SGEM#407: Here We Go Test Strips for Fentanyl

SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?: Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care. February 2024. Date: April 25, by The Skeptics Guide to Emergency Medicine

21 min listen

SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures: Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled t... by The Skeptics Guide to Emergency Medicine

41 min listen

$SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures: Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled t...$

SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke: Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. NEJM Feb 2024 Date: April 12, 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointens... by The Skeptics Guide to Emergency Medicine

33 min listen

SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV: Reference: Drysdale SB et al. Nirsevimab for Prevention of Hospitalizations due to RSV in Infants. N Engl J Med. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. He is the designer of Empiric Game, by The Skeptics Guide to Emergency Medicine

27 min listen

SGEM#434: It’s (Un) Happy Hour Again – Mortality in Younger Patients with Alcohol-Related ED Attendances: Reference: Harrison et al. Mortality in adolescents and young adults following a first presentation to the emergency department for alcohol. AEM March 2024. Date: March 27, 2024 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at... by The Skeptics Guide to Emergency Medicine

27 min listen

SGEM#433: Breathe – Simple Aspiration vs. Drainage for Complete Pneumothorax: Reference: Marx et al. Simple Aspiration versus Drainage for Complete Pneumothorax: A Randomized Noninferiority Trial. Am J Respir Crit Care Med. 2023 Date: March 22, 2024 Guest Skeptic: Dr. Richard Malthaner holds the prestigious position of Chair/Hea... by The Skeptics Guide to Emergency Medicine

38 min listen

SGEM Xtra: The Matrix – Social Media for Knowledge Translation: Date: March 16, 2024 This is an SGEM Xtra episode. Yes, that is two back-to-back SGEM Xtra episodes. The critical appraisal that was lined up for this week’s episode got delayed due to some scheduling problems with clinical responsibilities. by The Skeptics Guide to Emergency Medicine

35 min listen

SGEM Xtra: A Philosophy of Emergency Medicine: Date: March 6, 2024 This is an SGEM Xtra created from a lecture I gave for the Rural Ontario Medical Program (ROMP) ICE Camp Retreat in Collingwood, Ontario last month. ROMP helps Ontario medical students & residents arrange core & elective rotations i... by The Skeptics Guide to Emergency Medicine

22 min listen

SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections: Reference: Gibbons et al. The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

34 min listen

SGEM#341: You Make Me Feel Like a Natural Treatment: Reference: Li, T., & Gal, D. (2023). Consumers prefer natural medicines more when treating psychological than physical conditions. Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the... by The Skeptics Guide to Emergency Medicine

49 min listen

SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.: Reference: McLatchie et al and DAShED investigators. Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic sy... by The Skeptics Guide to Emergency Medicine

36 min listen

SGEM #429: It’s CT Angio, Hi. I’m the Problem. It’s Me. For Pediatric Oropharyngeal Trauma: Reference: Curry SD, et al. Systematic Review of CT Angiography in Guiding Management in Pediatric Oropharyngeal Trauma. Laryngoscope. March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics ... by The Skeptics Guide to Emergency Medicine

18 min listen

SGEM#428: Don’t Worry, Be Happy – The Safety of Nitroglycerin Administration in RVMI: Reference: Wilkinson-Stokes M, Betson J, Sawyer S. Adverse events from nitrate administration during right ventricular myocardial infarction: a systematic review and meta-analysis. Emerg Med J. February 2023 Date: January 24, 2024 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

28 min listen

SGEM #427: I Want a Treatment with a Short Course…for Pediatric Urinary Tract Infections: Reference: Zaoutis T, et al. Short-course Therapy for Urinary Tract Infections in Children: the SCOUT randomized clinical trial. JAMA Pediatr. Aug 2023 Date: October 30, 2023 Guest Skeptic: Dr. Ellie Hill is a pediatric emergency medicine physician at ... by The Skeptics Guide to Emergency Medicine

18 min listen

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest: Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023. Date: January 11, 2024 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

26 min listen

SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments: Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. JAMA Netw Open. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attendi... by The Skeptics Guide to Emergency Medicine

42 min listen

SGEM#424: Ooh-Ooh, I Can’t Wait – To Be Admitted to Hospital: Reference: Roussel et al. Overnight stay in the emergency department and mortality in older patients, JAMA Intern Med 2023 Date: December 18, 2023 Guest Skeptic: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. by The Skeptics Guide to Emergency Medicine

40 min listen

SGEM Xtra: Doctor, Doctor – We Need More Family Doctors: Date: December 12, 2023 Reference: OCFP News. More Than Four Million Ontarians Will Be Without a Family Doctor by 2026. Nov 7, 2023 Guest Skeptic: Dr. Mahaleh Mekalai Kumanan attended Dalhousie University for her undergraduate studies, by The Skeptics Guide to Emergency Medicine

28 min listen

SGEM#423: Where is the Love? Microaggression in the Emergency Department: Reference: Punches et al. Patient Perceptions of Microaggressions and Discrimination Towards Patients During Emergency Department Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant ... by The Skeptics Guide to Emergency Medicine

42 min listen

SGEM Xtra: Open Label Placebo: Date: November 20, 2023 Reference: Jones et al. Time to reflect on open-label placebos and their value for clinical practice. PAIN October 2023 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s institute for M... by The Skeptics Guide to Emergency Medicine

37 min listen

SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis: Reference: Shaikh N, et al. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial. JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in... by The Skeptics Guide to Emergency Medicine

26 min listen

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?: Date: November 22, 2023 Reference: Stopyra et al. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. AEM November 2023. Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of ... by The Skeptics Guide to Emergency Medicine

32 min listen

SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?: Date: November 2, 2023 Reference: Coventry et al. Which clinical features best predict occult scaphoid fractures? A systematic review of diagnostic test accuracy studies. Emerg Med J. Aug 2023 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

27 min listen

$SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?: Date: November 2, 2023 Reference: Coventry et al. Which clinical features best predict occult scaphoid fractures? A systematic review of diagnostic test accuracy studies. Emerg Med J. Aug 2023 Guest Skeptic: Dr.$

SGEM Xtra: Say What You Need to Say…but Don’t Say “Sepsis Screening”: Reference: Roland D, Munro A. Time for paediatrics to screen out sepsis “screening.” BMJ. June 2023 Date: Sept 12, 2023 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University ... by The Skeptics Guide to Emergency Medicine

37 min listen

SGEM#419: Welcome Back – To Another Episode on Back Pain: Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Lancet July 2023 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

36 min listen

SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess: Date: October 20, 2023 Reference: Cai et al. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hosp... by The Skeptics Guide to Emergency Medicine

40 min listen

SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs: Reference: Brennan L et al. Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study. J Paediatr Child Health. March 2023 Date: July 12th, 2023 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

25 min listen

SGEM#416: She’s Always A Woman, Query PE?: Date: September 28, 2023 Reference: Jarman et al. Sex Differences in Guideline-Consistent Diagnostic Testing for Acute Pulmonary Embolism Among Adult Emergency Department Patients Aged 18-49. AEM September 2023 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

45 min listen

SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures: Reference: Snelling et al. Ultrasonography or radiography for suspected pediatric distal forearm fractures. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practic... by The Skeptics Guide to Emergency Medicine

30 min listen

$SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures: Reference: Snelling et al. Ultrasonography or radiography for suspected pediatric distal forearm fractures. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practic...$

SGEM#414: The SQuID Protocol: Date: August 30, 2023 Reference: Griffey et al. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Re... by The Skeptics Guide to Emergency Medicine

56 min listen

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SGEM#407: Here We Go Test Strips for Fentanyl

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