's episode, we're diving […] The post SGEM Xtra: Rock, Robot Rock – AI for Clinical Research first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an […] The post SGEM #467: Send me on my way…without Cervical Spine Imaging first appeared on The Skeptics Guide to Emergency Medicine.

Date: January 9, 2025 Reference: White et al. Evidence of questionable research practices in clinical prediction models. BMC Med 2023 Guest Skeptic: Dr. Jestin Carlson is the Program Director for the AHN-Saint Vincent EM Residency in Erie Pennsylvania.  He is the former National Director of Clinical Education for US Acute Care Solutions and an American […] The post SGEM#466: I Love ROC-n-Roll…But Not When It's Hacked first appeared on The Skeptics Guide to Emergency Medicine.

Date: January 7, 2025 Guest Skeptics: Dr. Dara Kass is an emergency medicine physician, public health leader, and advocate passionate about equity and healthcare reform. She founded FemInEM, promoting gender equity in emergency medicine, and champions organ donation reform after donating part of her liver to her youngest son. Dr. Kass is dedicated to expanding […] The post SGEM Xtra: This is My Fight Song – FeminEM 2.0 first appeared on The Skeptics Guide to Emergency Medicine.

Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023  Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating […] The post SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs first appeared on The Skeptics Guide to Emergency Medicine.

Date: December 6, 2024 Guest Skeptic: Akil Dasan is a multifaceted artist renowned for his talents as a rapper, singer, guitarist, and beatboxer. He gained prominence as a member of the British jazz-rap group Us3, contributing to their 2006 album “Schizophonic“. This is an SGEM Xtra. We have done a top ten list before on the […] The post SGEM Xtra: Think, About It – Ten Commandments for Teachers first appeared on The Skeptics Guide to Emergency Medicine.

Date: December 26, 2024 Reference: Steinhauser S et al. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. AEM December 2024 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. […] The post SGEM#464: I Can Do It with A Broken Heart – Compassion for Patients with OUD first appeared on The Skeptics Guide to Emergency Medicine.

Date: December 15, 2024 Guest Skeptics: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Today, we're sleighing through the holiday season with a special episode filled with statistical cheer, a dash of skepticism, and a hint of eggnog-flavoured nerdiness. This is an SGEM Xtra like the one we did on What I […] The post SGEM Xtra: The 12 Days of Christmas the SGEM Gave to Me first appeared on The Skeptics Guide to Emergency Medicine.

Welcome to Episode 40 – the BIG 4-0!! – of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 40 of “The 2 View” – ST-segment elevation MI to occlusion MI, recurrent uncomplicated UTIs in Women, stercoral colitis in the emergency department, an interview with Dr. Ken Milne, and more. Segment 1 – ST-segment elevation MI to occlusion MI, corneal abrasions, and recurrent uncomplicated UTIs in women Green SM, Tomaszewski C, Valente JH, Lo B, Milne K. Use of Topical Anesthetics in the Management of Patients With Simple Corneal Abrasions: Consensus Guidelines From the American College of Emergency Physicians. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published May 2024. https://www.annemergmed.com/article/S0196-0644(24)00004-0/fulltext McLaren J, de Alencar JN, Aslanger EK, Meyers HP, Smith SW. From ST-Segment Elevation MI to Occlusion MI: The New Paradigm Shift in Acute Myocardial Infarction. JACC Adv. JACC Journals. Published November 2024. https://www.jacc.org/doi/10.1016/j.jacadv.2024.101314 Morgenstern J. More medical dogma: The “golden period” for laceration repair. First10EM. Published October 24, 2022. https://first10em.com/more-medical-dogma-the-golden-period-for-laceration-repair/ Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2022) - American urological association. Auanet.org. Published 2019, Reviewed and Validity Confirmed 2022. https://www.auanet.org/guidelines-and-quality/guidelines/recurrent-uti Segment 2 – Stercoral colitis in the emergency department Bae E, Tran J, Shah K. Stercoral colitis in the emergency department: a review of the literature. Int J Emerg Med. Published January 2 2024. https://intjem.biomedcentral.com/articles/10.1186/s12245-023-00578-x Hoverstadt MDP. International journal of emergency medicine. Wilderness & Environmental Medicine. https://intjem.biomedcentral.com/ International Journal of Emergency Medicine. BioMed Central. https://intjem.biomedcentral.com/ Keim AA, Campbell RL, Mullan AF, et al. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published July 2023. https://www.annemergmed.com/article/S0196-0644(23)00098-7/abstract Segment 3 – Interview with Dr. Ken Milne Milne K. SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain? The Skeptics Guide to Emergency Medicine - Meet 'em, greet 'em, treat 'em and street 'em. Published October 19, 2024. https://thesgem.com/2024/10/sgem457-inhale-nebulized-or-iv-ketamine-for-acute-pain/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024​​. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester's SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate […] The post SGEM #463: Like the Legend of the Phoenix… Criteria for Sepsis first appeared on The Skeptics Guide to Emergency Medicine.

