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# The Skeptics Guide to Emergency Medicine

Meet 'em, greet 'em, treat 'em and street 'em

## Sitemaps

- [XML Sitemap](https://thesgem.com/sitemap.xml): Contains all public & indexable URLs for this website.

## Posts

- [SGEM#524: High, High HOPE for Recovery – Alteplase between 4.5 and 24 hours](https://thesgem.com/2026/10/sgem524-high-high-hope-for-recovery-alteplase-between-4-5-and-24-hours/) - Date: October 6, 2026 Guest Skeptic: Dr. Ryan Stanton, creator of the EM podcast Front Line and the new President of the American College of Emergency Physicians (ACEP). Reference: Zhou et al. HOPE investigators. Alteplase for Acute Ischemic Stroke at 4.5 to 24 Hours: The HOPE Randomized Clinical Trial. JAMA. 2025 Case: Mr. Wei Zhang
- [SGEM Paper in a Pic #523](https://thesgem.com/2026/10/sgem-paper-in-a-pic-523/)
- [SGEM Memes #523](https://thesgem.com/2026/10/sgem-memes-523/)
- [SGEM#523: Everything Grows and Grows…Until it Doesn’t. Clinical Practice Guidelines for Faltering Weight](https://thesgem.com/2026/10/sgem523-everything-grows-and-growsuntil-it-doesnt-clinical-practice-guidelines-for-faltering-weight/) - Reference: Kersten HB, et al; American Academy of Pediatrics and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Clinical Practice Guideline for Diagnosis and Management of Faltering Weight. Pediatrics. 2026. Date: September 15, 2026 Guest Skeptic: Dr. Salina Khushal is a Pediatric Gastroenterologist at the Pediatric Specialists of Virginia. She completed her fellowship at
- [SGEM Paper in a Pic #522](https://thesgem.com/2026/10/sgem-paper-in-a-pic-522/)
- [SGEM Poll #522](https://thesgem.com/2026/10/sgem-poll-522/)
- [SGEM#522: Va-so-Pressors – Can You Run Them Peripherally?](https://thesgem.com/2026/10/sgem522-va-so-pressures-can-you-run-them-peripherally/) - Date: September 30, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary intensivist and is the medical student clerkship director for critical care. Reference: ZhangJian et al.
- [SGEM Poll #521](https://thesgem.com/2026/09/sgem-poll-521/)
- [SGEM Xtra: If I Could Turn Back Time - 14 Seasons of Skepticism, Kindness & Evidence-Based EM](https://thesgem.com/2026/09/sgem-xtra-if-i-could-turn-back-time-14-seasons-of-skepticism-kindness-evidence-based-em/) - Date: September 4, 2026 This is an SGEM Xtra looking in the rearview mirror at 14 years of The SGEM and looking forward to Season#15. Season 15 is traditionally the crystal anniversary. Crystal is transparent; it can help us see things more clearly, and it can also shatter if you drop it. So, basically, a
- [SGEM Paper in a Pic #521](https://thesgem.com/2026/09/sgem-paper-in-a-pic-521/)
- [SGEM Memes #521](https://thesgem.com/2026/09/sgem-memes-521/)
- [SGEM#521: Hit Me with Your Best Shot – IM Ketorolac for Back Pain?](https://thesgem.com/2026/09/sgem521-hit-me-with-your-best-shot-im-ketorolac-for-back-pain/) - Date: September 22, 2026 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department. Reference: Sharabun et al. Oral Ibuprofen Versus Intramuscular Ketorolac for Acute Musculoskeletal Back Pain in
- [SGEM#520: It takes my pain away – Morphine, but do I need to add acetaminophen?](https://thesgem.com/2026/09/sgem520-it-takes-my-pain-away-morphine-but-do-i-need-to-add-acetaminophen/) - Date: Sept 13, 2026 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s Institute for Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal conditions with a particular interest in high-risk treatment options such as opioid medicines and spinal cord stimulators for pain. She aims to improve patient
- [SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs](https://thesgem.com/2025/06/sgem478-if-i-were-a-man-sex-based-disparities-in-the-treatment-of-stis/) - Reference: Solnick et al. Sex Disparities in Chlamydia and Gonorrhea Treatment in US Adult Emergency Departments: A Systematic Review and Meta-analysis. AEM June 2025 Date: June 24, 2025 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
- [SGEM#481: Shot Through the Chart And You're to Blame - But Can We Intervene?](https://thesgem.com/2025/08/sgem481-shot-through-the-chart-and-youre-to-blame-but-can-we-intervene/) - Reference: Kemal et al. Emergency department utilization by youth before and after firearm injury. AEM July 2025 Date: July 28, 2025 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She's a seasoned knowledge translator with her wonderful PaperinaPic infographics. Case: Your non-US emergency
- [SGEM#484: The Warrior - Pharmacological Interventions for the Acute Treatment of Hyperkalemia](https://thesgem.com/2025/09/sgem484-the-warrior-pharmacological-interventions-for-the-acute-treatment-of-hyperkalemia/) - Reference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025 Date: August 6, 2025 Guest Skeptic: William Toon is a paramedic who, this past May achieved over 50 years of continuous EMS certification. His professional path has taken him from front-line paramedic to national presenter, expert witness, flight
- [SGEM#486: Call Me, on the Line - Telemental Health for Suicide Prevention](https://thesgem.com/2025/09/sgem486-call-me-on-the-line-telemental-health-for-suicide-prevention/) - Date: September 18, 2025 Guest Skeptic: Dr. Neil Dasgupta is an Emergency Medicine (EM) physician and emergency department (ED) intensivist from Long Island, NY. He is the Vice Chair of the ED and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY. Reference: Doupnik et al. Impact of
- [SGEM#489: Smooth Muscle Relaxator - But does Magnesium Work for Renal Colic?](https://thesgem.com/2025/10/sgem489-smooth-muscle-relaxator-but-does-magnesium-work-for-renal-colic/) - Date: October 10, 2025 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department. Case: A 37-year-old man presents to the emergency department (ED) with severe right-sided flank pain.
- [SGEM#492: Give Blood – To Anemic Patients with Acute Brain Injuries](https://thesgem.com/2025/11/sgem492-give-blood-to-anemic-patients-with-acute-brain-injuries/) - Date: November 12, 2025 Reference: Taccone et al. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury The TRAIN Randomized Clinical Trial. JAMA 2024 Guest Skeptic: Dr. Alex Weiler is an Emergency Department staff physician in the Peterborough Regional Health Centre and is an associate professor with Queen's University Department of Family Medicine.
- [SGEM Paper in a Pic #519](https://thesgem.com/2026/09/sgem-paper-in-a-pic-519/)
- [SGEM Memes #519](https://thesgem.com/2026/08/sgem-memes-519/)
- [SGEM#493: You Can't Hold Me Down with Spinal Motion Restrictions](https://thesgem.com/2025/11/sgem493-you-cant-hold-me-down-with-spinal-motion-restrictions/) - Date: November 8, 2025 Reference: Millin M, et al., Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature, Prehospital Emergency Care, Aug 2025. Guest Skeptic: Clay Odell, BSN, NRP, RN, is a Paramedic Firefighter with Newport (NH) Fire-EMS. He is a past Chief of the
- [SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits](https://thesgem.com/2025/11/sgem494-another-day-for-you-and-me-in-pain-chronic-abdominal-pain-and-ed-visits/) - Date: November 26, 2025 Reference: Ray et al. Emergency Department Visit Frequency Among Adults with Chronic Abdominal Pain: Findings From the 2023 US National Health Interview Survey. AEM November 2025. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She's a seasoned knowledge translator with
- [SGEM Paper in a Pic #482](https://thesgem.com/2025/08/sgem-paper-in-a-pic-482/)
- [SGEM#519: Don’t Let Pediatric Pulmonary Embolism Leave You Breathless](https://thesgem.com/2026/08/sgem519-dont-let-pediatric-pulmonary-embolism-leave-you-breathless/) - Reference: Ellison AM, et al. PERC-Peds rule for bedside exclusion of pulmonary embolism without radiation in children in the USA (BEEPER): a multicentre, prospective, observational, diagnostic accuracy study. Lancet Respir Med. July 2026. Date: August 13, 2026 Guest Skeptic: Dr. Lauren Westafer is an Associate Professor in the Department of Emergency Medicine at the University
- [SGEM Poll #518](https://thesgem.com/2026/08/sgem-poll-518/)
- [SGEM Paper in a Pic #518](https://thesgem.com/2026/08/sgem-paper-in-a-pic-518/)
- [SGEM Memes #518](https://thesgem.com/2026/08/sgem-memes-518/)
- [SGEM#518: What Have You Done for Me Lately - Oseltamivir for Hospitalized Patients?](https://thesgem.com/2026/08/sgem518-what-have-you-done-for-me-lately-oseltamivir-for-hospitalized-patients/) - Date: August 23, 2026 Guest Skeptic: Dr. Roya Caloia is a former EM program director, longtime faculty at Henry Ford Genesys and current interim Associate Medical Director. She is also the Chairperson of the National Clinical Governance Board for US Acute Care Solutions Case: A 62-year-old woman with diabetes and chronic lung disease presents to
- [SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine](https://thesgem.com/2026/08/sgem-xtra-carl-heneghan-legend-of-evidence-based-medicine/) - Date: March 4, 2026 Guest Skeptic: Prof Carl Heneghan is a General Practitioner, Professor of Evidence-Based Medicine at the University of Oxford and current Director of the Centre for Evidence-Based Medicine (CEBM). Today, we’re launching a brand-new SGEM series: Legends of Evidence-Based Medicine (EBM). In the past, I’ve interviewed legends of Emergency Medicine: Dr. Diane
- [SGEM#309: That’s All Joe Asks of You – Wear a Mask](https://thesgem.com/2020/11/sgem309-thats-all-joe-asks-of-you-wear-a-mask/) - Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. He is the President of the national charity Canadian Association of Physicians for the Environment (CAPE), as well as the co-founder and co-chair of the local non-profit the Calgary Climate Hub, and
- [SGEM Memes #516](https://thesgem.com/2026/08/sgem-memes-516/)
- [SGEM Paper in a Pic #516](https://thesgem.com/2026/08/sgem-paper-in-a-pic-516/)
- [SGEM Paper in a Pic #517](https://thesgem.com/2026/08/sgem-paper-in-a-pic-517/)
- [SGEM Memes #517](https://thesgem.com/2026/08/sgem-memes-517/)
- [SGEM#517 : I Will Try to Fix You. Surgery or Not for Pediatric Displaced Medial Epicondyle Elbow Fractures](https://thesgem.com/2026/08/sgem517-i-will-try-to-fix-you-surgery-or-not-for-pediatric-displaced-medial-epicondyle-elbow-fractures/) - Reference: Perry DC, et al. Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic evaluation. The Lancet 2026 Date: July 14, 2026 Guest Skeptics: Dr. Megan Terle is an orthopedic surgeon and Assistant Professor for Pediatrics and
- [SGEM#516: A Whole Lotta Blood – Whole Blood Transfusion in the Prehospital Setting](https://thesgem.com/2026/08/sgem516-a-whole-lotta-blood-whole-blood-transfusion-in-the-prehospital-settin/) - Date: July 27, 2026 2026 Guest Skeptic: Dr. Howard (Howie) Mel is an emergency physician and FACEP. Reference: Smith JE et al. SWiFT Trial Group. Prehospital Whole Blood in Traumatic Hemorrhage - a Randomized Controlled Trial. NEJM 2026 March Case: A 36-year-old man is brought to the emergency department (ED) by air ambulance after a
- [SGEM Xtra: Magnum Meme](https://thesgem.com/2026/07/sgem-xtra-magnum-meme/)
- [SGEM Xtra: Magnum PI Poll](https://thesgem.com/2026/07/sgem-xtra-magnum-pi-poll/)
- [SGEM Xtra: Ferraris, Friends, and First Responders - Lessons Learned from Watching Magnum, P.I.](https://thesgem.com/2026/07/sgem-xtra-ferraris-friends-and-first-responders-lessons-learned-from-watching-magnum-p-i/) - Date: July 9, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary intensivist and is the medical student clerkship director for critical care. Today’s episode is a
- [SGEM Paper in a Pic #515](https://thesgem.com/2026/07/sgem-paper-in-a-pic-515/)
- [SGEM Memes #515](https://thesgem.com/2026/07/sgem-memes-515/)
- [SGEM Poll #514](https://thesgem.com/2026/07/sgem-poll-514/)
- [SGEM Paper in a Pic #514](https://thesgem.com/2026/07/sgem-paper-in-a-pic-514/)
- [SGEM Memes #514](https://thesgem.com/2026/07/sgem514-memes/)
- [SGEM#515: Now the Azithromycin Don’t Work for Preschool Wheeze](https://thesgem.com/2026/07/sgem515-now-the-azithromycin-dont-work-for-preschool-wheeze/) - Reference: Denninghoff KR et al. Azithromycin for Preschoolers with Wheezing in the Emergency Department. New England Journal of Medicine. May 2026 Date: July 14, 2026 Guest Skeptic: Dr. Zara Ibrahim is a pediatric emergency medicine fellow at Children’s National Hospital in Washington DC where she also completed medical school, pediatric residency. Her research interests include
- [SGEM#514: Every Time You Go Away (and survive alive for 90 days) - Is It Due To A Restricted Fluid Strategy with Early Vasopressors?](https://thesgem.com/2026/07/sgem514-every-time-you-go-away-and-survive-alive-for-90-days-is-it-due-to-a-restricted-fluid-strategy-with-early-vasopressors/) - Date: July 9, 2026 Reference: The ARISE FLUIDS Investigators. Vasopressors or Fluids in Early Septic Shock. NEJM June 2026. Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. He is board-certified in Emergency
- [SGEM Paper in a Pic #513](https://thesgem.com/2026/07/sgem-paper-in-a-pic-513/)
- [SGEM Poll #513](https://thesgem.com/2026/07/sgem-poll-513/)
- [SGEM Memes #513](https://thesgem.com/2026/06/sgem-memes-513/)
- [SGEM#513: Everything is Awesome – Unless You Swallow A LEGO Head](https://thesgem.com/2026/06/sgem513-everything-is-awesome-unless-you-swallow-a-lego-head/) - Date: June 23, 2026 Reference: Tagg A, et al. Everything is awesome: Don’t forget the Lego. J Paediatr Child Health. 2019 We recorded this SGEM episode live at the Don't Forget the Bubbles conference in Glasgow, Scotland. Dennis and I had just given an hour presentation on how to build better critical appraisal skills. It
- [SGEM Memes #512](https://thesgem.com/2026/06/sgem-memes-512/) - SGEM
- [SGEM#512: When you go your way, and I Go Mine – Surgery or Antibiotics for Acute Appendicitis.](https://thesgem.com/2026/06/sgem512-when-you-go-your-way-and-i-go-mine-surgery-or-antibiotics-for-acute-appendicitis/) - Date: June 12, 2026 Guest Skeptic: Mr. Ross Fisher. Ross is a paediatric surgeon, presentation guru (P-Cubed), and long-time friend of the SGEM. Reference: Talan et al. Nonoperative Treatment of Appendicitis and Implications for Emergency Department Management: A Narrative Review. Ann Emerg Med. June 2026 Case: A 29-year-old healthy man presents to the emergency department
- [SGEM Xtra: Welcome to the Jungle of Disaster Medicine](https://thesgem.com/2026/05/sgem-xtra-welcome-to-the-jungle-of-disaster-medicine/) - Date: April 21, 2026 Guest Skeptic: Lauren Openshaw is a medical student at the George Washington University School of Medicine & Health Sciences, Class of 2027, where she is a part of the Disaster Medicine Scholarly Concentration. Her clinical interests include pediatrics, disaster medicine, critical care, and emergency preparedness, particularly as they relate to protecting vulnerable
- [SGEM Poll #511](https://thesgem.com/2026/05/sgem-poll-511/)
- [SGEM Paper in a Pic #511](https://thesgem.com/2026/05/sgem-paper-in-a-pic-511/)
- [SGEM#511: I’d Like To Treat, DKA with the SQuID Protocol](https://thesgem.com/2026/05/sgem511-id-like-to-treat-dka-with-the-squid-protocol/) - Date: May 20, 2026 Guest Skeptic: Dr. Matt McArthur is an ED Physician working primarily in Guelph and Kitchener with occasional rural locums in the small town of Walkerton, where he grew up. His clinical interests include POCUS, emergency cardiology, QI, knowledge translation, motivational interviewing, and vertigo. He is very active in medical education, including
- [SGEM Memes #511](https://thesgem.com/2026/05/sgem-memes-511/)
- [SGEM Paper in a Pic #510](https://thesgem.com/2026/05/sgem-paper-in-a-pic-510/)
- [SGEM Memes #510](https://thesgem.com/2026/05/sgem-memes-510/)
- [SGEM#510: Take this Broken Radius and just Cast It.](https://thesgem.com/2026/05/sgem510-take-this-broken-radius-and-just-cast-it/) - Reference: Perry DC, et al. Non-surgical casting versus surgical reduction for children with severely displaced distal radial fractures (the CRAFFT Study): a multicentre, randomised, controlled non-inferiority trial and economic evaluation. Lancet April 2026. Date: May 8, 2026 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning.
