SGEM #439: Go Ninja Go Ninja Go…Home without Replacing the Fingernail

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

SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients: Date: December 16th, 2022 Reference: Hohle et al. Massive Blood Transfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire T... by The Skeptics Guide to Emergency Medicine

33 min listen

SGEM #384: Take Me Out Tonight, I Don’t Want to Perforate My Appendix Alright: Date: November 16th, 2022 Reference: Lipsett SC, Monuteaux MC, Shanahan KH, et al. Nonoperative Management of Uncomplicated Appendicitis. Pediatrics 2022 Guest Skeptic: Dr. Angelica DesPain is an Assistant Professor of Pediatrics and a pediatric emerge... by The Skeptics Guide to Emergency Medicine

22 min listen

SGEM Xtra: You Don’t Own Me – Post Roe Emergency Medicine: Date: January 22, 2022 Reference: Samuels-Kalow M et al. Post-Roe Emergency Medicine: Policy, clinical, training, and individual implications for emergency clinicians. AEM Dec 2022 Guest Skeptic: Dr. Michelle Lin is an emergency physician and health se... by The Skeptics Guide to Emergency Medicine

17 min listen

SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures: Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. by The Skeptics Guide to Emergency Medicine

22 min listen

$SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures: Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials.$

SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest: Reference: Cashen K, Reeder RW, Ahmed T, et al. Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, by The Skeptics Guide to Emergency Medicine

19 min listen

SGEM #387 Lumbar Punctures in Febrile Infants with Positive Urinalysis-It’s Just Overkill: Date: Dec 15, 2022 Reference: Mahajan et al. Serious bacterial infections in young febrile infants with positive urinalysis results. Pediatrics. October 2022 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hos... by The Skeptics Guide to Emergency Medicine

35 min listen

SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?: Date: January 13, 2023 Reference: Razi et al. Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. by The Skeptics Guide to Emergency Medicine

25 min listen

SGEM Xtra: Holding Out for a Hero – Lessons from The Dark Knight: Date: December 11th, 2022 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National in Washington, DC. You may also know him as the host of this season’s SGEM Peds. This is an SGEM Xtra for the holidays. by The Skeptics Guide to Emergency Medicine

29 min listen

SGEM#388: It Makes No Difference Now- Calcium Channel Blocker or Beta Blocker for Atrial Fibrillation with Rapid Ventricular Response & Heart Failure with Reduced Ejection Fraction: Date: January 4th, 2023 Reference: Hasbrouck et al. Acute management of atrial fibrillation in congestive heart failure with reduced ejection fraction in the emergency department. AJEM 2022 Guest Skeptics: Dr. by The Skeptics Guide to Emergency Medicine

30 min listen

$SGEM#388: It Makes No Difference Now- Calcium Channel Blocker or Beta Blocker for Atrial Fibrillation with Rapid Ventricular Response & Heart Failure with Reduced Ejection Fraction: Date: January 4th, 2023 Reference: Hasbrouck et al. Acute management of atrial fibrillation in congestive heart failure with reduced ejection fraction in the emergency department. AJEM 2022 Guest Skeptics: Dr.$

SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare: Date: April 4th, 2023 Reference: Vaughan and Browne. Reconfiguring emergency and acute services: time to pause and reflect. BMJ Qual Saf. 2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic ce... by The Skeptics Guide to Emergency Medicine

55 min listen

SGEM#390: I Can’t Feel My Face when I Have Bell Palsy, but will Steroids Help?: Reference: Babl et al. Efficacy of prednisolone for bell palsy in children: a randomized, double-blind, placebo-controlled, multicenter trial (BellPIC). Neurology 2022 Date: January 3, 2023 Guest Skeptic: Dr. Jennifer Harmon is an MD, Ph. by The Skeptics Guide to Emergency Medicine

19 min listen

SGEM#395: Too Much Blood from My Nose – Will TXA Help?: Date: March 3, 2023 Reference: Hosseinialhashemi et al. Intranasal Topical Application of Tranexamic Acid in Atraumatic Anterior Epistaxis: A Double-Blind Randomized Clinical Trial. Ann Emerg Med. 2022 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