Date: November 7, 2024 Guest Skeptics: Shirley Ngo is a Digital Product Director at RBC. She has extensive experience working with top financial organizations such as General Electric, Citibank, and CIBC in both Canada and Singapore. Additionally, she is co-host and producer of the “Make It Shine Money” podcast, which offers a unique perspective that […] The post SGEM Xtra: If I Had A Million Dollars first appeared on The Skeptics Guide to Emergency Medicine.

Date: November 10, 2024 Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK. Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington’s […] The post SGEM#462: Spooky Scary Access – IV or IO for OHCA first appeared on The Skeptics Guide to Emergency Medicine.

Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children's National Hospital in Washington, DC. He's also the host of SGEMPeds. Case: A 10-year-old boy […] The post SGEM#461: If You're Appy and You Know It…Do You Need a Clinical Prediction Score? first appeared on The Skeptics Guide to Emergency Medicine.

Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024  Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. He leads an AI team intending to improve patient outcomes and healthcare system efficiency. Michael […] The post SGEM#460: Why Do I Feel Like, Somebody's Watching Me – CHARTWatch to Predict Clinical Deterioration first appeared on The Skeptics Guide to Emergency Medicine.

Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emergency […] The post SGEM#459: Domo Arigato Misuta Roboto – Using AI to Assess the Quality of the Medical Literature first appeared on The Skeptics Guide to Emergency Medicine.

Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY.  He is the Vice Chair of the Emergency Department […] The post SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine.

Date: October 7, 2024 Reference: Nguyen et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education […] The post SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain? first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Ma K et al. A national survey of children's experiences and needs when attending Canadian pediatric emergency departments. PLoS One. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder of website lead of Don't […] The post SGEM #456: We are Young…but we can still Understand first appeared on The Skeptics Guide to Emergency Medicine.

