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.

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.

Dr. Chris Root, an emergency medicine physician with expertise in EMS from the University of New Mexico, dives into the controversial role of naloxone in out-of-hospital cardiac arrests. He discusses a recent study from California, highlighting the implications of naloxone on survival rates. The conversation navigates the complexities of administering the drug, the importance of patient outcomes, and critiques the reliance on statistical measures like NNT. Ethical considerations surrounding organ donation are also touched upon, adding depth to this critical topic.

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.