- [SGEM Paper in a Pic #508](https://thesgem.com/2026/04/sgem-paper-in-a-pic-508/)
- [SGEM Paper in a Pic #509](https://thesgem.com/2026/05/sgem-paper-in-a-pic-509/)
- [SGEM Memes #509](https://thesgem.com/2026/05/sgem-memes-509/)
- [SGEM#509: I love the Java Jive & It Loves Me – Preventing Dementia with Coffee and Tea](https://thesgem.com/2026/04/sgem509-i-love-the-java-jive-it-loves-me-preventing-dementia-with-coffee-and-tea/) - Date: April 23, 2026 Guest Skeptic: Dr. Manrique Umaña McDermott is an attending physician specializing in Emergency Medicine based in San José, Costa Rica. He has a passion for medical education, is a renowned international speaker and serves as a faculty member in undergraduate Internal Medicine at UCIMED and postgraduate training programs in Emergency Medicine
- [SGEM#507: Till Everybody Got Delirious – Geriatric Patients in the Emergency Department](https://thesgem.com/2026/04/sgem507-till-everybody-got-delirious-geriatric-patients-in-the-emergency-department/) - Date: April 2, 2026 Reference: Lee et al. GRADE-Based Clinical Practice Guidelines for Emergency Department Delirium Risk Stratification, Screening, and Brain Imaging in Older Patients With Suspected Delirium. AEM Feb 2026 Guest Skeptic: Dr. Christina Shenvi is a board-certified emergency physician, educator, keynote speaker, coach, and academic leader. She is widely recognized for her work
- [SGEM Memes #508](https://thesgem.com/2026/04/sgem-memes-508/)
- [SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants](https://thesgem.com/2026/04/sgem-508-how-low-can-you-go-rethinking-lumbar-punctures-in-well-appearing-febrile-infants/) - Reference: Burstein B, et al. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. Published online December 08, 2025. Date: April 3, 2026 Guest Skeptic: Dr. Margarita Ramos is a pediatric hospitalist at Children’s National Hospital in Washington, D.C., and Assistant Professor of Pediatrics at the George Washington University
- [SGEM Memes #507](https://thesgem.com/2026/04/sgem-memes-507/)
- [SGEM Xtra: You You You Oughta Know - GED 2.0 Guidelines](https://thesgem.com/2026/04/sgem-xtra-you-you-you-outta-know-ged-2-0-guidelines/) - Date: March 23, 2026 Guest Skeptic: Dr. Christina Shenvi is a board-certified emergency physician, educator, keynote speaker, coach, and academic leader. She is widely recognized for her work in geriatric emergency medicine, faculty development, and professional identity formation in emergency medicine (EM). She brings deep clinical expertise along with thoughtful perspectives on systems-level change and
- [SGEM Xtra: This One Goes to 11 – ATLS 11th Edition](https://thesgem.com/2026/03/sgem-xtra-this-one-goes-to-11-atls-11th-edition/) - Date: March 26, 2026 Guest Skeptic: Dr. Robert Leeper is a trauma surgeon at the London Health Sciences Centre and an ATLS instructor who has helped train generations of physicians in trauma care. He has previously joined SGEM for: SGEM #200 – Bloodletting and Alexander Hamilton SGEM #256 – RLQ Pain and Appendectomy SGEM #345 – Non-operative Management
- [SGEM Paper in a Pic #506](https://thesgem.com/2026/03/sgem-paper-in-a-pic-506/)
- [SGEM Memes #506](https://thesgem.com/2026/03/sgem-memes-506/)
- [SGEM#506: Aww I’m Itchy…and I need a Second Generation Antihistamine](https://thesgem.com/2026/03/sgem506-aww-im-itchyand-i-need-a-second-generation-antihistamine/) - Reference: Wong KH, et al. Improving Use of Oral Antihistamines in a Children’s Hospital. Pediatrics. Feb 2026; Date: March 15, 2026 Guest Skeptic: Dr. Stephanie Kubala is an attending physician in the Division of Allergy and Immunology at Children’s Hospital of Philadelphia. She is double board-certified in both pediatrics and allergy and immunology. Case: A
- [SGEM#505: Close Enough for (ARF) Acute Respiratory Failure (HFNO vs NIV)](https://thesgem.com/2026/03/sgem505-close-enough-for-arf-acute-respiratory-failure-hfno-vs-niv/) - Date: March 11, 2026 Reference: RENOVATE Investigators and the BRICNet Authors; High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure: The RENOVATE Randomized Clinical Trial. JAMA March 2025 Guest Skeptic: Dr. Rory Spiegel is an emergency medicine and critical care physician known for his work in evidence-based medicine and critical care. He
- [SGEM Xtra: You say you want a revolution - well you know – Against the Grain: Defiant Giants Who Changed the World](https://thesgem.com/2026/02/sgem-xtra-you-say-you-want-a-revolution-well-you-know-against-the-grain-defiant-giants-who-changed-the-world/) - Date: February 26, 2026 Guest Skeptic: Terry O’Reilly is the host of the long-running and popular podcast Under the Influence. He is also an acclaimed storyteller and book writer. However, Terry is not just some radio host talking about marketing; he was an adman on the front lines, working in the trenches for 35 years
- [SGEM Xtra: It's My Life - DPhil in Oxford](https://thesgem.com/2026/03/sgem-xtra-its-my-life-dphil-in-oxford/) - Date: March 5, 2026 Today, we’re not in the studio. We’re not in Canada. We’re not even in North America. We are in Oxford. And not just Oxford, we are recording this SGEM Xtra in a pub. This will be the second-ever SGEM PUBcast. We need to travel back in time to 2012 for the
- [SGEM Paper in a Pic #504](https://thesgem.com/2026/02/sgem-paper-in-a-pic-504/)
- [SGEM Memes #504](https://thesgem.com/2026/02/sgem-memes-504/)
- [SGEM Memes #503](https://thesgem.com/2026/02/sgem-memes-503/)
- [SGEM Paper in a Pic #503](https://thesgem.com/2026/02/sgem-paper-in-a-pic-503/)
- [SGEM Poll #503](https://thesgem.com/2026/02/sgem-poll-503/)
- [SGEM#504: Home Where I Wanted to Go After Anaphylaxis](https://thesgem.com/2026/02/sgem504-home-where-i-wanted-to-go-after-anaphylaxis/) - Reference: . Timing of repeat epinephrine to inform paediatric anaphylaxis observation periods: a retrospective cohort study. Lancet Child & Adolescent Health. July 2025 Guest Skeptic: Dr. Kammeron Brissett is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. She completed her pediatrics residency and a chief year at Rainbow Babies and Children’s
- [SGEM#503: Waiting is the Hardest Part – Factors Associated with ED LOS](https://thesgem.com/2026/02/sgem503-waiting-is-the-hardest-part-factors-associated-with-ed-los/) - Date: February 13, 2026 Reference: Lang et al. Factors associated with emergency department length of stay in Alberta: a study of patient-, visit-, and facility-level factors using administrative health data. CJEM. 2026 Jan 29. Guest Skeptic: Dr. Paul Parks is an emergency physician from Medicine Hat, Alberta. He has been the President of the Alberta
- [SGEM Memes #502](https://thesgem.com/2026/02/sgem-memes-502/)
- [SGEM#502: Playing with the Queen of Hearts – AI, Is It Very Smart (for ECG Interpretation)?](https://thesgem.com/2026/02/sgem502-playing-with-the-queen-of-hearts-ai-is-it-very-smart-for-ecg-interpretation/) - Date: January 3, 2026 Reference: Shroyer et al. Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio). Am J Emerg Med. 2025 Nov. Guest Skeptic: Dr. Amal Mattu has been on the faculty at the University of Maryland since 1996. He has developed an academic
- [SGEM Xtra: Machines - Or Back to Human](https://thesgem.com/2026/01/sgem-xtra-machines-or-back-to-human/) - Date: January 6, 2026 Guest Skeptic: Darren McKee is an author and speaker. He has served as a senior policy advisor and policy analyst for over 17 years. Darren hosts the international award-winning podcast, The Reality Check. He is also the author of an excellent, thought-provoking book called Uncontrollable: The Threat of Artificial Superintelligence and the
- [SGEM Paper in a Pic #501](https://thesgem.com/2026/01/sgem-paper-in-a-pic-501/)
- [SGEM Memes #501](https://thesgem.com/2026/01/sgem-memes-501/)
- [SGEM#501: Here it Goes Again - Another Clinical Decision Rule for Febrile Infants 61-90 Days](https://thesgem.com/2026/01/sgem501-here-it-goes-again-another-clinical-decision-rule-for-febrile-infants-61-90-days/) - Reference: Aronson PL, et al. Prediction Rule to Identify Febrile Infants 61–90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. September 2025 Date: January 6, 2026 Guest Skeptic: Dr. Jillian Nickerson is a pediatric emergency medicine attending at Children’s National Hospital and Assistant Professor of Pediatrics and Emergency Medicine at The George Washington University
- [SGEM Poll #500](https://thesgem.com/2026/01/sgem-poll-500/)
- [SGEM Paper in a Pic #500](https://thesgem.com/2026/01/sgem-paper-in-a-pic-500/)
- [SGEM#500: Don't You Want Me - Etomidate or Ketamine for Induction of Critically Ill Patients](https://thesgem.com/2026/01/sgem500-dont-you-want-me-etomidate-or-ketamine-for-induction-of-critically-ill-patients/) - Date: January 17, 2026 Reference: Casey et al. RSI Investigators and the Pragmatic Critical Care Research Group. Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. NEJM. 2025 Dec Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. Scott is best
- [SGEM Memes #500](https://thesgem.com/2026/01/sgem-memes-500/)
- [SGEM Xtra: Hit Me with Your Best Block - 2025 AHS ED Migraine Guidelines](https://thesgem.com/2026/01/sgem-xtra-hit-me-with-your-best-block-2025-ahs-ed-migraine-guidelines/) - Date: January 5, 2026 Reference: Robblee et al. 2025 guideline update to acute treatment of migraine for adults in the emergency department: The American Headache Society evidence assessment of parenteral pharmacotherapies. Headache 2025 Dec Happy New Year, SGEMers! What better way to start 2026 than with an SGEM Xtra about migraine headaches? We were originally
- [SGEM Memes #499](https://thesgem.com/2026/01/sgem-memes-499/)
- [SGEM Twitter Poll #499](https://thesgem.com/2026/01/sgem-twitter-poll-499/)
- [SGEM Paper in a Pic #499](https://thesgem.com/2026/01/sgem-paper-in-a-pic-499/)
- [SGEM#499: Under Pressure – To Start Antihypertensives in Hypertensive ED Patients at Discharge](https://thesgem.com/2026/01/sgem499-under-pressure-to-start-antihypertensives-in-hypertensive-ed-patients-at-discharge/) - Date: December 23, 2025 Reference: Todd et al. Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients. J Am Coll Emerg Physicians Open. 2024 Guest Skeptic: Dr. Mike Pallaci is a Professor of Emergency Medicine at Northeast Ohio Medical University and a Clinical Professor of Emergency Medicine at Ohio University
- [SGEM Paper in a Pic #498](https://thesgem.com/2026/01/sgem-paper-in-a-pic-498/)
- [SGEM Paper in a Pic #497](https://thesgem.com/2025/12/sgem-paper-in-a-pic-497/)
- [SGEM Memes #498](https://thesgem.com/2025/12/sgem-memes-498/)
- [SGEM#498: Andromeda – Cap Refill Time for Personalized Sepsis Treatment](https://thesgem.com/2025/12/sgem498-andromeda-cap-refill-time-for-personalized-sepsis-treatment/) - Date: November 27, 2025 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are looking after a 65-year-old man who appears to be in septic shock. He presented after five days of fever and cough, and is now severely lethargic and hypotensive on arrival. You
- [SGEM Memes #497](https://thesgem.com/2025/12/sgem-memes-497/)
- [SGEM#497: We Could be Heroes - Just with a Little Help from Batman](https://thesgem.com/2025/12/sgem497-we-could-be-heroes-just-with-a-little-help-from-batman/) - Date: Dec 17, 2025 Reference: Pagnini F, et al. Unexpected events and prosocial behavior: the Batman effect. npj Mental Health Research. November 2025 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 SGEM Peds. Case: It’s been a dark,
- [SGEM Paper in a Pic #496](https://thesgem.com/2025/12/sgem-paper-in-a-pic-496/)
- [SGEM #496 Memes](https://thesgem.com/2025/12/sgem-496-memes/)
- [SGEM Paper in a Pic #495](https://thesgem.com/2025/12/sgem-paper-in-a-pic-495/)
- [SGEM #495 Memes](https://thesgem.com/2025/12/sgem-495-memes/)
- [SGEM#496: Hangin’ Tough after a Nerve Block for Pediatric Femur Fractures](https://thesgem.com/2025/12/sgem496-hangin-tough-after-a-nerve-block-for-pediatric-femur-fractures/) - Reference: Binder ZW et al. “Ultrasound-Guided Nerve Block for Pediatric Femur Fractures in the Emergency Department: A Prospective Multi-Center Study.” Academic Emergency Medicine, 2025. Date: November 24, 2025 Guest Skeptic: Dr. Lauren Westafer is an Associate Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School, Baystate. She is the co-founder
- [SGEM Twitter Poll #494](https://thesgem.com/2025/12/sgem-twitter-poll-494/)
- [SGEM Paper in a Pic #494](https://thesgem.com/2025/12/sgem-paper-in-a-pic-494/)
- [SGEM#495: Tell Me Lies, Tell Me Sweet Little Lies - Reporting of Noninferiority Margins on ClinicalTrials.gov.](https://thesgem.com/2025/12/sgem495-tell-me-lies-tell-me-sweet-little-lies-reporting-of-noninferiority-margins-on-clinicaltrials-gov/) - Date: December 4, 2025 Guest Skeptic: Dr. Jestin Carlson – Long-time listener, second-time guest. Reference: Reinaud et al. Reporting of Noninferiority Margins on ClinicalTrials.gov: A Systematic Review. JAMA Netw Open. 2025 Case: You are working with a resident who asks you about a new thrombolytic they heard about on the SGEM for acute ischemic stroke.
- [SGEM Memes #494](https://thesgem.com/2025/12/sgem-memes-494/)
- [SGEM Paper in a Pic #493](https://thesgem.com/2025/11/sgem-paper-in-a-pic-493/)
- [SGEM Twitter Poll #493](https://thesgem.com/2025/11/sgem-twitter-poll-493/)
- [SGEM Memes #493](https://thesgem.com/2025/11/sgem-memes-493/)
- [SGEM#491: Prevalence of violence against health care workers among agitated patients in an urban emergency department](https://thesgem.com/2025/11/sgem491-prevalence-of-violence-against-health-care-workers-among-agitated-patients-in-an-urban-emergency-department/) - Date: October 30, 2025 Reference: Boes et al. Prevalence of violence against health care workers among agitated patients in an urban emergency department. October 2025 AEM 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. Case:
- [SGEM Memes #492](https://thesgem.com/2025/11/sgem-memes-492/)
- [SGEM Paper in a Pic #492](https://thesgem.com/2025/11/sgem-paper-in-a-pic-492/)
- [SGEM Xtra Meme Health Communication](https://thesgem.com/2025/11/sgem-xtra-meme-health-communication/)
- [SGEM Xtra: Talkin’ Bout a Revolution…Training Health Communicators](https://thesgem.com/2025/11/sgem-xtra-talkin-bout-a-revolutiontraining-health-communicators/) - Date: October 17, 2025 Guest Skeptic: Dr. Kristen Panthagani is an emergency medicine resident and Yale Emergency Scholar at Yale New Haven Hospital. She’s a physician-scientist, having completed her MD/PhD at Baylor College of Medicine. She’s also well known as a science communicator, creator of You Can Know Things which helps explain science in a
- [SGEM Paper in a Pic #490](https://thesgem.com/2025/10/sgem-paper-in-a-pic-490/)
- [SGEM #490 Memes](https://thesgem.com/2025/10/sgem-490-memes/)
- [SGEM#490: These (Removable) Boots are Made for Walking](https://thesgem.com/2025/10/sgem490-these-removable-boots-are-made-for-walking/) - Reference: Boutin A, et al. Removable Boot vs Casting of Toddler’s Fractures: A Randomized Clinical Trial. JAMA Pediatr. Published April 2025. Date: July 23, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don’t Forget the
- [SGEM Xtra: Incrementum 2026](https://thesgem.com/2025/09/sgem-xtra-incrementum-2026/) - Date: August 12, 2025. This is an SGEM Xtra, and today, we’re putting on our conference lanyards and boarding passes to talk about one of the most exciting events in the global EM calendar, IncrEMentuM 2026. For those who did not attend IncrEMentuM 2025, it set the bar incredibly high. From the moment delegates walked
- [SGEM #488 Memes](https://thesgem.com/2025/10/sgem-488-memes/)
- [SGEM Twitter Poll #488](https://thesgem.com/2025/10/sgem-twitter-poll-488/)
- [SGEM Paper in a Pic #488](https://thesgem.com/2025/10/sgem-paper-in-a-pic-488/)
- [SGEM#485: I Want a New Drug – One Not Associated with Neurodevelopmental Disorders](https://thesgem.com/2025/09/sgem485-i-want-a-new-drug-one-not-associated-with-neurodevelopmental-disorders/) - Date: Sept 16, 2025 Reference: Prada et al. Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology. Environ Health. August 2025 Guest Skeptic: Dr. Andrew Martin is an emergency physician practicing in Jacksonville, Florida. Case: A 27-year-old at 24 weeks’ gestation presents to the emergency department (ED) with fever (38.6 °C), myalgias, and
- [SGEM#488: It’s Just a Minor Stroke – Should We Still Lyse?](https://thesgem.com/2025/10/sgem488-its-just-a-minor-stroke-should-we-still-lyse/) - Date: October 3, 2025 Reference: Doheim et al. Meta-Analysis of Randomized Controlled Trials on IV Thrombolysis in Patients With Minor Acute Ischemic Stroke. Neurology 2025 Guest Skeptic: Dr. Casey Parker is a Rural Generalist, Evidence-based medicine enthusiast and Ultrasound Nerd. This episode was recorded live, in beautiful Broome, Australia, at the Spring Seminar on Emergency
- [SGEM Paper in a Pic #487](https://thesgem.com/2025/10/sgem-paper-in-a-pic-487/)
- [SGEM Memes #487](https://thesgem.com/2025/10/sgem-memes-487/)
- [SGEM Memes #486](https://thesgem.com/2025/10/sgem-memes-486/)
- [SGEM Twitter Poll #486](https://thesgem.com/2025/10/sgem-twitter-poll-486/)
- [SGEM Paper in a Pic #486](https://thesgem.com/2025/10/sgem-paper-in-a-pic-486/)
- [SGEM#487: Tell Me How I’m Supposed to Breathe with No Air? Nasal High Flow or Standard Care for Pediatric Intubation](https://thesgem.com/2025/10/sgem487-tell-me-how-im-supposed-to-breathe-with-no-air-nasal-high-flow-or-standard-care-for-pediatric-intubation/) - Reference: George S, et al. Effectiveness of nasal high-flow oxygen during apnoea on hypoxaemia and intubation success in paediatric emergency and ICU settings: a randomised, controlled, open-label trial. Lancet Respir Med. March 2025 Date: July 10, 2025 Guest Skeptic: Dr. Spyridon Karageorgos is a Pediatric Chief Resident at Aghia Sophia Children’s Hospital, Athens, Greece and
- [SGEM Xtra: Tell Me Lies, Sweet Little Lies – FDA Approved & Ineffective](https://thesgem.com/2025/09/sgem-xtra-tell-me-lies-sweet-little-lies-fda-approved-ineffective/) - Date: August 12, 2025 Article: FDA Approved and Ineffective by Jeanne Lenzer and Shannon Brownlee. June 5, 2025. The Lever. Guest Skeptic: Jeanne Lenzer is a long-time medical investigative journalist and returning SGEM guest. Her previous work, including the book The Danger Within Us, explored how conflicts of interest and weak evidence can endanger patient care. In
- [SGEM Xtra Memes FDA](https://thesgem.com/2025/09/sgem-xtra-memes-fda/)
- [SGEM Memes #484](https://thesgem.com/2025/09/sgem-memes-484/)
- [SGEM Paper in a Pic #484](https://thesgem.com/2025/09/sgem-paper-in-a-pic-484/)
- [SGEM Twitter Poll #484](https://thesgem.com/2025/09/sgem-twitter-poll-484/)