Welcome to Episode 39 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 38 of “The 2 View” – Water beads, CRHK Pneumonia, STD treatments, malingering, and more. Segment 1 - Water Beads Joynes HJ, Kistamgari S, Casavant MJ, Smith GA. Pediatric water bead-related visits to United States emergency departments. Am J Emerg Med. ScienceDirect. Published October 2024. https://www.sciencedirect.com/science/article/pii/S0735675724003711?via%3Dihub Warning: Popular water beads may cause intestinal blockages in kids. News. UC Davis Health. Children's Health. Published December 13, 2022. https://health.ucdavis.edu/news/headlines/a-warning-this-sensory-toy-is-life-threatening-if-swallowed/2022/12 Water Beads. United States Consumer Product Safety Commission. Cpsc.gov. https://www.cpsc.gov/Safety-Education/Safety-Education-Centers/Water-Beads-Information-Center Segment 2 - WHO Warns of Carbapenem-Resistant Hypervirulent Klebsiella pneumonia Antimicrobial Resistance, Hypervirulent Klebsiella pneumoniae - Global situation. Who.int. World Health Organization. Disease Outbreak News. Published July 31, 2024. https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON527 Choby JE, Howard-Anderson J, Weiss DS. Hypervirulent Klebsiella pneumoniae – clinical and molecular perspectives. J Intern Med. WILEY Online Library. Published November 2, 2019. https://onlinelibrary.wiley.com/doi/10.1111/joim.13007 Segment 3 - STD Treatments Apato A, Cruz SN, Desai D, Slocum GW. Doxycycline adherence for the management of Chlamydia trachomatis infections. Am J Emerg Med. ScienceDirect. Published July 2024. https://www.sciencedirect.com/science/article/abs/pii/S0735675724002250?via%3Dihub The Center for Medical Education. The 2 View: Episode 9. 2 View: Emergency Medicine PAs & NPs. Published September 17, 2021. https://2view.fireside.fm/9 Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. Recommendations and Reports. CDC. Published July 23, 2021. https://www.cdc.gov/mmwr/volumes/70/rr/rr7004a1.htm#chlamydialinfections Segment 4 - Full-dose challenge of moderate, severe, and unknown beta-lactam allergies in the emergency department Anderson AM, Coallier S, Mitchell RE, Dumkow LE, Wolf LM. Full‐dose challenge of moderate, severe, and unknown beta‐lactam allergies in the emergency department. Acad Emerg Med. Wiley Online Library. Published August 2024. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14893 Meghan Jeffres, et al. University of Colorado. Hypersensitivity Type. Beta-lactam allergy tip sheet. Unmc.edu. https://www.unmc.edu/intmed/_documents/id/asp/clinicpath-beta-lactam-cross-reaction-tip-sheet.pdf Milne K. SGEM#452: I'm Still Standing – After The Allergy Challenge. The Skeptics Guide to Emergency Medicine - Meet 'em, greet 'em, treat 'em and street 'em. Published September 14, 2024. https://thesgem.com/2024/09/sgem452-im-still-standing-after-the-allergy-challenge/ Segment 5 - Malingering Alozai UU, McPherson PK. Malingering. In: StatPearls. StatPearls Publishing. NIH. National Library of Medicine. National Center for Biotechnology Information. Last updated June 12, 2023. https://www.ncbi.nlm.nih.gov/books/NBK507837/ Forrest JS. Rapid Review Quiz: Recognizing Malingering. Medscape. Published August 21, 2024. https://reference.medscape.com/viewarticle/1001346?ecd=WNLrrq240912MSCPEDITetid6820181&uac=255848DR&impID=6820181 Kadaster AK, Schears MR, Schears RM. Difficult patients: Malingerers, Feigners, Chronic Complainers, and Real Imposters. Emerg Med Clin North Am. Published February 2024. https://www.emed.theclinics.com/article/S0733-8627(23)00067-6/abstract Sherman EMS, Slick DJ, Iverson GL. Multidimensional Malingering Criteria for Neuropsychological Assessment: A 20-Year Update of the Malingered Neuropsychological Dysfunction Criteria. Arch Clin Neuropsychol. NIH. National Library of Medicine. National Center for Biotechnology Information. Published September 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452950/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! Don't miss our upcoming EM Boot Camp this December in Las Vegas: https://courses.ccme.org/course/embootcamp/about

Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School – Baystate. She is the co-founder of FOAMcast and a pulmonary […] The post SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes first appeared on The Skeptics Guide to Emergency Medicine.

Date: September 23, 2024 Reference: Essat et al. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis. Annals of Emergency Medicine, May 2024 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from Australia who is also an ultrasounder. Case: You are working a busy shift in a rural emergency department (ED) […] The post SGEM#454: I Just Died in Your Arms Tonight – Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes first appeared on The Skeptics Guide to Emergency Medicine.

Date: September 18, 2024 Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Before attending medical school, he was a New York […] The post SGEM#453: I Can't Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine.

Date: September 12, 2024 Reference: Anderson et al. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. AEM August 2024. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It's another day, another dollar in the emergency department (ED). The next patient is a 63-year-old […] The post SGEM#452: I'm Still Standing – After the Allergy Challenge first appeared on The Skeptics Guide to Emergency Medicine.

Date: August 30, 2024 Guest Skeptic: Dr. Mel Herbert is a famous Emergency Medicine Physician, award-winning educator, entrepreneur and philanthropist.  Mel founded both EM:RAP which creates and distributes Emergency Medicine education in over 160 countries. He also started a non-profit company called EM:RAP GO. This is an SGEM Xtra to end Season#12. I chatted with Mel […] The post SGEM Xtra: I'm Just An Ordinary Average Guy – Dr. Mel Herbert first appeared on The Skeptics Guide to Emergency Medicine.

Date: August 19, 2024 Reference: Partyka et al. Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Interests include information […] The post SGEM#451: I've Become So Numb – Serratus Anterior Plane Blocks for Rib Fractures first appeared on The Skeptics Guide to Emergency Medicine.

