The Skeptics Guide to Emergency Medicine

Dr. Ken Milne
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Aug 3, 2024 • 37min

SGEM#449: Bad Boys What’cha Gonna Do – Patient Perceptions of Behavioral Flags in the ED

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.
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Jul 27, 2024 • 30min

SGEM#448: More than A Feeling – Gestalt vs CDT for Predicting Sepsis

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.
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Jul 20, 2024 • 25min

SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation

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.
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Jul 13, 2024 • 36min

SGEM#446: Finding Pneumo…nia in Febrile Infants

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.
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Jul 6, 2024 • 47min

SGEM#445: Why Can’t We Be Friends – Conflict in 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.
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Jun 30, 2024 • 22min

SGEM Xtra: When I’m 64 – Old Fashioned Doctors

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.
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Jun 22, 2024 • 24min

SGEM#444: I Need Oxygen…But How Much Oxygen for Critically Ill Children

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.
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Jun 15, 2024 • 46min

SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?

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.
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Jun 8, 2024 • 0sec

SGEM#442: I’m on the Right Track Baby I Was Born This Way

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.
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Jun 1, 2024 • 0sec

SGEM#441: Searching Searching for the best Clinical Decision Rule to Detect Pediatric C-Spine Injury

Dr. Caleb Ward, a pediatric emergency medicine expert, discusses the search for an optimal clinical decision rule to detect pediatric C-spine injuries. Topics include the challenges of balancing patient comfort and safety, risks of radiation exposure in imaging methods, analyzing methodological quality and diagnostic accuracy, and advancements in pediatric C-spine studies.

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