- [SGEM Xtra: Now and Forever - A League of Their Own (Women in EM)](https://thesgem.com/2025/08/sgem-xtra-now-and-forever-a-league-of-their-own-women-in-em/) - Date: August 11, 2025 Guest Skeptic: Dr. Gillian Schmitz is a board-certified Emergency Physician practicing at The Naval Medical Center in San Diego. She is also a former President of the American College of Emergency Physicians (ACEP). This SGEM Xtra is inspired by the 1992 film A League of Their Own. Unlike our previous pop culture references like Buffy
- [SGEM Xtra Poll: League of Their Own](https://thesgem.com/2025/09/sgem-xtra-poll-league-of-their-own/)
- [SGEM Xtra Memes: A League of Their Own](https://thesgem.com/2025/09/sgem-xtra-memes-a-league-of-their-own/)
- [SGEM#483: Electricity – TENS Units for Treating Back Pain](https://thesgem.com/2025/08/sgem483-electricity-tens-units-for-treating-back-pain/) - Reference: Otterness et al. The Use of TENS for the Treatment of Back Pain in the Emergency Department: A Randomized Controlled Trial. AEM Aug 2025 Date: August 22, 2025 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School, Baystate. She is the
- [SGEM Paper in a Pic #483](https://thesgem.com/2025/08/sgem-paper-in-a-pic-483/)
- [SGEM Twitter Poll #483](https://thesgem.com/2025/08/sgem-twitter-poll-483/)
- [SGEM Xtra: Illusion – What you Don’t Know and Why it Matters](https://thesgem.com/2025/08/sgem-xtra-illusion-what-you-dont-know-and-why-it-matters/) - Date: July 10, 2025 Guest Skeptics: Professor Timothy Caulfield is a Canadian professor of law at the University of Alberta, the Research Director of its Health Law Institute. His area of expertise is in legal, policy and ethical issues in medical research and its commercialization. This is another SGEM Xtra book review. Tim was our guest skeptic a
- [SGEM Memes #483](https://thesgem.com/2025/08/sgem-memes-483/)
- [SGEM Paper in a Pick #482](https://thesgem.com/2025/08/sgem-paper-in-a-pick-482/)
- [SGEM Twitter Poll #482](https://thesgem.com/2025/08/sgem-twitter-poll-482/)
- [SGEM Memes #482](https://thesgem.com/2025/08/sgem-memes-482/)
- [SGEM#482: Seize the Day with Ketamine and Midazolam for Pediatric Status Epilepticus](https://thesgem.com/2025/08/sgem482-seize-the-day-with-ketamine-and-midazolam-for-pediatric-status-epilepticus/) - Reference: Othman AA, et al. Combined ketamine and midazolam vs. midazolam alone for initial treatment of pediatric generalized convulsive status epilepticus (Ket-Mid study): A randomized controlled trial. Pediatric Neurology. June 2025 Date: May 27, 2025 Guest Skeptic: Dr. James Chamberlain is a pediatric emergency medicine attending physician at Children’s National Hospital in Washington, DC where
- [SGEM Memes Xtra Illusion](https://thesgem.com/2025/08/sgem-memes-xtra-illusion/)
- [SGEM Paper in a Pic #481](https://thesgem.com/2025/08/sgem-paper-in-a-pic-481/)
- [SGEM Twitter Poll #481](https://thesgem.com/2025/08/sgem-twitter-poll-481/)
- [SGEM  Memes #481](https://thesgem.com/2025/08/sgem-memes-481/)
- [SGEM Paper in a Pic #480](https://thesgem.com/2025/07/sgem-paper-in-a-pic-480/)
- [SGEM Twitter Poll #480](https://thesgem.com/2025/07/sgem-twitter-poll-480/)
- [SGEM#480 Memes](https://thesgem.com/2025/07/sgem480-memes/)
- [SGEM Xtra: Career Advice from Buffy the Vampire Slayer](https://thesgem.com/2025/07/sgem-xtra-career-advice-from-buffy-the-vampire-slayer/) - Date: July 9, 2025 Guest Skeptics: Dr. Cindy Bitter is an Associate Professor in the Division of Emergency Medicine at Saint Louis University. She has a Master’s in Bioethics, and she is passionate about EM capacity building and physician resilience, especially improving wellness through time in nature. Dr. Amy Bi is a graduate from
- [SGEM#480: In the End It Doesn't Even Matter: Oral Olanzapine or Diazepam for Pediatric Agitation](https://thesgem.com/2025/07/sgem480-in-the-end-it-doesnt-even-matter-oral-olanzapine-or-diazepam-for-pediatric-agitation/) - Reference: Bourke EM, et al. PEAChY-O: Pharmacological Emergency Management of Agitation in Children and Young People: A Randomized Controlled Trial of Oral Medication. Annals of Emergency Medicine. Feb 2025 Date: April 29, 2025 Guest Skeptic: Dr. Brad Sobolewski, is a pediatric emergency medicine physician at Cincinnati Children’s Hospital and Professor of Pediatrics at the University
- [SGEM Xtra Memes Buffy](https://thesgem.com/2025/07/sgem-xtra-memes-buffy/)
- [SGEM Paper in a Pic #479](https://thesgem.com/2025/07/sgem-paper-in-a-pic-479/)
- [SGEM Memes #479](https://thesgem.com/2025/07/sgem-memes-479/)
- [SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma?](https://thesgem.com/2025/07/sgem-479-light-em-up-up-up-ct-or-not-for-pediatric-blunt-abdominal-trauma/) - Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025 Date: May 7, 2025 Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust. She is passionate about
- [SGEM Twitter Poll #478](https://thesgem.com/2025/07/sgem-twitter-poll-478/)
- [SGEM Paper in a Picture #478](https://thesgem.com/2025/07/sgem-paper-in-a-picture-478/)
- [SGEM Memes #478](https://thesgem.com/2025/07/sgem-memes-478/)
- [SGEM Memes #477](https://thesgem.com/2025/06/sgem-memes-477/)
- [SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc](https://thesgem.com/2025/06/sgem-xtra-your-mission-should-you-choose-to-accept-it-to-be-an-em-doc/) - Date: June 2, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don’t Forget the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV
- [SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy](https://thesgem.com/2025/06/i-feeling-it-coming-in-the-air-tonightbut-by-which-pre-oxygenation-strategy/) - Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontiers in Medicine. 2025 Feb Date: June 12, 2025 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
- [SGEM Xtra Mission: Impossible Memes](https://thesgem.com/2025/06/sgem-xtra-mission-impossible-memes/)
- [SGEM Xtra: Ten Lessons They Don’t Teach in Medical School (But Should)](https://thesgem.com/2025/06/sgem-xtra-ten-lessons-they-dont-teach-in-medical-school-but-should/) - Date: May 14, 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 an SGEM Xtra episode. The inspiration was a
- [SGEM Paper in a Pic #476](https://thesgem.com/2025/05/sgem-paper-in-a-pic-475-2/)
- [SGEM Twitter Poll #476](https://thesgem.com/2025/05/sgem-twitter-poll-476/)
- [SGEM Memes #476](https://thesgem.com/2025/05/sgem-memes-476/)
- [SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis](https://thesgem.com/2025/05/sgem476-cuts-like-a-knife-or-antibiotics-for-pediatric-appendicitis/) - 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
- [SGEM Memes #475](https://thesgem.com/2025/05/sgem-memes-475/)
- [SGEM Twitter Poll #475](https://thesgem.com/2025/05/sgem-twitter-poll-475/)
- [SGEM Paper in a Pic #475](https://thesgem.com/2025/05/sgem-paper-in-a-pic-475/)
- [SGEM Xtra: Doctor, Doctor - Paging Dr. Robby](https://thesgem.com/2025/05/sgem-xtra-doctor-doctor-paging-dr-robby/) - 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
- [SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures](https://thesgem.com/2025/05/sgem475-break-on-through-to-the-other-side-management-of-clinical-scaphoid-fractures/) - 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
- [SGEM Memes #474](https://thesgem.com/2025/05/sgem-memes-474/)
- [SGEM Paper in a Pic #474](https://thesgem.com/2025/05/sgem-paper-in-a-pic-474/)
- [SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants?](https://thesgem.com/2025/05/sgem474-help-which-clinical-decision-aid-should-i-use-to-risk-stratify-febrile-infants/) - 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:
- [SGEM Twitter Poll #473](https://thesgem.com/2025/04/sgem-twitter-poll-473/)
- [SGEM Memes #473](https://thesgem.com/2025/04/sgem-memes-473/)
- [SGEM#473: Did You Ever Have To Make Up Your Mind – Midazolam or Ketamine for Acute Agitation in the Pre-Hospital Setting](https://thesgem.com/2025/04/sgem473-did-you-ever-have-to-make-up-your-mind-midazolam-or-ketamine-for-acute-agitation-in-the-pre-hospital-setting/) - 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
- [SGEM Paper in a Pic #472](https://thesgem.com/2025/04/sgem-paper-in-a-pic-472/)
- [SGEM Twitter Poll #472](https://thesgem.com/2025/04/sgem-twitter-poll-472/)
- [SGEM Xtra Zombie Idea: ED Crowding is Due to Non-Urgent Patients](https://thesgem.com/2025/04/sgem-xtra-zombie-idea-ed-crowding-is-due-to-non-urgent-patients/) - 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
- [SGEM Memes #472](https://thesgem.com/2025/04/sgem-memes-472/)
- [SGEM#472: Together In Electric Dreams – Or Is It Reality?](https://thesgem.com/2025/04/sgem472-together-in-electric-dreams-or-is-it-reality/) - 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
- [SGEM Paper in a Pic #471](https://thesgem.com/2025/04/sgem-paper-in-a-pic-471/)
- [SGEM Memes #471](https://thesgem.com/2025/04/sgem-memes-471/)
- [SGEM#471: Are ESI Levels Accurate for Triage of Pediatric Patients?](https://thesgem.com/2025/04/sgem471-are-esi-levels-accurate-for-triage-of-pediatric-patients/) - 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
- [SGEM Xtra: 5 Papers in 15 Minutes (Incrementum 2025)](https://thesgem.com/2025/03/sgem-xtra-5-papers-in-15-minutes-incrementum-2025/) - 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
- [SGEM Xtra: On the Boulevard of Broken Dreams – Citation Errors in the Biomedical Literature](https://thesgem.com/2025/03/sgem-xtra-on-the-boulevard-of-broken-dreams-citation-errors-in-the-biomedical-literature/) - 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
- [SGEM Paper in a Pic #470](https://thesgem.com/2025/03/sgem-paper-in-a-pic-470/)
- [SGEM Twitter Poll #470](https://thesgem.com/2025/03/sgem-twitter-poll-470/)
- [SGEM Memes #470](https://thesgem.com/2025/03/sgem-memes-470/)
- [SGEM Xtra: Rock, Robot Rock - AI for Clinical Research](https://thesgem.com/2025/02/sgem-xtra-rock-robot-rock-ai-for-clinical-research/) - 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
- [SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients](https://thesgem.com/2025/03/sgem469-you-take-my-breath-away-d-dimer-for-ruling-out-pe-in-high-risk-patients/) - 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
- [SGEM #470: Here We Go Up Up Up or Lateral for Infant Lumbar Punctures](https://thesgem.com/2025/03/sgem-470-here-we-go-up-up-up-or-lateral-for-infant-lumbar-punctures/) - 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
- [SGEM#464: I Can Do It with A Broken Heart - Compassion for Patients with OUD](https://thesgem.com/2024/12/sgem464-i-can-do-it-with-a-broken-heart-compassion-for-patients-with-oud/) - 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.
- [SGEM Paper in a Pic #468](https://thesgem.com/2025/03/sgem-paper-in-a-pic-468/)
- [SGEM Twitter Poll #468](https://thesgem.com/2025/03/sgem-twitter-poll-468/)
- [SGEM Memes #469](https://thesgem.com/2025/03/sgem-memes-469/)
- [SGEM#468: Wide Open Monocytes – Using MDW to Diagnose Sepsis](https://thesgem.com/2025/02/sgem468-wide-open-monocytes-using-mdw-to-diagnose-sepsis/) - 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
- [SGEM Memes AI for Clinical Research](https://thesgem.com/2025/02/sgem-memes-ai-for-clinical-research/)
- [SGEM Xtra: This is My Fight Song - FeminEM 2.0](https://thesgem.com/2025/01/sgem-xtra-this-is-my-fight-song-feminem-2-0/) - 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
- [SGEM#141: Popeye and the Paperclip](https://thesgem.com/2015/12/sgem141-popeye-and-the-paperclip/) - [display_podcast] Date: December 17th, 2015 Guest Skeptics: Bob Edmonds is a third year emergency medicine resident at the University of Missouri at Kansas City. Prior to medical school, he graduated from the US Air Force Academy, and when he completes his training will rejoin the Air Force for nine years as an Emergency Medicine physician.
- [SGEM Twitter Poll #467](https://thesgem.com/2025/02/sgem-twitter-poll-467/)
- [SGEM Memes #467](https://thesgem.com/2025/02/sgem-memes-467/)
- [SGEM Paper in a Pic #467](https://thesgem.com/2025/02/sgem-paper-in-a-pic-467/)
- [SGEM#461: If You’re Appy and You Know It…Do You Need a Clinical Prediction Score?](https://thesgem.com/2024/11/sgem461-if-youre-appy-and-you-know-itdo-you-need-a-clinical-prediction-score/) - 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
- [SGEM #467: Send me on my way...without Cervical Spine Imaging](https://thesgem.com/2025/02/sgem-467-send-me-on-my-way-without-cervical-spine-imaging/) - 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
- [SGEM Memes #466](https://thesgem.com/2025/01/sgem-memes-466/)
- [SGEM#466: I Love ROC-n-Roll…But Not When It’s Hacked](https://thesgem.com/2025/01/sgem466-i-love-roc-n-rollbut-not-when-its-hacked/) - 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
- [SGEM Twitter Poll #465](https://thesgem.com/2025/01/sgem-twitter-poll-465/)
- [SGEM Paper in a Pic #465](https://thesgem.com/2025/01/sgem-paper-in-a-pic-465/)
- [SGEM Xtra: Think, About It - Ten Commandments for Teachers](https://thesgem.com/2025/01/sgem-xtra-think-about-it-ten-commandments-for-teachers/) - 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
- [SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs](https://thesgem.com/2025/01/sgem465-not-a-second-time-single-center-rcts-fail-to-replicate-in-multi-center-rcts/) - 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
- [SGEM Paper in a Pic #464](https://thesgem.com/2025/01/sgem-paper-in-a-pic-464/)
- [SGEM Memes #464](https://thesgem.com/2024/12/sgem-memes-464/)
- [SGEM Xtra: The 12 Days of Christmas the SGEM Gave to Me](https://thesgem.com/2024/12/sgem-xtra-the-12-days-of-christmas-the-sgem-gave-to-me/) - 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
- [SGEM Paper in a Pic #463](https://thesgem.com/2024/12/sgem-paper-in-a-pic-463/)
- [SGEM Twitter Poll #463](https://thesgem.com/2024/12/sgem-twitter-poll-463/)
- [SGEM Xtra: If I Had A Million Dollars](https://thesgem.com/2024/12/sgem-xtra-if-i-had-a-million-dollars/) - 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
- [SGEM Memes #463](https://thesgem.com/2024/12/sgem-memes-463/)
- [SGEM #463: Like the Legend of the Phoenix… Criteria for Sepsis](https://thesgem.com/2024/12/sgem-463-like-the-legend-of-the-phoenix-criteria-for-sepsis/) - 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
- [SGEM Memes Xtra: If I Had A Million Dollars](https://thesgem.com/2024/12/sgem-memes-xtra-if-i-had-a-million-dollars/)
- [SGEM Twitter Poll #462](https://thesgem.com/2024/12/sgem-twitter-poll-462/)
- [SGEM Paper in a Pic #462](https://thesgem.com/2024/12/sgem-paper-in-a-pic-462/)
- [SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?](https://thesgem.com/2023/02/sgem391-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 #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital. You are tidying your things
- [SGEM  Memes #462](https://thesgem.com/2024/12/sgem-memes-462/)
- [SGEM Paper in a Pic #461](https://thesgem.com/2024/11/sgem-paper-in-a-pic-46/)
- [SGEM#462: Spooky Scary Access - IV or IO for OHCA](https://thesgem.com/2024/11/sgem462-spooky-scary-access-iv-or-io-for-ohca/) - 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
- [SGEM Twitter Poll #461](https://thesgem.com/2024/11/sgem-twitter-poll-461/)
- [SGEM Memes #461](https://thesgem.com/2024/11/sgem-memes-461/)
- [SGEM Paper in a Pic #460](https://thesgem.com/2024/11/sgem-paper-in-a-pic-460/)
- [SGEM Twitter Poll #460](https://thesgem.com/2024/11/sgem-twitter-poll-460/)
- [SGEM Memes #460](https://thesgem.com/2024/11/sgem-memes-460/)
- [SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration](https://thesgem.com/2024/11/sgem460-why-do-i-feel-like-somebodys-watching-me-chartwatch-to-predict-clinical-deterioration/) - 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
- [SGEM Twitter Poll #459](https://thesgem.com/2024/11/sgem-twitter-poll-459/)
- [SGEM Paper in a Pic #459](https://thesgem.com/2024/11/sgem-paper-in-a-pic-459/)
- [SGEM Memes #459](https://thesgem.com/2024/11/sgem-memes-459/)
- [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](https://thesgem.com/2024/11/sgem458-hurt-so-good-ketamine-can-make-the-hurt-so-good-if-used-as-an-adjunct-to-opioids-for-acute-pain-in-the-emergency-department/) - 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
- [SGEM#459: Domo Arigato Misuta Roboto - Using AI to Assess the Quality of the Medical Literature](https://thesgem.com/2024/11/sgem459-domo-arigato-misuta-roboto-using-ai-to-assess-the-quality-of-the-medical-literature/) - 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
- [SGEM Paper in a Pic #458](https://thesgem.com/2024/11/sgem-paper-in-a-pic-458/)
- [SGEM Twitter Poll](https://thesgem.com/2024/11/sgem-twitter-poll/)
- [SGEM Memes #458](https://thesgem.com/2024/11/sgem-memes-458/)
- [SGEM Paper in a Pic #457](https://thesgem.com/2024/10/sgem-paper-in-a-pic-457/)
- [SGEM Twitter Poll #457](https://thesgem.com/2024/10/sgem-twitter-poll-457/)
- [SGEM Memes #457](https://thesgem.com/2024/10/sgem-memes-457/)
- [SGEM#457: Inhale - Nebulized or IV Ketamine for Acute Pain?](https://thesgem.com/2024/10/sgem457-inhale-nebulized-or-iv-ketamine-for-acute-pain/) - 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
- [SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes](https://thesgem.com/2024/10/sgem455-harmony-5000-prehospital-detection-of-large-vessel-occlusion-strokes/) - 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
- [SGEM Twitter Poll #456](https://thesgem.com/2024/10/sgem-twitter-poll-456/)
- [SGEM Paper in a Pic #456](https://thesgem.com/2024/10/sgem-paper-in-a-pic-456/)
- [SGEM Memes #456](https://thesgem.com/2024/10/sgem-memes-456/)
- [SGEM #456: We are Young...but we can still Understand](https://thesgem.com/2024/10/sgem-456-we-are-young-but-we-can-still-understand/) - 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
- [SGEM Twitter Poll #454](https://thesgem.com/2024/10/sgem-twitter-poll-454/)
- [SGEM Paper in a Pic #454](https://thesgem.com/2024/10/sgem-paper-in-a-pic-454/)
- [SGEM#454: I Just Died in Your Arms Tonight - Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes](https://thesgem.com/2024/09/sgem454-i-just-died-in-your-arms-tonight-diagnostic-accuracy-of-d-dimer-for-acute-aortic-syndromes/) - 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)
- [SGEM Memes #454](https://thesgem.com/2024/09/sgem-memes-454/)
- [SGEM Twitter Poll #453](https://thesgem.com/2024/09/sgem-twitter-poll-453/)
- [SGEM Paper in a Pic #453](https://thesgem.com/2024/09/sgem-paper-in-a-pic-453/)
- [SGEM Memes #453](https://thesgem.com/2024/09/sgem-memes-453/)
- [SGEM#453: I Can't Go For That - No, No Narcan for Out-of-Hospital Cardiac Arrests](https://thesgem.com/2024/09/sgem453-i-cant-go-for-that-no-no-narcan-for-out-of-hospital-cardiac-arrests/) - 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
- [SGEM#452: I’m Still Standing - After the Allergy Challenge](https://thesgem.com/2024/09/sgem452-im-still-standing-after-the-allergy-challenge/) - 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
- [SGEM Paper in a Pic #452](https://thesgem.com/2024/09/sgem-paper-in-a-pic-452/)
- [SGEM Twitter Poll #452](https://thesgem.com/2024/09/sgem-twitter-poll-452/)