Date: August 13, 2024 Guest Skeptics: We have two guest skeptics for this SGEM Xtra episode. Dr. Francisco Campillo Palma is an Emergency Medicine doctor. He works in prehospital (EMS and HEMS), and at Morales Meseguer Hospital in public medical service in Murcia, Spain. Franciso has postgraduate Master’s degrees in emergencies and urgent care, clinical […] The post SGEM Xtra: The Final Countdown – To IncrEMentuM 2025 first appeared on The Skeptics Guide to Emergency Medicine.

Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. NEJM May 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency Medicine, Neurology, […] The post SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage first appeared on The Skeptics Guide to Emergency Medicine.

Date: July 31, 2024 Reference:  Gonzales RE, Seeburger EF, Friedman AB, and Agarwal AK. Patient perceptions of behavioral flags in the emergency department: A qualitative analysis. AEM July 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department […] The post SGEM#449: Bad Boys What'cha Gonna Do – Patient Perceptions of Behavioral Flags in the ED first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Knack et al. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med 2024 Date: July 25, 2024 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: Your hospital is running Morbidity and Mortality (M&M) […] The post SGEM#448: More than A Feeling – Gestalt vs CDT for Predicting Sepsis first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Gibbs et al. Noninvasive Ventilation for Preoxygenation during Emergency Intubation (The PREOXI trial). NEJM June 2024. Date: July 17, 2024 Guest Skeptic: Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. She is the former president of the Washington chapter of ACEP and her career focus outside of […] The post SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Florin TA, et al. Radiographic pneumonia in young febrile infants presenting to the emergency department: secondary analysis of a prospective cohort study. Emerg Med J. 2023 Date: May 29, 2024 Guest Skeptic: Dr. Christina Lindgren is a Pediatric Emergency Medicine Attending at Children's National Hospital and Assistant Professor of Pediatrics and Emergency Medicine at […] The post SGEM#446: Finding Pneumo…nia in Febrile Infants first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Tjan et al. Conflict in emergency medicine: A systematic review. AEM June 2024 Date: July 5, 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She co-founded FOAMcast and is a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social […] The post SGEM#445: Why Can't We Be Friends – Conflict in Emergency Medicine first appeared on The Skeptics Guide to Emergency Medicine.

Date: June 29, 2024 Reference: Herbert L. Fred M.D. (1998) Old-Fashioned Doctors, Hospital Practice. This is an SGEM Xtra episode. I was honoured to be invited by Dr. Fernada Bellolio to the Mayo Clinic and present to the Department of Emergency Medicine. They were kind enough to allow me to speak about any topic. I […] The post SGEM Xtra: When I'm 64 – Old Fashioned Doctors first appeared on The Skeptics Guide to Emergency Medicine.

Reference:  Peters MJ, et al. Conservative versus liberal oxygenation targets in critically ill children (Oxy-picu): a UK multicentre, open, parallel-group, randomised clinical trial. Lancet. December 2023 Guest Skeptic:  Dr. Anireddy Reddy is a pediatric intensive care attending physician in the Department of Anesthesiology and Critical Care Medicine at Children's Hospital of Philadelphia. Case: A 3-year-old […] The post SGEM#444: I Need Oxygen…But How Much Oxygen for Critically Ill Children first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Jansen et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. JAMA. 2023 Date: June 10, 2024 Guest Skeptic: Dr. Rob Leeper is an intensivist, trauma surgeon, and general surgeon at Western University where he also serves as the director of the […] The post SGEM#443: Don't Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients? first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Kruse et al. Systematic Review, Quality Assessment, and Synthesis of Guidelines for Emergency Department Care of Transgender and Gender-diverse People Recommendations for Immediate Action to Improve Care. WJEM December 2023 Date: May 30, 2024 Guest Skeptic: Dr. Kay Dingwell is a rural emergency physician working in Prince County, PEI with a special interest in […] The post SGEM#442: I'm on the Right Track Baby I Was Born This Way first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Tavender E, et al. Triage tools for detecting cervical spine injury in paediatric trauma patients. Cochrane Database Syst Rev. 2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children's National Hospital and The George Washington School of Medicine […] The post SGEM#441: Searching Searching for the best Clinical Decision Rule to Detect Pediatric C-Spine Injury first appeared on The Skeptics Guide to Emergency Medicine.