21 min listen

SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza: Date: February 27, 2023 Reference: Walsh PS, Schnadower D, Zhang Y, Ramgopal S, Shah SS, Wilson PM. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. JAMA Pediatr. 2022. Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

22 min listen

SGEM#396: And iGel Myself, I’m Over You, Cus I’m the King (Tube) of Wishful Thinking: Date: March 8, 2023 Reference: Smida et al. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehospital Emergency Care 2023 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

27 min listen

SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease: Date: March 22, 2023 Reference: Hilsden et al. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

32 min listen

SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?: Date: February 7, 2023 Reference: Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. NEJM 2022 Guest Skeptic: Dr. Sean Moore is an emergency physician working in Kenora Ontario, by The Skeptics Guide to Emergency Medicine

26 min listen

$SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?: Date: February 7, 2023 Reference: Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. NEJM 2022 Guest Skeptic: Dr. Sean Moore is an emergency physician working in Kenora Ontario,$

SGEM#399: I’m So Tired – Emergency Medicine and Fatigue: Date: March 28, 2023 Reference: Fowler et al. Objective assessment of sleep and fatigue risk in emergency medicine physicians. AEM March 2023 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called ... by The Skeptics Guide to Emergency Medicine

63 min listen

SGEM#393: You Down with APP, Yeah You Know Me: Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. AEM Feb 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and Assistant P... by The Skeptics Guide to Emergency Medicine

32 min listen

SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?: Date: February 1, 2023 Reference: Wolfrum et al. Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. Circulation. September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAM... by The Skeptics Guide to Emergency Medicine

28 min listen

SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest: Date: May 10, 2023 Reference: Harhay MO, et al. A bayesian interpretation of a pediatric cardiac arrest trial (THAPCA-OH). NEJM Evidence. 2023. Guest Skeptic: Dr. Kat Priddis is a paediatric emergency medicine consultant and trauma director at Watford ... by The Skeptics Guide to Emergency Medicine

32 min listen

SGEM#400: A little Bit of Heart and Sports Related Sudden Cardiac Arrest in Women: Date: April 12, 2023 Reference: Weizmann et al. Incidence of Cardiac Arrest During Sports Among Women in the European Union. JACC November 2022 Guest Skeptic: Dr. Susanne (Susy) DeMeester is an Emergency Physician practicing at St Charles Medical Cente... by The Skeptics Guide to Emergency Medicine

30 min listen

SGEM#403: Unos, Dos, Tres – Vertigo: The GRACE-3 Guidelines: Date: April 12, 2023 Reference: Edlow et al.Guidelines for Reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department. AEM May 2023 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

58 min listen

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

SGEM#402: Call Me – On the Telemental Health Line: Date: April 26, 2023 Reference: Han et al. The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care. AEM April 2023 Guest Skeptic: Dr. by The Skeptics Guide to Emergency Medicine

31 min listen

SGEM #401: Hey Ho! High Flow vs Standard Oxygen Therapy for Hospitalized Children with Respiratory Failure: Date: April 20, 2023 Reference: Franklin D, et al. Effect of early high-flow nasal oxygen vs standard oxygen therapy on length of hospital stay in hospitalized children with acute hypoxemic respiratory failure: the PARIS-2 randomized clinical trial. by The Skeptics Guide to Emergency Medicine

19 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 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#408: Hey, I, Oh I’m Still Alive – Is it due to TXA?: Date: July 1, 2023 Reference: PATCH-Trauma Investigators and ANZICS Clinical Trial Group. Prehospital Tranexamic Acid for Severe Trauma. NEJM 2023. Guest Skeptic: Dr. Salim Rezaie is a community emergency physician in San Antonio, TX. by The Skeptics Guide to Emergency Medicine

35 min listen

SGEM Xtra: Hurts so Good…but does it Have to? A Pain Management Standard for Children: Date: 15 June 2023 Guest Skeptic: Dr. Samina Ali is a pediatric emergency medicine physician, clinician scientist, and Professor of Pediatrics and Emergency Medicine at the University of Alberta in Edmonton. by The Skeptics Guide to Emergency Medicine

40 min listen

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SGEM #439: Go Ninja Go Ninja Go…Home without Replacing the Fingernail

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