- [SGEM Memes #452](https://thesgem.com/2024/09/sgem-memes-452/)
- [SGEM Xtra: I’m Just An Ordinary Average Guy – Dr. Mel Herbert](https://thesgem.com/2024/08/sgem-xtra-im-just-an-ordinary-average-guy-dr-mel-herbert/) - 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
- [SGEM Xtra Average Meme](https://thesgem.com/2024/09/sgem-xtra-average-meme/)
- [SGEM Xtra Average Polls](https://thesgem.com/2024/09/sgem-xtra-average-polls/)
- [SGEM Xtra: The Final Countdown - To IncrEMentuM 2025](https://thesgem.com/2024/08/sgem-xtra-the-final-countdown-to-incrementum-2025/) - 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
- [SGME Paper in a Pic #451](https://thesgem.com/2024/08/sgme-paper-in-a-pic-451/)
- [SGEM Twitter Poll #451](https://thesgem.com/2024/08/sgem-twitter-poll-451/)
- [SGEM Memes #451](https://thesgem.com/2024/08/sgem-memes-451-2/)
- [SGEM#451: I’ve Become So Numb - Serratus Anterior Plane Blocks for Rib Fractures](https://thesgem.com/2024/08/sgem451-ive-become-so-numb-serratus-anterior-plane-blocks-for-rib-fractures/) - 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
- [SGEM Memes IncrEMentuM 2025](https://thesgem.com/2024/08/sgem-memes-451/)
- [SGEM#449: Bad Boys What’cha Gonna Do - Patient Perceptions of Behavioral Flags in the ED](https://thesgem.com/2024/08/sgem449-bad-boys-whatcha-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
- [SGEM Memes #450](https://thesgem.com/2024/08/sgem-memes-450/)
- [SGEM Twitter Poll #449](https://thesgem.com/2024/08/sgem-twitter-poll-449/)
- [SGEM Twitter Poll #450](https://thesgem.com/2024/08/sgem-twitter-poll-450/)
- [SGEM Paper in a Pic #450](https://thesgem.com/2024/08/sgem-paper-in-a-pic-450/)
- [SGEM Paper in a Pic #449](https://thesgem.com/2024/08/sgem-paper-in-a-pic-449/)
- [SGEM#450: Try Again - Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage](https://thesgem.com/2024/08/sgem450-try-again-andexanet-for-factor-xa-inhibitor-associated-acute-intracerebral-hemorrhage/) - 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,
- [SGEM Memes #449](https://thesgem.com/2024/08/sgem-memes-449/)
- [SGEM Paper in a Pic #448](https://thesgem.com/2024/08/sgem-paper-in-a-pic-448/)
- [SGEM Paper in a Picture #447](https://thesgem.com/2024/08/sgem-paper-in-a-picture-447/)
- [SGEM Twitter Poll #448](https://thesgem.com/2024/08/sgem-twitter-poll-448/)
- [SGEM Memes #448](https://thesgem.com/2024/08/sgem-memes-448/)
- [SGEM#448: More than A Feeling - Gestalt vs CDT for Predicting Sepsis](https://thesgem.com/2024/07/sgem448-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)
- [SGEM Twitter Poll #447](https://thesgem.com/2024/07/sgem-twitter-poll-447/)
- [SGEM Meme #447](https://thesgem.com/2024/07/sgem-meme-447/)
- [SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation](https://thesgem.com/2024/07/sgem447-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
- [SGEM Memes #446](https://thesgem.com/2024/07/sgem-memes-446/)
- [SGEM Twitter Poll #446](https://thesgem.com/2024/07/sgem-twitter-poll-446/)
- [SGEM Paper in a Pic #446](https://thesgem.com/2024/07/sgem-paper-in-a-pic-446/)
- [SGEM#445: Why Can't We Be Friends - Conflict in Emergency Medicine](https://thesgem.com/2024/07/sgem445-why-cant-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
- [SGEM#446: Finding Pneumo...nia in Febrile Infants](https://thesgem.com/2024/07/sgem446-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
- [SGEM Twitter Poll #445](https://thesgem.com/2024/07/sgem-twitter-poll-445/)
- [SGEM Paper in a Pic #445](https://thesgem.com/2024/07/sgem-paper-in-a-pic-445/)
- [SGEM Memes #445](https://thesgem.com/2024/07/sgem-memes-445/)
- [SGEM Xtra: When I'm 64 - Old Fashioned Doctors](https://thesgem.com/2024/06/sgem-xtra-when-im-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
- [SGEM Paper in a Pic #443](https://thesgem.com/2024/06/sgem-paper-in-a-pic-443/)
- [SGEM Twitter Poll #444](https://thesgem.com/2024/06/sgem-twitter-poll-444/)
- [SGEM Memes #444](https://thesgem.com/2024/06/sgem-memes-444/)
- [SGEM Paper in a Pic #444](https://thesgem.com/2024/06/sgem-paper-in-a-pic-444/)
- [SGEM#444: I Need Oxygen...But How Much Oxygen for Critically Ill Children](https://thesgem.com/2024/06/sgem444-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
- [SGEM Memes #443](https://thesgem.com/2024/06/sgem-memes-443/)
- [SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?](https://thesgem.com/2024/06/sgem443-dont-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
- [SGEM Paper in a Pic #442](https://thesgem.com/2024/06/sgem-paper-in-a-pic-442/)
- [SGEM Twitter Poll #442](https://thesgem.com/2024/06/sgem-twitter-poll-442/)
- [SGEM#442: I’m on the Right Track Baby I Was Born This Way](https://thesgem.com/2024/06/sgem442-im-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
- [SGEM Memes #442](https://thesgem.com/2024/06/sgem-memes-442/)
- [SGEM Twitter Poll #441](https://thesgem.com/2024/06/sgem-twitter-poll-441/)
- [SGEM Paper in a Pic #441](https://thesgem.com/2024/06/sgem-paper-in-a-pic-441/)
- [SGEM Memes #441](https://thesgem.com/2024/06/sgem-memes-441/)
- [SGEM#441: Searching Searching for the best Clinical Decision Rule to Detect Pediatric C-Spine Injury](https://thesgem.com/2024/06/sgem441-searching-searching-for-the-best-clinical-decision-rule-to-detect-pediatric-c-spine-injury/) - 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
- [SGEM#440: I'm Gonna Need Someone To Help Me – GRACE4 AUD and CHS Management in the ED](https://thesgem.com/2024/05/sgem440-im-gonna-need-someone-to-help-me-grace4-aud-and-chs-management-in-the-ed/) - Reference: Borgundvaag et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. AEM May 2024 Date: May 22, 2024 Guest Skeptic: Dr. Bjug Borgundvaag is the Founding Director of the Schwartz/Reisman Emergency Medicine Institute (SREMI), at Sinai Health System. He
- [SGEM Twitter Poll #440](https://thesgem.com/2024/05/sgem-twitter-poll-440/)
- [SGEM Paper in a Pic #440](https://thesgem.com/2024/05/sgem-paper-in-a-pic-440/)
- [SGEM Memes #440](https://thesgem.com/2024/05/sgem-memes-440/)
- [SGEM Xtra: Yeah, Might Be All that You Get - How Ted Lasso Made Us Better](https://thesgem.com/2024/05/sgem-xtra-yeah-might-be-all-that-you-get-how-ted-lasso-made-us-better/) - Date: May 13, 2024 Guest Skeptics: Dr. Rebecca Szabo is an obstetrician/gynecologist and medical educator specializing in simulation from Melbourne, Australia working at The Royal Women’s Hospital and The University of Melbourne. This is her first time as a guest skeptic on the SGEM, she has created FOAMed content through various media, including the MedEd
- [SGEM Twitter Poll #439](https://thesgem.com/2024/05/sgem-twitter-poll-439/)
- [SGEM Paper in a Pic #439](https://thesgem.com/2024/05/sgem-paper-in-a-pic-439/)
- [SGEM Meme #439](https://thesgem.com/2024/05/sgem-meme-439/)
- [SGEM #439: Go Ninja Go Ninja Go...Home without Replacing the Fingernail](https://thesgem.com/2024/05/sgem-439-go-ninja-go-ninja-go-home-without-replacing-the-fingernail/) - Reference: Jain A, et al. Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial. Br J Surg. March 2023 Date: May 7, 2024 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hospital of Philadelphia and Assistant Professor of Pediatrics at
- [SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures](https://thesgem.com/2024/04/sgem437-dont-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 trial. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of
- [SGEM Paper in a Pic #438](https://thesgem.com/2024/05/sgem-paper-in-a-pic-438/)
- [SGEM Twitter Poll #438](https://thesgem.com/2024/05/sgem-twitter-poll-438/)
- [SGEM Paper in a Pic #437](https://thesgem.com/2024/04/sgem-paper-in-a-pic-437/)
- [SGEM Memes #438](https://thesgem.com/2024/04/sgem-memes-438/)
- [SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do - for IO Access Location?](https://thesgem.com/2024/04/sgem438-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, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. She
- [SGEM Twitter Poll #437](https://thesgem.com/2024/04/sgem-twitter-poll-437/)
- [SGEM Memes #437](https://thesgem.com/2024/04/sgem-memes-437/)
- [SGEM Paper in a Pic #436](https://thesgem.com/2024/04/sgem-paper-in-a-pic-436/)
- [SGEM Memes #436](https://thesgem.com/2024/04/sgem-memes-436/)
- [SGEM Twitter Poll #436](https://thesgem.com/2024/04/sgem-twitter-poll-436/)
- [SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke](https://thesgem.com/2024/04/sgem436-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 neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency
- [SGEM Twitter Poll #435](https://thesgem.com/2024/04/sgem-twitter-poll-435/)
- [SGEM Paper in a Pic #435](https://thesgem.com/2024/04/sgem-paper-in-a-pic-435/)
- [SGEM MEMES #435](https://thesgem.com/2024/04/sgem-memes-435/)
- [SGEM#434: It’s (Un) Happy Hour Again – Mortality in Younger Patients with Alcohol-Related ED Attendances](https://thesgem.com/2024/03/sgem434-its-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 Lancashire Teaching Hospitals. Case: It’s a Friday evening at the end of the academic year in the Paediatric
- [SGEM #435: Don't Stop Believing...A Vaccine can Work for RSV](https://thesgem.com/2024/04/sgem-435-dont-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, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the
- [SGEM Paper in a Pic #434](https://thesgem.com/2024/04/sgem-paper-in-a-pic-434/)
- [SGEM Twitter Poll #434](https://thesgem.com/2024/04/sgem-twitter-poll-434/)
- [SGEM Memes #434](https://thesgem.com/2024/04/sgem-memes-434/)
- [SGEM Twitter Poll #433](https://thesgem.com/2024/03/sgem-twitter-poll-433/)
- [SGEM Paper in a Pic #433](https://thesgem.com/2024/03/sgem-paper-in-a-pic-433/)
- [SGEM Memes #433](https://thesgem.com/2024/03/sgem-memes-433/)
- [SGEM#433: Breathe - Simple Aspiration vs. Drainage for Complete Pneumothorax](https://thesgem.com/2024/03/sgem433-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/Head of the Division of Thoracic Surgery and serves as the Director of the Thoracic Robotic Program at Western
- [SGEM Xtra: The Matrix - Social Media for Knowledge Translation](https://thesgem.com/2024/03/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. You can access all the slides for this episode from this LINK and see the presentation
- [SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections](https://thesgem.com/2024/03/sgem432-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. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department at Nassau University
- [SGEM Xtra: A Philosophy of Emergency Medicine](https://thesgem.com/2024/03/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 in rural Ontario. An old friend, Dr. Matt De Stefano invited me to
- [SGEM Xtra Philosophy Twitter Poll](https://thesgem.com/2024/03/sgem-xtra-philosophy-twitter-poll/)
- [SGEM Memes Xtra Philosophy](https://thesgem.com/2024/03/sgem-memes-xtra-philosophy/)
- [SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.](https://thesgem.com/2024/02/sgem430-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 syndrome. EMJ Nov 2023. Date: February 11, 2024 Guest Skeptic: Nirdosh Ashok Kumar, Emergency Medicine Specialist – Aga Khan University Hospital, Karachi, Pakistan.
- [SGEM Paper in a Pic #432](https://thesgem.com/2024/03/sgem-paper-in-a-pic-432/)
- [SGEM Twitter Poll #432](https://thesgem.com/2024/03/sgem-twitter-poll-432/)
- [SGEM Memes #432](https://thesgem.com/2024/03/sgem-memes-432-2/)
- [SGEM Twitter Poll #431](https://thesgem.com/2024/03/sgem-twitter-poll-431/)
- [SGEM Meme #431](https://thesgem.com/2024/03/sgem-meme-431/)
- [SGEM#341: You Make Me Feel Like a Natural Treatment](https://thesgem.com/2024/02/sgem341-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 Ivey Business School (Western University). He researches how moral outrage and status-seeking personalities motivate social media aggression, and how
- [SGEM Paper in a Pic #430](https://thesgem.com/2024/02/sgem-paper-in-a-pic-430/)
- [SGEM Twitter Poll #430](https://thesgem.com/2024/02/sgem-twitter-poll-430/)
- [SGEM Memes #430](https://thesgem.com/2024/02/sgem-memes-430/)
- [SGEM Twitter Poll #429](https://thesgem.com/2024/02/sgem-twitter-poll-429/)
- [SGEM Paper in a Pic #429](https://thesgem.com/2024/02/sgem-paper-in-a-pic-429/)
- [SGEM Memes #429](https://thesgem.com/2024/02/sgem-memes-429/)
- [SGEM #429: It’s CT Angio, Hi. I’m the Problem. It’s Me. For Pediatric Oropharyngeal Trauma](https://thesgem.com/2024/02/sgem-429-its-ct-angio-hi-im-the-problem-its-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 and otolaryngology at Children’s National Hospital and George Washington University. She is also the director of the Pediatric Otolaryngology
- [SGEM Twitter Poll #428](https://thesgem.com/2024/01/sgem-twitter-poll-428/)
- [SGEM Memes #428](https://thesgem.com/2024/01/sgem-memes-428/)
- [SGEM#428: Don’t Worry, Be Happy – The Safety of Nitroglycerin Administration in RVMI](https://thesgem.com/2024/01/sgem428-dont-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. Rupinder Sahsi is a fellow EBM enthusiast with academic appointments at McMaster University and Wright State University who works as an emergency physician
- [SGEM Paper in a Pic #427](https://thesgem.com/2024/01/sgem-paper-in-a-pic-427/)
- [SGEM Twitter Poll #427](https://thesgem.com/2024/01/sgem-twitter-poll-427/)
- [SGEM MEMES #427](https://thesgem.com/2024/01/sgem-memes-427/)
- [SGEM #427: I Want a Treatment with a Short Course…for Pediatric Urinary Tract Infections](https://thesgem.com/2024/01/sgem-427-i-want-a-treatment-with-a-short-coursefor-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 Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University
- [SGEM Memes #426](https://thesgem.com/2024/01/sgem-memes-426/)
- [SGEM Paper in a Pic #426](https://thesgem.com/2024/01/sgem-paper-in-a-pic-426/)
- [SGEM Twitter Poll #426](https://thesgem.com/2024/01/sgem-twitter-poll-426/)
- [SGEM#426: All the Small Things - Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest](https://thesgem.com/2024/01/sgem426-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. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health
- [SGEM Paper in a Pic #425](https://thesgem.com/2024/01/sgem-paper-in-a-pic-425/)
- [SGEM Twitter Poll #425](https://thesgem.com/2024/01/sgem-twitter-poll-425/)
- [SGEM Memes #425](https://thesgem.com/2024/01/sgem-memes-425/)
- [SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments](https://thesgem.com/2024/01/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 attending at Children's National Hospital in Washington, DC. Her research focuses on prehospital care of children with anaphylaxis.
- [SGEM Paper in a Pic #424](https://thesgem.com/2024/01/sgem-paper-in-a-pic-424/)
- [SGEM Xtra: Doctor, Doctor - We Need More Family Doctors](https://thesgem.com/2023/12/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, Master of Health Administration degree and medical school before completing her residency at the University of Western Ontario. She is currently
- [SGEM Twitter Poll #424](https://thesgem.com/2024/01/sgem-twitter-poll-424/)
- [SGEM Memes #424](https://thesgem.com/2024/01/sgem-memes-424/)
- [SGEM Paper in a Pic #423](https://thesgem.com/2024/01/sgem-paper-in-a-pic-423/)
- [SGEM#424: Ooh-Ooh, I Can’t Wait - To Be Admitted to Hospital](https://thesgem.com/2023/12/sgem424-ooh-ooh-i-cant-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. Case: An 85-year-old patient (Ms. McG) presents to your emergency department (ED) after being found by family on the
- [SGEM#423: Where is the Love? Microaggression in the Emergency Department](https://thesgem.com/2023/12/sgem423-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 Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Case: A 57-year-old Chinese woman
- [SGEM Memes #423](https://thesgem.com/2023/12/sgem-memes-432/)
- [SGEM Twitter Poll #423](https://thesgem.com/2023/12/sgem-twitter-poll-423/)
- [SGEM Xtra: Open Label Placebo](https://thesgem.com/2023/12/sgem-xtra-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 Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal conditions with a particular
- [SGEM Xtra Twitter Poll Placebo](https://thesgem.com/2023/12/sgem-xtra-twitter-poll-placebo/)
- [SGEM Twitter Poll #422](https://thesgem.com/2023/12/sgem-twitter-poll-422/)
- [SGEM Paper in a Pic #422](https://thesgem.com/2023/12/sgem-paper-in-a-pic-422/)
- [SGEM Memes #422](https://thesgem.com/2023/12/sgem-memes-422/)
- [SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis](https://thesgem.com/2023/12/sgem421-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 pediatric infectious disease at the University of Southampton. He is currently involved with clinical trials of vaccines
- [SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?](https://thesgem.com/2023/11/sgem421-i-think-id-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 Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and a
- [SGEM Paper in a Pic #421](https://thesgem.com/2023/12/sgem-paper-in-a-pic-421/)
- [SGEM Twitter Poll #421](https://thesgem.com/2023/11/sgem-twitter-poll-421/)
- [SGEM Memes #421](https://thesgem.com/2023/11/sgem-memes-421/)
- [SGEM Memes #420](https://thesgem.com/2023/11/sgem-memes-420/)
- [SGEM Twitter Poll #420](https://thesgem.com/2023/11/sgem-twitter-poll-420/)
- [SGEM Paper in a Pic #420](https://thesgem.com/2023/11/sgem-paper-in-a-pic-420/)
- [SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?](https://thesgem.com/2023/11/sgem420-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. Matt Schmitz is an Orthopaedic Surgeon who sub-specializes in adolescent sports and hip preservation. He will soon be transitioning out of the US military after
- [SGEM Xtra Sepsis Screening Meme](https://thesgem.com/2023/11/sgem-xtra-sepsis-screening-meme/)
- [SGEM Xtra Sepsis Screening Twitter Poll](https://thesgem.com/2023/11/sgem-xtra-sepsis-screening-twitter-poll/)
- [SGEM#419: Welcome Back - To Another Episode on Back Pain](https://thesgem.com/2023/10/sgem419-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. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers
- [SGEM Xtra: Say What You Need to Say...but Don’t Say "Sepsis Screening"](https://thesgem.com/2023/11/sgem-xtra-say-what-you-need-to-say-but-dont-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 of Leicester’s SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate
- [SGEM#290: Neurologist Led Stroke Teams - Working 9 to 5](https://thesgem.com/2020/04/sgem290-neurologist-led-stroke-teams-working-9-to-5/) - Date: April 21st, 2020 Reference: Juergens et al. Effectiveness of emergency physician determinations of the need for thrombolytic therapy in acute stroke. Proc Baylor Univ Med Center Oct 2019 Guest Skeptic: Dr. Chuck Sheppard is an attending Emergency Department Physician at Mercy Hospital in Springfield, Missouri and the medical director for Mercy Life Line air medical service.
- [SGEM Memes #419](https://thesgem.com/2023/10/sgem-memes-419/)
- [SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess](https://thesgem.com/2023/10/sgem418-i-aint-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 Hospitals. Case: You are in your group meeting and have heard about a case at a nearby emergency department (ED) where the
- [SGEM Xtra: Skeptico Evidentium - SGEM Season#10 Book](https://thesgem.com/2023/08/sgem-xtra-skeptico-evidentium-sgem-season10-book/) - Date: August 20th, 2023 Reference: Milne WK, Challen K, Young T. Skeptics' Guide to Emergency Medicine Season #10 Book Guest Host: Dr. Kirsty Challen is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She completed undergrad and postgrad training in North West England, acquiring a History of
- [SGEM Paper in a Pic #418](https://thesgem.com/2023/10/sgem-paper-in-a-pic-418/)
- [SGEM Twitter Poll #418](https://thesgem.com/2023/10/sgem-twitter-poll-418/)
- [SGEM Memes #418](https://thesgem.com/2023/10/sgem-memes-418/)
- [SGEM Paper in a Pic #417](https://thesgem.com/2023/10/sgem-paper-in-a-pic-417/)
- [SGEM Twitter Poll #417](https://thesgem.com/2023/10/sgem-twitter-poll-417/)
- [SGEM Memes #417](https://thesgem.com/2023/10/sgem-memes-417/)
- [SGEM#416: She’s Always A Woman, Query PE?](https://thesgem.com/2023/09/sgem416-shes-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. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: During a shift in the emergency department
- [SGEM #417: Everybody's Changing...the Reference Ranges for Pediatric Vital Signs](https://thesgem.com/2023/10/sgem-417-everybodys-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. Vicki Currie is a paediatric emergency medicine registrar in the West Midlands in the United Kingdom. She is also a member
- [SGEM Twitter Poll #416](https://thesgem.com/2023/10/sgem-twitter-poll-416/)
- [SGEM Paper in a Pic #416](https://thesgem.com/2023/10/sgem-paper-in-a-pic-416/)
- [SGEM Memes #416](https://thesgem.com/2023/10/sgem-memes-416/)
- [SGEM Paper in a Pic #415](https://thesgem.com/2023/09/sgem-415-paper-in-a-pic/)
- [SGEM Twitter Poll #415](https://thesgem.com/2023/09/sgem-twitter-poll-415/)
- [SGEM#414: The SQuID Protocol](https://thesgem.com/2023/09/sgem414-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 Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. This is the last show for
- [SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures](https://thesgem.com/2023/09/sgem415-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 practice emergency medicine, anesthesia, and critical care. He is also a fully-fledged ultrasonographer. Casey currently splits his time
- [SGEM Twitter Poll #414](https://thesgem.com/2023/09/sgem-twitter-poll-414/)
- [SGEM Memes #414](https://thesgem.com/2023/09/sgem-memes-414/)
- [SGEM Paper in a Pic #414](https://thesgem.com/2023/09/sgem-paper-in-a-pic-414/)
- [SGEM#411: Heads Won’t Roll – Prehospital Cervical Spine Immobilization](https://thesgem.com/2023/07/sgem411-heads-wont-roll-prehospital-cervical-spine-immobilization/) - Date: July 21, 2023 Reference: McDonald et al. Patterns of change in prehospital spinal motion restriction: a retrospective database review. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Case: A 42-year-old
- [SGEM Paper in a Pic #413](https://thesgem.com/2023/08/sgem-paper-in-a-pic-413/)
- [SGEM Twitter Poll #413](https://thesgem.com/2023/08/sgem-twitter-poll-413/)
- [SGEM Memes #413](https://thesgem.com/2023/08/sgem-memes-413/)
- [SGEM#413: But Even You Cannot Avoid…Pressure - Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage](https://thesgem.com/2023/08/sgem413-but-even-you-cannot-avoidpressure-intensive-care-bundle-with-blood-pressure-reduction-in-acute-cerebral-haemorrhage/) - Date: August 14, 2023 Reference: Ma et. al. The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT3): an international, stepped wedge cluster randomised controlled trial. Lancet 2023 Guest Skeptic: Dr. Mike Pallaci is a Professor of Emergency Medicine (EM) for the Northeast Ohio Medical University, and an Adjunct Clinical Professor of
- [SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare](https://thesgem.com/2023/04/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 centre in London, UK with a special interest in smaller, rural and remote healthcare. Her main job
- [SGEM Paper in a Pic #412](https://thesgem.com/2023/08/sgem-paper-in-a-pic-412/)
- [SGEM Twitter Poll #412](https://thesgem.com/2023/08/sgem-twitter-poll-412/)
- [SGEM Memes #412](https://thesgem.com/2023/08/sgem-memes-412/)
- [SGEM#412: I Can't Choose...from all the Head Injury Prediction Rules](https://thesgem.com/2023/08/sgem-412-i-cant-choose-from-all-the-head-injury-prediction-rules/) - Reference: Easter JS et al. Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. Annals of Emergency Medicine 2014. Date: July 10, 2023 Guest Skeptic: Dr. Joe Mullally is a paediatric trainee in the Welsh paediatric training program and interested in Paediatric Emergency Medicine. He is a
- [SGEM Paper in a Pic #411](https://thesgem.com/2023/08/sgem-paper-in-a-pic-411/)
- [SGEM Twitter Poll #411](https://thesgem.com/2023/08/sgem-twitter-poll-411/)
- [SGEM Memes #411](https://thesgem.com/2023/08/sgem-memes-411/)
- [SGEM Twitter Poll #410](https://thesgem.com/2023/07/sgem-twitter-poll-410-2/)
- [SGEM Paper in a Pic #410](https://thesgem.com/2023/07/sgem-paper-in-a-pic-410-2/)
- [SGEM Twitter Poll Pediatric Pain](https://thesgem.com/2023/07/sgem-twitter-poll-410/)
- [SGEM Paper in a Pic Pediatric Pain](https://thesgem.com/2023/07/sgem-paper-in-a-pic-410/)
- [SGEM Memes #410](https://thesgem.com/2023/07/sgem-memes-410/)
- [SGEM#410: Do You See What I See? Video Laryngoscope for Intubation](https://thesgem.com/2023/07/sgem410-do-you-see-what-i-see-video-laryngoscope-for-intubation/) - Date: July 21, 2023 Reference: Prekker et al. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. He is board certified in both Emergency Medicine
- [SGEM Xtra: Hurts so Good…but does it Have to? A Pain Management Standard for Children](https://thesgem.com/2023/07/sgem-xtra-hurts-so-goodbut-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. Her research focuses on improving assessment and treatment of pain in children. She is an executive member of Pediatric Emergency Research Canada (PERC), pain
- [SGEM Paper in a Pic #409](https://thesgem.com/2023/07/sgem-paper-in-a-pic-409/)
- [SGEM Twitter Poll #409](https://thesgem.com/2023/07/sgem-twitter-poll-409/)
- [SGEM#68: Sign, Sign Everywhere a Pediatric Vital Sign](https://thesgem.com/2014/03/sgem68-sign-sign-everywhere-a-pediatric-vital-sign/) - [display_podcast] Date: March 27, 2014 Guest Skeptic: Dr. Anthony Crocco Anthony is the pediatric member of the BEEM Dream Team. Anthony works at McMaster University and is the Medical Director and Division Head for Pediatric Emergency Medicine. Reference: Fleming S et al. Normal Ranges of Heart Rate and Respiratory Rate in Children from Birth to
- [SGEM Memes #409](https://thesgem.com/2023/07/sgem-memes-409/)
- [SGEM#409: Same as it Ever Was - Tamiflu for Influenza?](https://thesgem.com/2023/07/sgem409-same-as-it-ever-was-tamiflu-for-influenza/) - Date: July 6, 2023 Reference: Hanula R et al. Evaluation of oseltamivir used to prevent hospitalization in outpatients with influenza: a systematic review and meta-analysis. JAMA Int Med 2023. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Managing editor of EM:RAP and Associate Editor at REBEL EM. Case: A 57-year-old woman with hypertension,
- [SGEM Paper in a Pic #408](https://thesgem.com/2023/07/sgem-paper-in-a-pic-408/)
- [SGEM Twitter Poll #408](https://thesgem.com/2023/07/sgem-twitter-poll-408/)
- [SGEM Memes #408](https://thesgem.com/2023/07/sgem-memes-408/)
- [SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA?](https://thesgem.com/2023/07/sgem408-hey-i-oh-im-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. He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of
- [SGEM#407: Here We Go Test Strips for Fentanyl](https://thesgem.com/2023/06/sgem407-here-we-go-test-strips-for-fentanyl/) - Date: June 16, 2023 Reference: Reed et al. Pilot Testing Fentanyl Test Strip Distribution in an Emergency Department Setting: Experiences, Lessons Learned, and Suggestions from Staff. AEM June 2023 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of
- [SGEM Memes #407](https://thesgem.com/2023/06/sgem-memes-407/)
- [SGEM Twitter Poll #407](https://thesgem.com/2023/06/sgem-twitter-poll-407/)
- [SGEM Paper in a Pic #407](https://thesgem.com/2023/06/sgem-paper-in-a-pic-407/)
- [SGEM Paper in a Pic #406](https://thesgem.com/2023/06/sgem-paper-in-a-pic-406/)
- [SGEM Twitter Poll #406](https://thesgem.com/2023/06/sgem-twitter-poll-406/)
- [SGEM Memes #406](https://thesgem.com/2023/06/sgem-memes-406/)
- [SGEM#406: Homeward Bound...after a dose of Intranasal Fentanyl for Sickle Cell Vaso-occlusive Pain](https://thesgem.com/2023/06/sgem406-homeward-bound-after-a-dose-of-intranasal-fentanyl-for-sickle-cell-vaso-occlusive-pain/) - Date: June 15, 2023 Reference: Rees CA et al. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. American Journal of Hematology Jan 2023 Guest Skeptic: Dr. Amy Drendel is a pediatric emergency medicine physician and physician scientist at Children’s Wisconsin.
- [SGEM Xtra Meme EBM Book](https://thesgem.com/2023/06/sgem-xtra-meme-ebm-book/)
- [SGEM Xtra: I Wish that I Had Jesse's Book](https://thesgem.com/2023/06/sgem-xtra-i-wish-that-i-had-jesses-book/) - Date: June 6th, 2023 Reference: Pines, Raja, Bellollo and Carpenter. Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules 3rd Edition Guest Skeptic: Dr. Jesse Pines is the Chief Clinical Innovation at US Acute Care Solutions and a Clinical Professor and George Washington University and Professor of Emergency Medicine at Drexel University. In this role, he focuses on
- [SGEM Xtra: I’m So Excited - But Don’t Call It Excited Delirium](https://thesgem.com/2023/05/sgem-xtra-im-so-excited-but-dont-call-it-excited-delirium/) - Date: April 25, 2023 Reference: Walsh et al. Revisiting “Excited Delirium”: Does the Diagnosis Reflect and Promote Racial Bias? WJEM 2023 Guest Skeptic: Dr. Brooks Walsh is a former paramedic, and is currently an emergency physician in the Bridgeport Hospital, Yale-New Haven Health in Connecticut. This is an SGEM Xtra episode. Brooks reached out to me recently to see
- [SGEM Paper in a Pic #405](https://thesgem.com/2023/06/sgem-paper-in-a-pic-405/)
- [SGEM Twitter Poll #405](https://thesgem.com/2023/06/sgem-twitter-poll-405/)
- [SGEM Memes #405](https://thesgem.com/2023/06/sgem-memes-405/)
- [SGEM#405: We're Off To Never-Never Land – But Should We Use Etomidate for the Rapid Sequence Intubation?](https://thesgem.com/2023/06/sgem405-were-off-to-never-never-land-but-should-we-use-etomidate-for-the-rapid-sequence-intubation/) - Date: June3, 2023 Reference: Kotani et al. Etomidate as an induction agent for endotracheal intubation in critically ill patients: A meta-analysis of randomized trials. Journal of Critical Care April 2023 Guest Skeptic: Dr. Amber Gombash is an emergency physician in Concord, NC. Case: You have a critically ill patient that you are preparing to intubate and wonder
- [SGEM#165: I Wanna Be Sedated – But Do I Need To Be NPO?](https://thesgem.com/2016/11/sgem165-i-wanna-be-sedated-but-do-i-need-to-be-npo/) - [display_podcast] Date: November 22nd, 2016 Reference: Beach et al. Major Adverse Events and Relationship of Nil per Os Status in Pediatric Sedation/Anesthesia Outside the Operating Room. Anesthesiology January 2016 Guest Skeptic: Dr. Bob Edmonds has just completed his residence in Emergency Medicine from the University of Missouri in Kansas City. He is now an emergency department staff
- [SGEM#44: Pause (Etomidate and Rapid Sequence Intubation in Sepsis)](https://thesgem.com/2013/09/sgem44-pause-etomidate-and-rsi-in-sepsis/) - [display_podcast] Date: September 15, 2013 Guest Skeptic: Dr. Suneel Upadhye, McMaster University. He is an Associate Clinical Professor of Emergency Medicine and Associate Member in the Department CEB at McMaster University. Sunned is also the Chair of the CAEP Guideline Committee. Case Scenario: 70 year old man arrives by ambulance from home with complaining of being weak and dizzy. No
- [SGEM Paper in a Pic #404](https://thesgem.com/2023/05/sgem-paper-in-a-pic-404/)
- [SGEM Memes #404](https://thesgem.com/2023/05/sgem-memes-404/)
- [SGEM Twitter Poll #404](https://thesgem.com/2023/05/sgem-twitter-poll-404/)
- [SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest](https://thesgem.com/2023/05/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 General Hospital. She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary
- [SGEM#403: Unos, Dos, Tres - Vertigo: The GRACE-3 Guidelines](https://thesgem.com/2023/05/sgem403-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. Jonathon Edlow has practiced emergency medicine for nearly 40 years and is a Professor of Emergency Medicine at Harvard Medical School. His academic
- [SGEM Twitter Poll #403](https://thesgem.com/2023/05/sgem-twitter-poll-403/)
- [SGEM Paper in a Pic #403](https://thesgem.com/2023/05/sgem-paper-in-a-pic-403/)
- [SGEM Memes #403](https://thesgem.com/2023/05/sgem-memes-403/)
- [SGEM Twitter Poll Excited Delirium](https://thesgem.com/2023/05/sgem-twitter-poll-excited-delirium/)
- [SGEM Memes Excited Delirium](https://thesgem.com/2023/05/sgem-memes-excited-delirium/)
- [SGEM Paper in a Pic #402](https://thesgem.com/2023/05/sgem-paper-in-a-pic-402/)
- [SGEM Twitter Poll #402](https://thesgem.com/2023/05/sgem-twitter-poll-402/)
- [SGEM#112: Bang Your Head - Paediatric Concussions](https://thesgem.com/2015/03/sgem112-bang-your-head-paediatric-concussions/) - [display_podcast] Date: March 7th, 2014 Guest Skeptic: Dr. Anthony Crocco. Associate Professor, McMaster University, Medical Director and Division Head McMaster Children’s Hospital Emergency Department. Case: 11-year-old snowboarder fails to land epic jump. She was wearing helmet. There was a brief loss of consciousness and she is amnestic to the event. The only complaint is a mild
- [SGEM#402: Call Me - On the Telemental Health Line](https://thesgem.com/2023/04/sgem402-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. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You are moonlighting at the Veterans
- [SGEM Memes #402](https://thesgem.com/2023/05/sgem-memes-402/)
- [SGEM Twitter Poll #401](https://thesgem.com/2023/04/sgem-twitter-poll-401/)
- [Paper in a Pic #401](https://thesgem.com/2023/04/paper-in-a-pic-401/)
- [SGEM #401: Hey Ho! High Flow vs Standard Oxygen Therapy for Hospitalized Children with Respiratory Failure](https://thesgem.com/2023/04/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. JAMA 2023 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine attending at Mount Sinai Medical Center
- [SGEM Twitter Poll #400](https://thesgem.com/2023/04/sgem-twitter-poll-400/)
- [SGEM Paper in a Pic #400](https://thesgem.com/2023/04/sgem-paper-in-a-pic-400/)
- [SGEM#400 Memes](https://thesgem.com/2023/04/sgem400-memes/)
- [SGEM#400: A little Bit of Heart and Sports Related Sudden Cardiac Arrest in Women](https://thesgem.com/2023/04/sgem400-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 Center in Bend, Oregon. She has been very involved with EMRAP’s CorePendium as the cardiovascular section editor. Last time Susy
- [SGEM Xtra Memes Centralization](https://thesgem.com/2023/04/sgem-xtra-memes-centralization/)
- [SGEM#399: I’m So Tired – Emergency Medicine and Fatigue](https://thesgem.com/2023/03/sgem399-im-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 www.First10EM.com Case: You arrive at 7am to relieve your colleague after a night shift. You find her at
- [SGEM Paper in a Pic #399](https://thesgem.com/2023/04/sgem-paper-in-a-pic-399/)
- [SGEM Twitter Poll #399](https://thesgem.com/2023/04/sgem-twitter-poll-399/)
- [SGEM Memes #399](https://thesgem.com/2023/04/sgem-memes-399/)
- [SGEM Paper in a Pic #398](https://thesgem.com/2023/03/sgem-paper-in-a-pic-398/)
- [SGEM Twitter Poll #398](https://thesgem.com/2023/03/sgem-twitter-poll-398/)
- [SGEM Memes #398](https://thesgem.com/2023/03/sgem-memes-398/)
- [SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease](https://thesgem.com/2023/03/sgem398-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. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. He is also now a fully-fledged “sonologist”. Casey
- [SGEM Paper in a Pic #397](https://thesgem.com/2023/03/sgem-paper-in-a-pic-397/)
- [SGEM Twitter Poll #397](https://thesgem.com/2023/03/sgem-twitter-poll-397/)
- [SGEM Memes #397](https://thesgem.com/2023/03/sgem-memes-397/)
- [SGEM #397: Give a Little Bit...of Oseltamivir to Pediatric Patients Admitted with Influenza](https://thesgem.com/2023/03/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. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. She is also the
- [SGEM Paper in a Pic #396](https://thesgem.com/2023/03/sgem-paper-in-a-pic-396/)
- [SGEM Twitter Poll #396](https://thesgem.com/2023/03/sgem-twitter-poll-396/)
- [SGEM#217: The Batman Effect on Improving Perseverance](https://thesgem.com/2018/05/sgem217-the-batman-effect-on-improving-perseverance/) - [display_podcast] Date: March 6th, 2018 Reference: White et al. The “Batman Effect”: Improving Perseverance in Young Children. Child Development December 2016. Guest Skeptic: Dr. Casey Parker is a rural Generalist working in Broome, Australia. He has particular interests in Emergency Care, Aboriginal Health, Paediatrics, Trauma and Women’s Anaesthesia. Casey has this great blog and podcast called Broome Docs.
- [SGEM Memes #396](https://thesgem.com/2023/03/sgem-memes-396/)
- [SGEM#396: And iGel Myself, I’m Over You, Cus I’m the King (Tube) of Wishful Thinking](https://thesgem.com/2023/03/sgem396-and-igel-myself-im-over-you-cus-im-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. Chris Root is a third-year resident physician in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM.
- [SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?](https://thesgem.com/2019/03/sgem247-supraglottic-airways-gonna-save-you-for-an-ohca/) - Date: February 26th, 2019 Reference: Benger et al. Effect of a Strategy of a Supraglottic Airway Device vs. Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome. The AIRWAYS-2 Randomized Clinical Trial. JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty
- [SGEM Paper in a Pic #395](https://thesgem.com/2023/03/sgem-paper-in-a-pic-395/)
- [SGEM Twitter Poll #395](https://thesgem.com/2023/03/sgem-twitter-poll-395/)
- [SGEM Memes #395](https://thesgem.com/2023/03/sgem-memes-395/)
- [SGEM#395: Too Much Blood from My Nose - Will TXA Help?](https://thesgem.com/2023/03/sgem395-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. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Her interest is serving French minority communities delivering care at the Montfort Hospital in Ottawa. Case: Jim is
- [SGEM Paper in a Pic #394](https://thesgem.com/2023/03/sgem-paper-in-a-pic-394/)
- [SGEM Twitter Poll #394](https://thesgem.com/2023/03/sgem-twitter-poll-394/)
- [SGEM Memes #394](https://thesgem.com/2023/02/sgem-memes-394/)
- [SGEM#393: You Down with APP, Yeah You Know Me](https://thesgem.com/2023/02/sgem393-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 Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Case: You are
- [SGEM Paper in a Pic #393](https://thesgem.com/2023/02/sgem-paper-in-a-pic-393/)
- [SGEM Twitter Poll #393](https://thesgem.com/2023/02/sgem-twitter-poll-393/)
- [SGEM Memes #393](https://thesgem.com/2023/02/sgem-memes-393/)
- [SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest](https://thesgem.com/2023/02/sgem394-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, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Case: A 6-month-old boy presents to
- [SGEM Paper in a Pic #392](https://thesgem.com/2023/02/sgem-paper-in-a-pic-392/)
- [SGEM Twitter Poll #392](https://thesgem.com/2023/02/sgem-twitter-poll-392/)
- [SGEM#107: Can't Touch This - Hands on Defibrillation](https://thesgem.com/2015/02/sgem107-cant-touch-this-hands-on-defibrillation/) - [display_podcast] Date: February 13th, 2015 Guest Skeptic: Dr. Manrique Umaña. Manrique (@umanamd) is an Emergency Physician from San Jose, Costa Rica and the Residency Program Director. He is the co-author of a Spanish-based blog called www.ViaMedEM.com and an active person in #FOAMed world. Case: You receive in your emergency department a 55-year-old male who goes
- [SGEM Memes #392](https://thesgem.com/2023/02/sgem-memes-392/)
- [SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?](https://thesgem.com/2023/02/sgem392-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, where he is Chief of Staff at Lake of the Woods District Hospital, Northern Medical Director for the Ornge air medical transport program and associate medical director with CritiCall
- [SGEM Paper in a Pic #391](https://thesgem.com/2023/02/sgem-paper-in-a-pic-391/)
- [SGEM Twitter Poll #391](https://thesgem.com/2023/02/sgem-twitter-poll-391/)
- [SGEM Memes #391](https://thesgem.com/2023/02/sgem-memes-391/)
- [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](https://thesgem.com/2023/01/sgem388-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. Timlin Glaser currently a fourth-year resident in emergency medicine at Lehigh Valley Health Network and future medical toxicology fellow at the University of Arizona College of Medicine -
- [SGEM Xtra: You Don’t Own Me – Post Roe Emergency Medicine](https://thesgem.com/2023/01/sgem-xtra-you-dont-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 services researcher whose goal is to transform acute care delivery to best meet the needs of those who experience the
- [SGEM#21: Ice, Ice, Baby (Hypothermia post Cardiac Arrest)](https://thesgem.com/2013/01/sgem21-ice-ice-baby/) - [display_podcast] Date: 27 January 2013 Case: Stop, collaborate and listen. TheSGEM is back with a brand new edition. A 72-year-old man has witnessed arrest while watching his grandson's hockey game. By-standard CPR is started and he shocked out of ventricular fibrillation using the automatic external defibrillator (AED). EMS arrives and finds an patient with vital signs
- [SGEM Memes #390](https://thesgem.com/2023/01/sgem-memes-390/)
- [SGEM #390 Twitter Poll](https://thesgem.com/2023/01/sgem-390-twitter-poll/)
- [SGEM #390 Paper in a Picture](https://thesgem.com/2023/01/sgem-390-paper-in-a-picture/)
- [SGEM#390:  I Can’t Feel My Face when I Have Bell Palsy, but will Steroids Help?](https://thesgem.com/2023/01/sgem390-i-cant-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.D at Children’s National Hospital in Washington, DC. She is a board-certified pediatric neurologist and completing another fellowship in medical genetics. Case:
- [SGEM Twitter Poll #389](https://thesgem.com/2023/01/sgem-twitter-poll-389/)
- [SGEM Paper in a Picture #389](https://thesgem.com/2023/01/sgem-paper-in-a-picture-389/)
- [SGEM Memes #389](https://thesgem.com/2023/01/sgem-memes-389/)
- [SGEM#389: Does Dex, Dex, Dex, Dexamethasone Help with Renal Colic?](https://thesgem.com/2023/01/sgem389-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. His focus is on the medical and surgical management of kidney stone disease. Dr. Sternberg did his medical school and residency training at
- [SGEM#202: Lidocaine for Renal Colic?](https://thesgem.com/2018/01/sgem202-lidocaine-for-renal-colic/) - [display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Dr. Rachel Littlefield is a PGY2 in Emergency Medicine at the University of
- [SGEM#220: Acupuncture vs. Morphine for Renal Colic](https://thesgem.com/2018/05/sgem220-acupuncture-vs-morphine-for-renal-colic/) - [display_podcast] Date: May 16th, 2018 Reference: Beltaief K et al. Acupuncture versus titrated morphine in acute renal colic: a randomized controlled trial. J Pain Res. 2018 Guest Skeptic: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine, University of Arkansas. Dr. Cordell Cunningham is a PGY 2 in Emergency Medicine at University of Arkansas for Medical Sciences
- [SGEM#71: Like a Rolling Kidney Stone (A Systematic Review of Renal Colic)](https://thesgem.com/2014/04/sgem71-like-a-rolling-kidney-stone-a-systematic-review-of-renal-colic/) - [display_podcast] Date: April 11, 2014 Guest Skeptics: Dr. Anthony (Tony) Seupaul Chairman of the Department of Emergency Medicine, University of Arkansas for Medical Sciences and Dr. Joshua Hughes one of his star residents. Case Scenario: A 36 yr old previously healthy white male that comes into the emergency department mid morning one Sunday after about 10 hours
- [SGEM#32: Stone Me (Fluids and Diuretics for Renal Colic)](https://thesgem.com/2013/04/sgem32stone-me/) - [display_podcast] Date: April 14, 2013 Case Scenario: A 46-year-old man presents to the emergency department doing the renal colic shuffle (not the Harlem Shake). He has a history of kidney stones. Nothing in his physical examination or investigations suggest anything other than another renal colic attack. He wants to know if there is a way to
- [SGEM#4: Getting Un-Stoned (Renal Colic and Alpha Blockers)](https://thesgem.com/2012/09/podcast4-getting-un-stoned/) - [display_podcast] Date: September 6, 2012 Case Scenario: A 49 year old man presents to the ED with his typical problem of renal colic. Question:Is an alpha blocker safe and effective for the treatment of kidney stones? Reference: Vincendeau et al. Tamsulosin Hydrochloride vs Placebo for Management of Distal Ureteral Stones. Arch Intern Med. 2010;170(22):2021­2027 PMID: 21149761 Population: 129 adult patients with acute renal colic presenting to
- [SGEM Paper in a Pic #388](https://thesgem.com/2023/01/sgem-paper-in-a-pic-388/)
- [SGEM Twitter Poll #388](https://thesgem.com/2023/01/sgem-twitter-poll-388/)
- [SGEM Memes #388](https://thesgem.com/2023/01/sgem-memes-388/)
- [SGEM Xtra: Holding Out for a Hero - Lessons from The Dark Knight](https://thesgem.com/2022/12/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. We have done previous shows on what we have learned from Star Trek and Top
- [SGEM Twitter Poll #387](https://thesgem.com/2023/01/sgem-twitter-poll-387/)
- [SGEM Paper in a Pic #387](https://thesgem.com/2023/01/sgem-paper-in-a-pic-387/)
- [SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients](https://thesgem.com/2022/12/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 Teaching Hospitals. She is also the wonderful educator that creates the Paper in a Pic infographics summarizing each SGEM episode. Case: A
- [SGEM #387 Lumbar Punctures in Febrile Infants with Positive Urinalysis-It's Just Overkill](https://thesgem.com/2022/12/sgem-387-lumbar-punctures-in-febrile-infants-with-positive-urinalysis-its-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 Hospital of Philadelphia and Assistant Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.
- [SGEM Paper in a Pic #386](https://thesgem.com/2022/12/sgem-paper-in-a-pic-386/)
- [SGEM Twitter Poll #386](https://thesgem.com/2022/12/sgem-twitter-poll-386/)
- [SGEM Memes #386](https://thesgem.com/2022/12/sgem-memes-386/)
- [SGEM Paper in a Pic #385](https://thesgem.com/2022/12/sgem-paper-in-a-pic-385/)
- [SGEM Twitter Poll #385](https://thesgem.com/2022/12/sgem-twitter-poll-385/)
- [SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA](https://thesgem.com/2016/04/sgem152-movin-on-up-higher-floors-lower-survival-for-ohca/) - [display_podcast] Date: April 22nd, 2016 Reference: Drennan et al. Out-of-hospital cardiac arrest in high-rise buildings: delays to patient care and effect on survival. CMAJ 2016. Guest Skeptic: Jay Loosley. Jay is a Registered Nurse, Paramedic and Research Assistant. He was a Professor at Fanshawe College but is currently the Superintendent of Education for Middlesex-London Emergency
- [SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures](https://thesgem.com/2022/12/sgem385-if-the-bones-are-good-the-rest-dont-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. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation.
- [SGEM Memes #385](https://thesgem.com/2022/12/sgem-memes-385/)
- [SGEM Twitter Poll #384](https://thesgem.com/2022/12/sgem-twitter-poll-384/)
- [SGEM Memes #384](https://thesgem.com/2022/12/sgem-memes-384/)
- [SGEM Paper in a Pic #384](https://thesgem.com/2022/12/sgem-paper-in-a-pic-384/)
- [SGEM#383: Tommy Can You Hear Me - Deaf and Hard-of-Hearing (DHH) Patients in the ED](https://thesgem.com/2022/11/sgem383-tommy-can-you-hear-me-deaf-and-hard-of-hearing-dhh-patients-in-the-ed/) - Date: November 26th, 2022 Reference: James et al. Emergency Department Condition Acuity, Length of Stay, and Revisits Among Deaf and Hard-of-Hearing Patients: A Retrospective Chart Review. AEM November 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Click on the LINK for a transcript
- [SGEM #384: Take Me Out Tonight, I Don't Want to Perforate My Appendix Alright](https://thesgem.com/2022/12/sgem-384-take-me-out-tonight-i-dont-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 emergency medicine physician at the Baylor College of Medicine Children’s Hospital of San Antonio in San Antonio, TX. Case: A 10-year-old
- [Paper in a Pic #383](https://thesgem.com/2022/12/paper-in-a-pic-383/)
- [SGEM Twitter Poll #383](https://thesgem.com/2022/11/sgem-twitter-poll-383/)
- [SGEM Xtra: How To Save A Life - Screening for Intimate Partner Violence in the Emergency Department](https://thesgem.com/2022/11/sgem-xtra-intimate-partner-violence-in-the-emergency-department/) - Date: November 19th, 2022 Reference: Khatib N, and Sampsel K. CAEP Position Statement Executive Summary: Where is the love? Intimate partner violence (IPV) in the Emergency Department (ED). CJE.M 2022 Nov Guest Skeptics: Dr. Nour Khatib is an emergency physician in Toronto working in community sites Markham Stouffville Hospital and Lakeridge health. Dr. Khatib also works
- [SGEM Xtra Twitter Poll IPV](https://thesgem.com/2022/11/sgem-xtra-twitter-poll-ipv/)
- [SGEM Xtra IPV Memes](https://thesgem.com/2022/11/sgem-xtra-ipv-memes/)
- [SGEM Paper in a Pic #382](https://thesgem.com/2022/11/sgem-paper-in-a-pic-382/)
- [SGEM Twitter Poll #382](https://thesgem.com/2022/11/sgem-twitter-poll-382/)
- [SGEM Memes #382](https://thesgem.com/2022/11/sgem-memes-382/)
- [SGEM#382: Don’t Go Chasing Waterfalls to Treat Pancreatitis](https://thesgem.com/2022/11/sgem382-dont-go-chasing-waterfalls-to-treat-pancreatitis/) - Date: November 10th, 2022 Reference: de-Madaria E et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). NEJM 2022. Guest Skeptic: Dr. Salim R. Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University. Currently, Salim works
- [SGEM#167: The Management of Bronchiolitis in Community Hospitals](https://thesgem.com/2016/12/sgem167-the-management-of-bronchiolitis-in-community-hospitals/) - [display_podcast] Date: December 14th, 2016 Reference: Plint et al. Management of Bronchiolitis in Community Hospitals in Ontario: a Multicentre Cohort Study. CJEM November 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency
- [SGEM Peds Xtra: Making Research Better, Faster, Stronger](https://thesgem.com/2022/11/sgem-peds-xtra-making-research-better-faster-stronger/) - Date: October 24, 2022 Guest Skeptic: Dr. 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 Pediatric Emergency Medicine and is a passionate believer and advocate of FOAMed. Damian is also part of the Don’t Forget the Bubbles team.
- [SGEM#381: Put Your Hand on My Shoulder and Reduce It](https://thesgem.com/2022/11/sgem381-put-your-hand-on-my-shoulder-and-reduce-it/) - Date: October 27th, 2022 Reference: Hayashi et al. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. AEM October 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergency
- [SGEM Paper in a Pic #381](https://thesgem.com/2022/11/sgem-paper-in-a-pic-381/)
- [SGEM Twitter Poll #381](https://thesgem.com/2022/11/sgem-twitter-poll-381/)
- [SGEM Memes #381](https://thesgem.com/2022/11/sgem-memes-381/)
- [SGEM Paper in a Pic #380](https://thesgem.com/2022/10/sgem-paper-in-a-pic-380/)
- [SGEM Memes #380](https://thesgem.com/2022/10/sgem-memes-380/)
- [SGEM Twitter Poll #380](https://thesgem.com/2022/10/sgem-twitter-poll-380/)
- [SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?](https://thesgem.com/2022/10/sgem380-ochas-happen-and-youre-head-over-heels-head-elevated-during-cpr/) - Date: October 18th, 2022 Reference: Moore et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying
- [SGEM Xtra: Lead Me On - What I Learned from Top Gun](https://thesgem.com/2022/10/sgem-xtra-lead-me-on-what-i-learned-from-top-gun/) - Date: October 5th, 2022 Reference: Top Gun 1986 Guest Skeptic: Dr. Chris Carpenter is Professor of Emergency Medicine in the Department of Emergency Medicine at Washington University in St. Louis and co-wrote the book on "Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules". Chris will be moving to Rochester, Minnesota soon to become the Vice Chair of
- [SGEM#74: Broken Arms (Diagnosing Rotator Cuff Disease)](https://thesgem.com/2014/05/sgem74-broken-arms-diagnosing-rotator-cuff-disease/) - [display_podcast] Date: May 1st, 2014 Guest Skeptic: Physiotherapist Dagny Kane-Haas. Dagny is a currently studying for her Masters degree in Clinical Science in Manipulative Therapy. Case Scenario: A 54 year old man presents with increasing pain in his right shoulder. Question: Does this patient with shoulder pain have rotator cuff disease? Background: Shoulder pain is the third most
- [SGEM Memes #379](https://thesgem.com/2022/10/sgem-memes-379/)
- [SGEM Paper in a Pic #379](https://thesgem.com/2022/10/sgem-paper-in-a-pic-379/)
- [SGEM Twitter Poll #379](https://thesgem.com/2022/10/sgem-twitter-poll-379/)
- [SGEM #379 Heigh Ho High Flow versus CPAP in Acutely Ill Children](https://thesgem.com/2022/10/sgem-379-heigh-ho-high-flow-versus-cpap-in-acutely-ill-children/) - Date: September 15, 2022 Reference: Ramnarayan P et al. Effect of high-flow nasal cannula therapy vs continuous positive airway pressure therapy on liberation from respiratory support in acutely ill children admitted to pediatric critical care units: a randomized clinical trial. JAMA July 2022 Guest Skeptic: Dr. Spyridon Karageorgos is a Pediatric Resident at Aghia Sophia
- [SGEM#378: Keepin’ It REaL when Treating Pediatric Migraine Patients](https://thesgem.com/2022/10/sgem378-keepin-it-real-when-treating-pediatric-migraine-patients/) - Date: September 28th, 2022 Reference: Hartford et al. Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. AEM September 2022. Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and is a pulmonary embolism
- [SGEM Paper in a Pic #378](https://thesgem.com/2022/10/sgem-paper-in-a-pic-378/)
- [SGEM Twitter Poll #378](https://thesgem.com/2022/10/sgem-twitter-poll-378/)
- [SGEM Memes #378](https://thesgem.com/2022/10/sgem-memes-378/)
- [SGEM Paper in a Pic #377](https://thesgem.com/2022/09/sgem-paper-in-a-pic-377/)
- [SGEM#147: This is a SVT and I’m Gonna REVERT It – Using a Modified Valsalva Manoeuvre](https://thesgem.com/2016/02/sgem147-this-is-a-svt-and-im-gonna-revert-it-using-a-modified-valsalva-manoeuvre/) - [display_podcast] Date: February 12th, 2016 Guest Skeptic: Dr. Robert Edmonds. Bob is a third year Emergency Medicine Resident at the University of Missouri at Kansas City. Prior to medical school, he graduated from the US Air Force Academy, and when he completes his training will rejoin the Air Force for nine years as an Emergency Medicine physician.
- [SGEM Twitter Poll #377](https://thesgem.com/2022/09/sgem-twitter-poll-377/)
- [SGEM Memes #377](https://thesgem.com/2022/09/sgem-memes-377/)
- [SGEM#377: You Don't Have to "AcT" that Way – TNK for Acute Ischemic Stroke?](https://thesgem.com/2022/09/you-dont-have-to-act-that-way-tnk-for-acute-ischemic-stroke/) - Date: September 20th, 2022 Reference: Menon et al. Intravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised, controlled, non-inferiority trial. The Lancet 2022 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. He is Head of the Centre
- [SGEM Paper in a Pic #376](https://thesgem.com/2022/09/sgem-paper-in-a-pic-376/)
- [SGEM#211: Pins and Needles - Acupuncture for Migraine Prophylaxis](https://thesgem.com/2018/03/sgem211-pins-and-needles-acupuncture-for-migraine-prophylaxis/) - [display_podcast] Date: March 18th, 2018 Reference: Zhao et al. The Long-Term Effect of Acupuncture for Migraine Prophylaxis: A Randomized Clinical Trial. JAMA Internal Medicine 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, an
- [SGEM#28: Bang your Head (Steroids for Migraine Headaches)](https://thesgem.com/2013/03/sgem28-bang-your-head/) - [display_podcast] Date: 17 March 2013 Case Scenario: A thirty-nine year-old woman known to your emergency department with a long history of migraine headaches presents in her usual way. There is nothing to suggest anything other than her typical migraine headache. You treat her successfully with IV fluids, DHE and metoclopramide. She is feeling much better and is
- [SGEM#66: King of Pain (Migraine Headaches)](https://thesgem.com/2014/03/sgem66/) - [display_podcast] Date: March 14, 2014 Case Scenario: A thirty-two year-old woman presents with her usual migraine headache. Background: More than 10% of people (6% men and 18% women) suffer from migraines. This condition represents a significant source of both medical costs and lost productivity. Direct costs are estimated at ~17 billion dollars a year. There are also indirect
- [SGEM Twitter Poll #376](https://thesgem.com/2022/09/sgem-twitter-poll-376/)
- [SGEM#376: I Wonder Why She Ran Away from the HINTS Exam](https://thesgem.com/2022/09/sgem376-i-wonder-why-she-ran-away-from-the-hints-exam/) - Date: September 16th, 2022 Reference: Gerlier C, et al. Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING and ABCD2 tests: A diagnostic cohort study. AEM 2021 Guest Skeptic: Dr. Peter Johns has been practicing emergency medicine since 1985 and has been passionate about vertigo education for the last two
- [SGEM Memes #376](https://thesgem.com/2022/09/sgem-memes-376/)
- [SGEM Twitter Poll #375](https://thesgem.com/2022/09/sgem-twitter-poll-375/)
- [SGEM Paper in a Pic #375](https://thesgem.com/2022/09/sgem-paper-in-a-pic-375/)
- [SGEM Memes #375](https://thesgem.com/2022/09/sgem-memes-375/)
- [SGEM Xtra: A Hero Is Rising – Season#8 Book](https://thesgem.com/2022/09/sgem-xtra-a-hero-is-rising-season8-book/) - Date: September 3rd, 2022 Reference: Milne WK, Carpenter CR and Young T. A Hero Is Rising – Season#8 Book Guest Skeptic: Dr. Tayler Young is a first year Family Medicine resident at Queen’s University. Her interests are quality improvement and Free Open Access to Medical Education (FOAMed). This is an SGEM Xtra to announce Season#8 has now been
- [SGEM#375: Only One versus Two-Dose Dexamethasone for Mild to Moderate Pediatric Asthma Exacerbations](https://thesgem.com/2022/09/sgem375-only-one-versus-two-dose-dexamethasone-for-mild-to-moderate-pediatric-asthma-exacerbations/) - Date: August 25th, 2022 Reference: Martin et al. Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. He finished his General Pediatrics residency at Yale-New Haven Hospital. As
- [Twitter Poll SGEM Xtra: Season#8 Book](https://thesgem.com/2022/09/twitter-poll-sgem-xtra-season8-book/)
- [SGEM Xtra Season#8 Book Memes](https://thesgem.com/2022/09/sgem-xtra-season8-book-memes/)
- [SGEM#374: Bad Habits - Medications for Opioid Use Disorder in the Emergency Department](https://thesgem.com/2022/08/sgem374-bad-habits-medications-for-opioid-use-disorder-in-the-emergency-department/) - Date: August 23rd, 2022 Reference: Schoenfeld et al. “Just give them a choice”: Patients’ perspectives regarding starting medications for opioid use disorder in the ED. AEM August 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.
- [SGEM Paper in a Pic #374](https://thesgem.com/2022/08/sgem-paper-in-a-pic-374/)
- [SGEM#374 Twitter Poll](https://thesgem.com/2022/08/sgem374-twitter-poll/)
- [SGEM#374 Memes](https://thesgem.com/2022/08/sgem374-memes/)
- [SGEM Xtra Fragility Index Twitter Poll](https://thesgem.com/2022/08/sgem-xtra-fragility-index-twitter-poll/)
- [SGEM Xtra Fragility Index Memes](https://thesgem.com/2022/08/sgem-xtra-fragility-index-memes/)
- [SGEM Xtra: The SGEM Goes to Eleven - for Kids](https://thesgem.com/2022/08/sgem-xtra-the-sgem-goes-to-eleven-for-kids/) - Date: August 7th, 2022 Host Skeptic: Dr. Dennis Ren is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. You might remember him from the SGEM episodes on febrile infants, aseptic meningitis, and community acquired pneumonia. This is an SGEM Xtra episode. Season 10 is coming to an end. We want to thank all our listeners
- [SGEM#70: The Secret of NINDS (Thrombolysis for Acute Stroke)](https://thesgem.com/2014/04/sgem70-the-secret-of-ninds-thrombolysis-for-acute-stroke/) - [display_podcast] Date: April 8, 2014 Guest Skeptic: Dr. Anand Swaninathan or Swami to his friends. He is an assistant program director at NYU/Bellevue Hospital in the Department of Emergency Medicine. Swami is an emergency medicine myth buster and a strong supporter of Free Open Access to Meducation (FOAMed). Reference: Tissue Plasminogen Activator for Acute Ischemic Stroke:
- [SGEM Xtra: Are tPA Stroke Trials Really Fragile?](https://thesgem.com/2022/08/sgem-xtra-are-tpa-stroke-trials-really-fragile/) - Date: August 18th, 2022 Reference: Munn et al. Fragility Index Meta-Analysis of Randomized Controlled Trials Shows Highly Robust Evidential Strength for Benefit of <3 Hour Intravenous Alteplase. Stroke 2022 Guest: Dr. Jeff Saver is a Professor and SA Vice Chair for Clinical Research, Carol and James Collins Chair, Department of Neurology, Director of the UCLA Comprehensive Stroke
- [SGEM#373: Going Ultrasound for Small Bowel Obstructions](https://thesgem.com/2022/07/sgem373-going-ultrasound-for-small-bowel-obstructions/) - Date: July 28th, 2022 Reference: Brower et al. Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the creator of all those wonderful Paper in a Pictures.
- [SGEM#372: Use the FORCE for Buckle Wrist Fractures in Children](https://thesgem.com/2022/07/sgem372-use-the-force-for-buckle-wrist-fractures-in-children/) - Date: July 22nd, 2022 Reference: Perry et al. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. The Lancet 2022 Guest Skeptic: Dr. Tessa Davis is a Paediatric Emergency Consultant at the Royal London Hospital, Senior Lecturer at Queen Mary University of London, Co-founder of Don’t Forget The
- [SGEM#368: Just A Normal Saline Day in the ICU – The PLUS Study](https://thesgem.com/2022/06/sgem368-just-a-normal-saline-day-in-the-icu-the-plus-study/) - Date: June 12th, 2022 Reference: Finfer et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. NEJM 2022. Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. He is board certified
- [SGEM Paper in a Pic #373](https://thesgem.com/2022/08/sgem-paper-in-a-pic-373/)
- [SGEM Twitter Poll #373](https://thesgem.com/2022/08/sgem-twitter-poll-373/)
- [SGEM Memes #373](https://thesgem.com/2022/08/sgem-memes-373/)
- [SGEM Paper in a Pic #372](https://thesgem.com/2022/07/sgem-paper-in-a-pic-372/)
- [SGEM Twitter Poll #372](https://thesgem.com/2022/07/sgem-twitter-poll-372/)
- [SGEM Memes #372](https://thesgem.com/2022/07/sgem-memes-372/)
- [SGEM Paper in a Pic #371](https://thesgem.com/2022/07/sgem-paper-in-a-pic-371/)
- [SGEM Twitter Poll #371](https://thesgem.com/2022/07/sgem-twitter-poll-371/)
- [SGEM Memes #371](https://thesgem.com/2022/07/sgem-memes-371/)
- [SGEM#371: All My LOVIT, Vitamin C Won't Work for You](https://thesgem.com/2022/07/sgem371-all-my-lovit-vitamin-c-wont-work-for-you/) - Date: July 16th, 2022 Reference: Lamontagne F et al. Intravenous Vitamin C in Adults with Sepsis in the Intensive Care Unit. NEJM 2022. Guest Skeptic: Dr. Salim R. Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University. Currently,
- [SGEM Paper in a Pic #370](https://thesgem.com/2022/07/sgem-paper-in-a-pic-370/)
- [SGEM#370: Listen to your Heart (Score)...MACE Incidence in Non-Low Risk Patients with known Coronary Artery Disease](https://thesgem.com/2022/07/sgem370-listen-to-your-heart-score-mace-incidence-in-non-low-risk-patients-with-known-coronary-artery-disease/) - Date: June 30th, 2022 Reference: McGinnis et al. Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter? AEM June 2022. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You are working a shift in your local community emergency department
- [SGEM Xtra: Here Comes the NINDS Again](https://thesgem.com/2022/07/sgem-xtra-here-comes-the-ninds-again/) - Date: July 1st, 2022 Guest Skeptic: Dr. Ravi Garg is a Neurologist in the Department of Neurology, Division of Neurocritical Care at Loyola University Chicago. Reference: Garg R, Mickenautsch S. Risk of selection bias assessment in the NINDS rt-PA stroke study. BMC Med Res Methodol. 2022 Jun 15;22(1):172. This is an SGEM Xtra episode. Dr. Garg
- [SGEM Xtra Memes NINDS Trial](https://thesgem.com/2022/07/sgem-xtra-memes-ninds-trial/)
- [SGEM Xtra: She Blinded Me with Science Communication](https://thesgem.com/2022/04/sgem-xtra-she-blinded-me-with-science-communication/) - Date: April 19th, 2022 Guest Skeptic: Sarah Mojarad is a Lecturer in Advanced Writing, #SciComm, & Mis/disinfo topics • Kavli Fellow • Reed Awardee. This is an SGEM Xtra episode. When planning a brief trip to Los Angeles for the EMRAP One Conference, I remembered that Sarah is from LA. I thought to myself, perhaps
- [SGEM Twitter Poll #370](https://thesgem.com/2022/07/sgem-twitter-poll-370/)
- [SGEM Memes #370](https://thesgem.com/2022/07/sgem-memes-370/)
- [SGEM#336: You Can’t Always Get What You Want – TTM2 Trial](https://thesgem.com/2021/07/sgem336-you-cant-always-get-what-you-want-ttm2-trial/) - Date: July 1st, 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. Reference: Dankiewicz et al: TTM2 Trial Investigators. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. NEJM 2021 Case: A 58-year-old man collapsed in front of his family. When paramedics arrived, they found him to be in
- [SGEM#85: Won't Get Fooled Again (tPA for AIS)](https://thesgem.com/2014/09/sgem85-wont-get-fooled-again-tpa-for-cva/) - [display_podcast] Date: September 5th, 2014 Guest Skeptic: Dr. Ryan Radecki is an Assistant Professor of Emergency Medicine - The University of Texas Medical School at Houston. He has an amazing blog called Emergency Medicine Literature of Note. It is billed as musings on publications and studies relevant to EM & otherwise. You can follow Ryan on Twitter @EMLitofNote.
- [SweetBEEM 2014](https://thesgem.com/2014/03/sweetbeem-2014/) - The BEEM Dream Team of Drs. Anthony Crocco, Ken Milne and Suneel Upadhye. returned from Stockholm, Sweden this weekend. It was a fantastic trip filled with great experiences and knowledge translation. The adventure started with our arrival in the airport wearing Swedish hockey jerseys (while in Rome). This was despite the fact that Dr. Katrin
- [SGEM#354: Everybody Walk the Dinosaur and Not Take the MSU](https://thesgem.com/2022/01/sgem354-everybody-walk-the-dinosaur-and-not-take-the-msu/) - Date: December 21st, 2021 Guest Skeptic: Dr. Howard “Howie” Mell began his career as a firefighter / paramedic in Chicago. He became double board certified in Emergency Medicine (EM) and Emergency Medical Services (EMS). Howie also has a Master of Public Health. Reference: Grotta JC et al. Prospective, multicenter, controlled trial of mobile stroke units. NEJM 2021
- [SGEM#137: A Foggy Day - Endovascular Treatment for Acute Ischemic Stroke](https://thesgem.com/2015/11/sgem137-a-foggy-day-endovascular-treatment-for-acute-ischemic-stroke/) - [display_podcast] Date: November 21st, 2015 Guest Skeptic: Dr. Rory Spiegel is an Emergency Medicine resident in New York City. Rory is doing a resuscitation fellowship at Stony Brook University School of Medicine. He also writes a blog called EM Nerd about nihilism, medicine and the art of doing nothing. Case: An 78-year-old woman presents to your emergency
- [SGEM#330: Should You Be Going Mobile to Treat Acute Ischemic Stroke?](https://thesgem.com/2021/05/sgem330-should-you-be-going-mobile-to-treat-acute-ischemic-stroke/) - Date: May 6th, 2021 Guest Skeptic: Dr. Daniel Schwerin is employed with Prisma Health-Upstate as a clinical assistant professor, emergency medicine GME director for emergency medical services and medical director for several local EMS agencies and has lectured on prehospital stroke management. Reference: Fatima et al. Mobile stroke unit versus standard medical care in the management
- [SGEM#325: Thin Ice – Subgroup Analysis of the THAWS Trial](https://thesgem.com/2021/04/sgem325-thin-ice-subgroup-analysis-of-the-thaws-trial/) - Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. He is Head of the Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research; Professor of Emergency Medicine, University of Western Australia; and Director of Research for Royal Perth
- [SGEM Memes #369](https://thesgem.com/2022/06/sgem-memes-369/)
- [SGEM Twitter Poll #369](https://thesgem.com/2022/06/sgem-twitter-poll-369/)
- [SGEM Paper in a Pic #369](https://thesgem.com/2022/06/sgem-paper-in-a-pic-369/)
- [SGEM#369: Romeo is Bleeding - Does He Need a RePHILL?](https://thesgem.com/2022/06/sgem369-romeo-is-bleeding-does-he-need-a-rephill/) - Date: June 18th, 2022 Reference: Crombie et al. Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. The Lancet Haematology 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anaesthesia and critical care. He is
- [SGEM Paper in a Pic #368](https://thesgem.com/2022/06/sgem-paper-in-a-pic-368/)
- [SGEM Twitter Poll #368](https://thesgem.com/2022/06/sgem-twitter-poll-368/)
- [SGEM Memes #368](https://thesgem.com/2022/06/sgem-memes-368/)
- [SGEM#367: GRACE2 - Low-Risk, Recurrent Abdominal Pain](https://thesgem.com/2022/05/sgem367-grace2-low-risk-recurrent-abdominal-pain/) - Date: May 24th, 2022 Reference: Broder et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE) 2: Low-Risk, Recurrent Abdominal Pain in the Emergency Department. AEM May 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 33-year-old male presents to
- [SGEM Paper in a Pic #367](https://thesgem.com/2022/06/sgem-paper-in-a-pic-367/)
- [SGEM Twitter Poll #367](https://thesgem.com/2022/06/sgem-twitter-poll-367/)
- [SGEM Memes #367](https://thesgem.com/2022/06/sgem-memes-367/)
- [SGEM Twitter Poll #366](https://thesgem.com/2022/05/sgem-twitter-poll-366/)
- [SGEM Paper in a Pic #366](https://thesgem.com/2022/05/sgem-paper-in-a-pic-366/)
- [SGEM Memes #366](https://thesgem.com/2022/05/sgem-memes-366/)
- [SGEM#366: Relax, Don’t Do It – Skeletal Muscle Relaxants for Low Back Pain](https://thesgem.com/2022/05/sgem366-relax-dont-do-it-skeletal-muscle-relaxants-for-low/) - Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants. An Analysis of Data From Randomized Studies. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading
- [SGEM#214: Woman – The TXA Trial for Post-Partum Hemorrhage](https://thesgem.com/2018/04/sgem214-woman-the-txa-trial-for-post-partum-hemorrhage/) - [display_podcast] Date: April 13th, 2018 Reference: Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. The Lancet 2017 Guest Skeptic: Dr. Nick Papalia completed his MD at Western University. He is currently completing his third year of Obstetrics and Gynecology residency at the
- [SGEM Paper in a Pic #365](https://thesgem.com/2022/04/sgem-paper-in-a-pic-365/)
- [SGEM Twitter Poll #365](https://thesgem.com/2022/04/sgem-twitter-poll-365/)
- [SGEM Memes #365](https://thesgem.com/2022/04/sgem-memes-365/)
- [SGEM#365: Stop! It's Not Always Hammer Time](https://thesgem.com/2022/04/sgem365-stop-its-not-always-hammer-time/) - Date: April 16th, 2022 Reference: Blom et al. Common elective orthopaedic procedures and their clinical effectiveness: umbrella review of level 1 evidence. BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Disclaimer: The views and opinions of this blog
- [SGEM#33: Boston 2013](https://thesgem.com/2013/04/sgem33-boston-2013/) - [display_podcast] Date: April 21, 2013 Everyone has a story to tell. Their own perspective on the recent tragic events in Boston. It will impact us all in a unique way. Here is my way of remembering, honoring, saying thanks and trying to understand what happened. It is told through words, music, pictures and video.Boston 2013-Medium
- [SGEM#364: Don’t You Forget About Me – DW:MRI Sensitivity for Transient Global Amnesia](https://thesgem.com/2022/04/sgem364-dont-you-forget-about-me-dwmri-sensitivity-for-transient-global-amnesia/) - Date: April 7th, 2022 Reference: Wong et al. Sensitivity of diffusion-weighted magnetic resonance imaging in transient global amnesia as a function of time from symptom onset. AEM April 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Case: A 65-year-old man presents to your emergency department with
- [SGEM Twitter Poll #364](https://thesgem.com/2022/04/sgem-twitter-poll-364/)
- [SGEM Paper in Pic #364](https://thesgem.com/2022/04/sgem-paper-in-pic-364/)
- [SGEM Memes #364](https://thesgem.com/2022/04/sgem-memes-364/)
- [SGEM Twitter Poll #363](https://thesgem.com/2022/04/sgem-twitter-poll-363/)
- [SGEM Paper in a Pic #363](https://thesgem.com/2022/04/sgem-paper-in-a-pic-363/)
- [SGEM Memes #363](https://thesgem.com/2022/04/sgem-memes-363/)
- [SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety](https://thesgem.com/2022/04/sgem363-view-master-virtual-reality-immersion-tool-to-reduce-pediatric-anxiety/) - Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and is a pulmonary embolism
- [SGEM Xtra: Float Away, Float Away, Float Away – from Misinformation](https://thesgem.com/2022/03/sgem-xtra-float-away-float-away-float-away-from-misinformation/) - Date: March 26th, 2022 Guest Skeptic: Professor Melanie Trecek-King Associate professor of biology at Massasoit Community College in Massachusetts. Founder and creator of Thinking Is Power. Reference: Trecek-King M.A Life Preserver for Staying Afloat in a Sea of Misinformation. Skeptical Inquirer March/April 2022 This is an SGEM Xtra episode. I met Melanie through our online interactions
- [SGEM#362: Screen Time - Can’t Take My Eyes Off of You – But Should I Post-Concussion?](https://thesgem.com/2022/03/sgem362-screen-time-cant-take-my-eyes-off-of-you-but-should-i-post-concussion/) - Date: March 3rd, 2022 Reference: Macnow et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatrics 2021 Guest Skeptic: Dr. Catherine Varner is an Assistant Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. She is an emergency physician at Mount Sinai
- [SGEM Paper in a Pic #362](https://thesgem.com/2022/03/sgem-paper-in-a-pic-362/)
- [SGEM Twitter Poll #362](https://thesgem.com/2022/03/sgem-twitter-poll-362/)
- [SGEM Twitter Poll #361](https://thesgem.com/2022/03/sgem-twitter-poll-361/)
- [SGEM Paper in a Pic #361](https://thesgem.com/2022/03/sgem-paper-in-a-pic-361/)
- [SGEM Memes #362](https://thesgem.com/2022/03/sgem-memes-362/)
- [SGEM#361: Under My Umbrella, Ella, Ella - Review of Meta-Analyses in Emergency Medicine](https://thesgem.com/2022/03/sgem361-under-my-umbrella-ella-ella-review-of-meta-analyses-in-emergency-medicine/) - Date: February 24th, 2022 Reference: Parish et al. An umbrella review of effect size, bias, and power across meta-analyses in emergency medicine. AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. He is Head of the Centre for Clinical Research in Emergency Medicine,
- [SGEM#360: We Care a Lot – The EmPATH Study](https://thesgem.com/2022/02/sgem360-we-care-a-lot-the-empath-study/) - Date: February 21st 2022 Reference: Kim et al. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America. AEM February 2022. Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She is
- [SGEM Paper in a Pic #360](https://thesgem.com/2022/03/sgem-paper-in-a-pic-360/)
- [SGEM Twitter Poll #360](https://thesgem.com/2022/03/sgem-twitter-poll-360/)
- [SGEM Memes #360](https://thesgem.com/2022/02/sgem-memes-360/)
- [SGEM Xtra: Everybody Hurts, Sometime](https://thesgem.com/2022/02/sgem-xtra-everybody-hurts-sometime/) - Date: February 15th, 2022 Guest Skeptic: Dr. Tim Graham is a Clinical Professor of emergency medicine at the University of Alberta, and Associate Chief Medical Information Officer, Edmonton Zone, of Alberta Health Services from Edmonton, Alberta. Reference: Graham T. Physician heal thyself. CMAJ 2021 TRIGGER WARNING: As a warning to those listening to the podcast or
- [SGEM Twitter Poll #359](https://thesgem.com/2022/02/sgem-twitter-poll-359/)
- [SGEM Paper in a Pic #359](https://thesgem.com/2022/02/sgem-paper-in-a-pic-359/)
- [SGEM Memes Everybody Hurts, Sometimes](https://thesgem.com/2022/02/sgem-memes-everybody-hurts-sometimes/)
- [SGEM Portugal 4 - Veneno renal ou nefromitologia de contraste?](https://thesgem.com/2022/01/sgem-portugal-4-veneno-renal-ou-nefromitologia-de-contraste/)
- [SGEM Memes #359](https://thesgem.com/2022/02/sgem-memes-359/)
- [SGEM#359: Meet Me Halfway on the Duration of Antibiotics for Non-Severe Pediatric Community-Acquired Pneumonia](https://thesgem.com/2022/02/sgem359-meet-me-halfway-on-the-duration-of-antibiotics-for-non-severe-community-acquired-pneumonia/) - Date: February 7th, 2022 Reference: Williams et al. Short- vs standard-course outpatient antibiotic therapy for community-acquired pneumonia in children: the scout-cap randomized clinical trial. JAMA Pediatrics 2022 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Case: A three-year-old boy presents to the emergency department (ED) with fever
- [SGEM#358: I Would Do Anything for Septic Olecranon Bursitis But I Won’t Tap That](https://thesgem.com/2022/01/sgem358-i-would-do-anything-for-septic-olecranon-bursitis-but-i-wont-tap-that/) - Date: January 25th, 2022 Reference: Beyde et al. Efficacy of empiric antibiotic management of septic olecranon bursitis without bursal aspiration in emergency department patients. AEM January 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You’re working in your busy freestanding emergency department
- [SGEM Paper in a Pic #358](https://thesgem.com/2022/02/sgem-paper-in-a-pic-358/)
- [SGEM Twitter Poll #358](https://thesgem.com/2022/02/sgem-twitter-poll-358/)
- [SGEM Memes #358](https://thesgem.com/2022/01/sgem-memes-358/)
- [SGEM Paper in a Pic #357](https://thesgem.com/2022/01/sgem-paper-in-a-pic-357/)
- [SGEM Twitter Poll #357](https://thesgem.com/2022/01/sgem-twitter-poll-357/)
- [SGEM Memes #357](https://thesgem.com/2022/01/sgem-memes-357/)
- [SGEM#357: COVID it's Getting Harder and Harder to Breathe but will Budesonide Help?](https://thesgem.com/2022/01/sgem357-covid-its-getting-harder-and-harder-to-breathe-but-will-budesonide-help/) - Date: January 22nd, 2022 Reference: Yu et al. Inhaled budesonide for COVID-19 in people at high risk of complications in the community in the UK (PRINCIPLE): a randomised, controlled, open-label, adaptive platform trial. Lancet 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. Case: A 65-year-old woman
- [SGEM Paper in a Pic #356](https://thesgem.com/2022/01/sgem-paper-in-a-pic-356/)
- [SGEM Twitter Polls #356](https://thesgem.com/2022/01/sgem-twitter-polls-356/)
- [SGEM#352: Amendment - Addressing Gender Inequities in Academic Emergency Medicine](https://thesgem.com/2021/12/sgem352-amendment-addressing-gender-inequities-in-academic-emergency-medicine/) - Date: December 13th, 2021 Reference: Lee et al. Addressing gender inequities: Creation of a multi-institutional consortium of women physicians in academic emergency medicine. AEM December 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: At the completion of her 1-month elective in your rural emergency department
- [SGEM Memes #356](https://thesgem.com/2022/01/sgem-memes-356/)
- [SGEM#356: Drugs are Gonna Knock You Out - Etomidate vs. Ketamine for Emergency Endotracheal Intubation](https://thesgem.com/2022/01/sgem356-drugs-are-gonna-knock-you-out-etomidate-vs-ketamine-for-emergency-endotracheal-intubation/) - Date: January 16th, 2022 Reference: Matchett, G. et al. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Missy is currently working in a community emergency department as a physician assistant and
- [SGEM Paper in a Pic #355](https://thesgem.com/2022/01/sgem-paper-in-a-pic-355/)
- [SGEM Twitter Poll #355](https://thesgem.com/2022/01/sgem-twitter-poll-355/)
- [SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes](https://thesgem.com/2022/01/sgem355-bigger-isnt-better-when-it-comes-to-chest-tubes/) - Date: December 28th, 2021 Reference: Kulvatunyou et al. The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. J Trauma and Acute Care Surgery. November 2021. Guest Skeptic: Dr. Chris Root is a second-year resident physician in the Department of Emergency Medicine at the University
- [SGEM Memes #355](https://thesgem.com/2022/01/sgem-memes-355/)
- [SGEM Memes #354](https://thesgem.com/2022/01/sgem-memes-354/)
- [SGEM Twitter Poll #354](https://thesgem.com/2022/01/sgem-twitter-poll-354/)
- [SGEM Paper in a Pic #354](https://thesgem.com/2022/01/sgem-paper-in-a-pic-354/)
- [SGEM Xtra: Walk of Life - Thrombolysis for Acute Ischemic Stroke](https://thesgem.com/2019/03/sgem-xtra-walk-of-life-thrombolysis-for-acute-ischemic-stroke/) - Date: February 18th, 2019 Guest Skeptic: Dr. Shahriar Zehtabchi is a tenured professor and Vice Chair of Academic Affairs in the Department of Emergency Medicine at SUNY Downstate Medical Center & Kings County Hospital. He has been teaching evidence-base medicine for many years and currently is the editor-in-chief of the EBM website TheNNT.com. Shahriar also serves
- [SGEM Twitter Poll #353](https://thesgem.com/2021/12/sgem-twitter-poll-353/)
- [SGEM Paper in a Pic #353](https://thesgem.com/2021/12/sgem-paper-in-a-pic-353/)
- [SGEM Memes #353](https://thesgem.com/2021/12/sgem-memes-353/)
- [SGEM#353: At the COCA, COCA for OCHA](https://thesgem.com/2021/12/sgem353-at-the-coca-coca-for-ocha/) - Date: December 21st, 2021 Guest Skeptic: Dr. Spencer Greaves is an Emergency Medicine resident at Florida Atlantic University. He received his Bachelors in Biomedical Engineering from Marquette University and his Masters in Public Health from Dartmouth College. Spencer completed his medical doctorate at the Medical College of Wisconsin. He and his wife live in Boynton Beach, FL
- [SGEM Paper in a Pic #352](https://thesgem.com/2021/12/sgem-paper-in-a-pic-352/)
- [SGEM Memes #352](https://thesgem.com/2021/12/sgem-memes-352/)
- [SGEM Twitter Poll #352](https://thesgem.com/2021/12/sgem-twitter-poll-352/)
- [SGEM#351: How to Stop Geriatrics from Free Fallin’](https://thesgem.com/2021/11/sgem351-how-to-stop-geriatrics-from-free-fallin/) - Date: November 16th, 2021 Reference: Hammouda et al. Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. AEM November 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She
- [SGEM Xtra: Change the World - Honoring Dr. Rakesh Engineer](https://thesgem.com/2021/12/sgem-xtra-change-the-world-honoring-dr-rakesh-engineer/) - Date: December 10th, 2021 Guest Skeptic: Dr. Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency Medicine, University of Arkansas for Medical Sciences. She is also the Chair of the SAEM Evidence Based Healthcare and Implementation (EBHI) Interest Group. Carly was a guest skeptic on the SGEM two years
- [SGEM Memes #351](https://thesgem.com/2021/11/sgem-memes-351/)
- [SGEM Twitter Poll #351](https://thesgem.com/2021/11/sgem-twitter-poll-351/)
- [SGEM Paper in a Pic #351](https://thesgem.com/2021/11/sgem-paper-in-a-pic-351/)
- [SGEM Paper in a Pic #350](https://thesgem.com/2021/11/sgem-paper-in-a-pic-350/)
- [SGEM Twitter Poll #350](https://thesgem.com/2021/11/sgem-twitter-poll-350/)
- [SGEM Memes #350](https://thesgem.com/2021/11/sgem-memes-350/)
- [SGEM#350: How Did I Get Epi Alone?  Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests](https://thesgem.com/2021/11/sgem350-how-did-i-get-epi-alone-vasopressin-and-methylprednisolone-for-in-hospital-cardiac-arrests/) - Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. JAMA Sept 2021. Guest Skeptic: Dr. Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care
- [SGEM#348: Take the Long Med Home – for Cellulitis](https://thesgem.com/2021/10/sgem348-take-the-long-med-home-for-cellulitis/) - Date: October 20th, 2021 Reference: Talan et al. Pathway with single-dose long-acting intravenous antibiotic reduces emergency department hospitalizations of patients with skin infections. AEM October 2021 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 cofounder of FOAMcast and
- [SGEM Paper in a Pic #349](https://thesgem.com/2021/11/sgem-paper-in-a-pic-349/)
- [SGEM Memes #349](https://thesgem.com/2021/11/sgem-memes-349/)
- [SGEM Twitter Poll #349](https://thesgem.com/2021/11/sgem-twitter-poll-349/)
- [The SGEM Global Portuguese Trailer](https://thesgem.com/2021/10/the-sgem-global-portuguese-trailer/)
- [SGEM#349: Can tPA Be A Bridge Over Trouble Waters to Mechanical Thrombectomy?](https://thesgem.com/2021/11/sgem349-can-tpa-be-a-bridge-over-trouble-waters-to-mechanical-thrombectomy/) - Date: November 1st, 2021 Reference: Katsanos et al. Utility of Intravenous Alteplase Prior to Endovascular Stroke Treatment: A Systematic Review and Meta-analysis of RCTs. Neurology 2021 Guest Skeptic: Dr. Michal Krawczyk is in his fifth year of neurology residency at Western University in London, Ontario, Canada. He is interested in acute neurological illness, including cerebrovascular disease and epilepsy.
- [Trombectomia no AVC - Com ou sem alteplase?](https://thesgem.com/2021/10/trombectomia-no-avc-com-ou-sem-alteplase/)
- [Pneumonia adquirida na comunidade - O quão preciso é o nosso diagnóstico clínico?](https://thesgem.com/2021/11/pneumonia-adquirida-na-comunidade-o-quao-preciso-e-o-nosso-diagnostico-clinico/)
- [Troponina em idosos com sintomas inespecíficos - Útil ou Fútil?](https://thesgem.com/2021/11/troponina-em-idosos-com-sintomas-inespecificos-util-ou-futil/)
- [SGEM#50: Under Pressure Journal Club (Vasopressin, Steroids and Epinephrine in Cardiac Arrest)](https://thesgem.com/2013/10/sgem50-under-pressure-jc-vasopression-epinephrine-and-steroids-in-cardiac-arrest/) - [display_podcast] Date: October 22, 2013 Title: Under Pressure Journal Club (Vasopressin, Steroids and Epinephrine in Cardiac Arrest) I promised at the start of Season 2 of the SGEM to try and always make it better. This episode is an attempt to honour that promise. The idea is to do a Journal Club episode on a regular basis.
- [SGEM Paper in a Pic #348](https://thesgem.com/2021/10/sgem-paper-in-a-pic-348/)
- [SGEM Twitter Poll #348](https://thesgem.com/2021/10/sgem-twitter-poll-348/)
- [SGEM Memes #348](https://thesgem.com/2021/10/sgem-memes-348/)
- [SGEM Xtra: From EBM to FBM - Gender Equity in the House of Medicine](https://thesgem.com/2021/10/sgem-xtra-from-ebm-to-fbm-gender-equity-in-the-house-of-medicine/) - Date: October 7th, 2021 This is an SGEM Xtra episode. I had the honour of co-presenting at the Renaissance School of Medicine, Stony Brook University, Department of Emergency Medicine Grand Rounds. The title of the talk "From EBM to FBM - Gender Equity in the House of Medicine. You may be wondering: why is a middle
- [SGEM Xtra Gender Pay Gap](https://thesgem.com/2021/10/sgem-xtra-gender-pay-gap/)
- [SGEM Paper in a Pic #347](https://thesgem.com/2021/10/sgem-paper-in-a-pic-347/)
- [SGEM Twitter Poll #347](https://thesgem.com/2021/10/sgem-twitter-poll-347/)
- [SGEM#347: It Don’t Matter to Me – Balanced Solution or Saline](https://thesgem.com/2021/10/sgem347-it-dont-matter-to-me-balanced-solution-or-saline/) - Date: September 28th, 2021 Reference: Zampieri et al. Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. JAMA 2021 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in
- [SGEM Memes #347](https://thesgem.com/2021/10/sgem-memes-347/)
- [SGEM Paper in a Pic #346](https://thesgem.com/2021/10/sgem-paper-in-a-pic-346/)
- [SGEM Memes #346](https://thesgem.com/2021/09/sgem-memes-346/)
- [SGEM Twitter Poll #346](https://thesgem.com/2021/09/sgem-twitter-poll-346/)
- [SGEM#346: Sepsis - You Were Always on My Mind](https://thesgem.com/2021/09/sgem346-sepsis-you-were-always-on-my-mind/) - Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. AEM 2021. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. She is also an Assistant Professor, Department of Emergency Medicine Mayo
- [SGEM#345: Checking In, Checking Out for Non-Operative Treatment of Appendicitis](https://thesgem.com/2021/09/sgem345-checking-in-checking-out-for-non-operative-treatment-of-appendicitis/) - Date: September 16th, 2021 Reference: Sippola et al. Effect of Oral Moxifloxacin vs Intravenous Ertapenem Plus Oral Levofloxacin for Treatment of Uncomplicated Acute Appendicitis. The APPAC II Randomized Clinical Trial. JAMA 2021 Guest Skeptic: Dr. Rob Leeper is an assistant professor of surgery at Western University and the London Health Sciences Center. His practice is in trauma,
- [SGEM Paper in a Pic #345](https://thesgem.com/2021/09/sgem-paper-in-a-pic-345/)
- [SGEM#297: tPA Advocates Be Like – Never Gonna Give You Up](https://thesgem.com/2020/07/sgem297-tpa-advocates-be-like-never-gonna-give-you-up/) - Date: June 30th, 2020 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. He is Head of the Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research; Professor of Emergency Medicine, University of Western Australia; and Director of Research for Royal Perth Hospital.
- [SGEM Twitter Poll #345](https://thesgem.com/2021/09/sgem-twitter-poll-345/)
- [SGEM#333: Do you gotta be starting something – like tPA before EVT?](https://thesgem.com/2021/06/sgem333-do-you-gotta-be-starting-something-like-tpa-before-evt/) - Date: May 25th, 2021 Guest Skeptic: Dr. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine. He also works at an urgent care and a rural critical access hospital. Garreth is interested in wilderness medicine and is the co-director of the
- [SGEM Twitter Poll #344](https://thesgem.com/2021/09/sgem-twitter-poll-344/)
- [SGEM Paper in a Pic #344](https://thesgem.com/2021/09/sgem-paper-in-a-pic-344/)
- [SGEM Memes #345](https://thesgem.com/2021/09/sgem-memes-345/)
- [SGEM#343: Doctors are Doctors So Why Should It Be, You and I Should Get Along So Awfully  - Weight Bias in Medicine](https://thesgem.com/2021/09/sgem343-doctors-are-doctors-so-why-should-it-be-you-and-i-should-get-along-so-awfully-weight-bias-in-medicine/) - Date: August 31st, 2021 Reference: McLean et al. Interphysician weight bias: A cross-sectional observational survey study to guide implicit bias training in the medical workplace. AEM Sept 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: You are working in the emergency department
- [SGEM#29: Stroke Me, Stroke Me (Thrombolysis <6 hours)](https://thesgem.com/2013/03/sgem29-stroke-me-stroke-me/) - [display_podcast] Date: 24 March 2013 "Now everybody, Have you heard, If you're in the game (of emergency medicine), Then the stroke's the word, Don't take no rhythm, Don't take no style, Gotta thirst for killin', Grab your vial (of tPA) and stroke me, stroke me..." Billy Squier The Stroke Case Scenario: A 83-year-old woman arrives from home with right-sided weakness beginning four
- [SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?](https://thesgem.com/2021/09/sgem344-we-willwe-will-cath-you-but-should-we-after-an-ohca-without-st-elevations/) - Date: September 8th, 2021 Reference: Desch et al. The TOMAHAWK Investigators. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. NEJM 2021. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. He heads curriculum and conference for the academic year and is passionate about resident
- [SGEM Memes #344](https://thesgem.com/2021/09/sgem-memes-344/)
- [SGEM Paper in a Pic #343](https://thesgem.com/2021/09/sgem-paper-in-a-pic-343/)
- [SGEM Memes #343](https://thesgem.com/2021/09/sgem-memes-343/)
- [SGEM Twitter Poll #343](https://thesgem.com/2021/09/sgem-twitter-poll-343-2/)
- [SGEM Twitter Poll #342](https://thesgem.com/2021/09/sgem-twitter-poll-343/)
- [SGEM Paper in a Pic #342](https://thesgem.com/2021/09/sgem-paper-in-a-pic-342/)
- [SGEM Memes #342](https://thesgem.com/2021/08/sgem-memes-342/)
- [SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?](https://thesgem.com/2021/08/sgem342-should-we-get-physical-therapy-for-minor-musculoskeletal-disorders-in-the-ed/) - Date: August 27th, 2021 Reference: Gagnon et al. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. AEM 2021 Guest Skeptic: Dagny Kane-Haas is a physiotherapist who also has a master’s degree in Clinical Science in Manipulative Therapy. Case: A forty-year-old woman presents to the emergency department
- [SGEM Twitter Poll #341](https://thesgem.com/2021/08/sgem-twitter-poll-341/)
- [SGEM Memes #341](https://thesgem.com/2021/08/sgem-memes-341/)
- [SGEM Memes #340](https://thesgem.com/2021/08/sgem-memes-340/) - [et_pb_section admin_label=”section”] [et_pb_row admin_label=”row”] [et_pb_column type=”4_4″][et_pb_text admin_label=”Text”] [/et_pb_text][/et_pb_column] [/et_pb_row] [/et_pb_section]
- [SGEM#341: Are the AAP Guidelines for the Evaluation and Management of the Well-Appearing Febrile Infant the Answer to a Never Ending Story?](https://thesgem.com/2021/08/sgem341-are-the-aap-guidelines-for-the-evaluation-and-management-of-the-well-appearing-febrile-infant-the-answer-to-a-never-ending-story/) - Date: August 19th, 2021 Reference: Pantell et al. Evaluation and management of well-appearing febrile infants 8 to 60 days old. Pediatrics 2021 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Case: A 25-day-old, full-term boy presents to the emergency department with fever. His parents report that he felt
- [SGEM Twitter Poll #340](https://thesgem.com/2021/08/sgem-twitter-poll-340/)
- [SGEM Memes #340](https://thesgem.com/2021/08/sgem-memes-340-2/)
- [SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?](https://thesgem.com/2021/08/sgem340-andale-andale-get-an-io-io-for-adult-ohca/) - Date: August 12th, 2021 Reference: Daya et al. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. Missy is also now the director
- [SGEM Xtra: Unbreak My Heart - Women and Cardiovascular Disease](https://thesgem.com/2021/08/sgem-xtra-unbreak-my-heart-woman-and-cardiovascular-disease/) - Date: August 7th, 2021 Guest Skeptic: Dr. Susanne (Susy) DeMeester is an Emergency Physician practicing at St. Charles Medical Center in Bend, Oregon. She has been very involved with EMRAP's CorePendium as the cardiovascular section editor and has a chapter coming out soon on women and acute coronary syndrome. Dr. DeMeester was on SGEM#222 as
- [SGEM#339: I Don’t Need this Pressure On – Chest Wall Thickness at Needle Decompression Site](https://thesgem.com/2021/07/sgem339-i-dont-need-this-pressure-on-chest-wall-thickness-at-needle-decompression-site/) - Date: July 29th, 2021 Reference: Azizi et al. Optimal anatomical location for needle decompression for tension pneumothorax: A multicenter prospective cohort study. Injury 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the Air Force in Ohio. This is Bob’s 14th episode cohosting the SGEM. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS PODCAST DO NOT REPRESENT THE
- [SGEM Women and CVD](https://thesgem.com/2021/08/sgem-women-and-cvd/)
- [SGEM#231: You’re So Vein – IO vs. IV Access for OHCA](https://thesgem.com/2018/09/sgem231-youre-so-vein-io-vs-iv-access-for-ohca/) - [display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. His primary interests are resuscitation, prehospital critical
- [SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA](https://thesgem.com/2016/10/sgem162-not-stayin-alive-more-often-with-amiodarone-or-lidocaine-in-ohca/) - [display_podcast] Date: September 29th, 2016 Reference: Kudenchuk et al. Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. NEJM April 2016 Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. He writes an excellent blog called EM Nerd, which he describes as nihilistic ramblings. Case:
- [SGEM Memes Women and CVD](https://thesgem.com/2021/08/sgem-memes-women-and-cvd/)
- [SGEM Paper in a Pic #339](https://thesgem.com/2021/08/sgem-paper-in-a-pic-339/)
- [SGEM Twitter Poll #339](https://thesgem.com/2021/08/sgem-twitter-poll-339/)
- [SGEM Memes #339](https://thesgem.com/2021/08/sgem-memes-339/)
- [SGEM Xtra: Star Trek Made Me A Better Physician](https://thesgem.com/2021/07/sgem-xtra-star-trek-made-me-a-better-physician/) - Date: July 24th, 2021 Guest Skeptic: Dr. Brain Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto. He is the host of CBC radio show White Coat Black Art and the podcast The Dose. He is also the author of the bestselling books The Night Shift, Secret language of Doctors, and the Power of
- [SGEM Twitter Poll #338](https://thesgem.com/2021/07/sgem-twitter-poll-338/)
- [SGEM Paper in a Pic #338](https://thesgem.com/2021/07/sgem-paper-in-a-pic-338/)
- [SGEM#337: Amazing GRACE-1 How Sweet the Guidelines - Recurrent, Low Risk Chest Pain in the Emergency Department](https://thesgem.com/2021/07/sgem337-amazing-grace-1-how-sweet-the-guidelines-recurrent-low-risk-chest-pain-in-the-emergency-department/) - Date: July 1st, 2021 Guest Skeptic #1: Dr. Chris Carpenter is Professor of Emergency Medicine at Washington University in St. Louis and a member of their Emergency Medicine Research Core. He is a member of the SAEM Board of Directors and the former Chair of the SAEM EBM Interest Group and ACEP Geriatric Section. He is
- [SGEM Memes #338](https://thesgem.com/2021/07/sgem-memes-338/)
- [SGEM#90: Hunting High and Low (Best MAP for Sepsis Patients)](https://thesgem.com/2014/10/sgem90-hunting-high-and-low-best-map-for-sepsis-patients/) - [display_podcast] Date: October 1st, 2014 Guest Skeptics: Dr. Erin Brennan and Dr. Stuart Douglas. Residents in Emergency Medicine at Queen’s University. This is another SGEM Journal Club. It was recorded live in Kingston, Ontario at Queen's University. Thank you to Dr. Heather Murray and all the staff and residents. I had a great time and you have a
- [SGEM#338: Are Children with CAP Safe and Sound if Treated for 5d Rather than 10d of Antibiotics?](https://thesgem.com/2021/07/sgem338-are-children-with-cap-safe-and-sound-if-treated-for-5d-rather-than-10d-of-antibiotics/) - Date: July 14th, 2021 Reference: Pernica et al. Short-Course Antimicrobial Therapy for Pediatric Community-Acquired Pneumonia: The SAFER Randomized Clinical Trial. JAMA Pediatr. 2021. 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 Forget the Bubbles (DFTB). When not
- [SGEM Twitter Poll #337](https://thesgem.com/2021/07/sgem-twitter-poll-337/)
- [SGEM Memes #337](https://thesgem.com/2021/07/sgem-memes-337/)
- [SGEM#335: Sisters are Doin' It for Themselves…Self-Obtained Vaginal Swabs for STIs](https://thesgem.com/2021/06/sgem335-sisters-are-doin-it-for-themselves/) - Date: June 25th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Reference: Chinnock et al. Self-obtained vaginal swabs are not inferior to provider-performed endocervical sampling for emergency department diagnosis of Neisseria gonorrhoeae and Chlamydia
- [SGEM Twitter Poll #336](https://thesgem.com/2021/07/sgem-twitter-poll-336/)
- [SGEM Paper in a Pic #336](https://thesgem.com/2021/07/sgem-paper-in-a-pic-336/)
- [SGEM Memes #336](https://thesgem.com/2021/07/sgem-memes-336/)
- [SGEM Paper in a Pic #335](https://thesgem.com/2021/07/sgem-paper-in-a-pic-335/)
- [SGEM Paper in a Pic #334](https://thesgem.com/2021/06/sgem-paper-in-a-pic-334/)
- [SGEM Twitter Poll #335](https://thesgem.com/2021/06/sgem-twitter-poll-335/)
- [SGEM Memes #335](https://thesgem.com/2021/06/sgem-memes-335/)
- [SGEM Twitter Poll #334](https://thesgem.com/2021/06/sgem-twitter-poll-334/)
- [SGEM Memes #334](https://thesgem.com/2021/06/sgem-memes-334/)
- [SGEM#334: In My Life there’s been Earache and Pain I don’t know if it’s IBI again - in an Afebrile Infant with Acute Otitis Media](https://thesgem.com/2021/06/sgem334-in-my-life-theres-been-earache-and-pain-i-dont-know-if-its-ibi-again-in-an-afebrile-infant-with-acute-otitis-media/) - Date: June 11th, 2021 Guest Skeptic: Dr. Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Reference: McLaren SH, et al. Invasive bacterial infections in afebrile infants diagnosed with acute otitis media. Pediatrics 2021 Case: You are working with a medical student at the emergency department when a 2-month-old boy is
- [SGEM#234: Contrast Induced Nephropathy – A Unicorn?](https://thesgem.com/2018/10/sgem234-contrast-induced-nephropathy-a-unicorn/) - [display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Acute Kidney Injury After Computed Tomography: A Meta-analysis. Ann Emerg Med 2018 (CRD42017056195) Reference #2: Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. NEJM 2018 (ClinicalTrials.gov NCT01467466.) Guest Skeptic: Dr. Lauren Westafer is a board
- [SGEM#331: Should Patients with a Concussion be told to Walk this Way!](https://thesgem.com/2021/05/sgem331-should-patients-with-a-concussion-be-told-to-walk-this-way/) - Date: May 21st, 2021 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 cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency
- [SGEM Paper in a Pic #333](https://thesgem.com/2021/06/sgem-paper-in-a-pic-333/)
- [SGEM Memes #333](https://thesgem.com/2021/06/sgem-memes-333/)
- [SGEM Twitter Poll #333](https://thesgem.com/2021/06/sgem-twitter-poll-333/)
- [SGEM Paper in a Pic #332](https://thesgem.com/2021/06/sgem-paper-in-a-pic-332/)
- [SGEM Xtra: High-Value Care Post Covid19 – Did you ever have to make up your mind?](https://thesgem.com/2021/06/sgem-xtra-high-value-care-post-covid19-did-you-ever-have-to-make-up-your-mind/) - Date: May 28th, 2021 Guest Skeptics: Heather Logan is the executive Strategy lead for the Canadian Agency for Drug and Technologies in Health (CADTH). Dr. Wendy Levinson is the Chair of Choosing Wisely Canada (CWC) and a Professor of Medicine, University of Toronto This SGEM Xtra is based on document created by CADTH and presented at Choosing Wisely Canada
- [SGEM Memes #332](https://thesgem.com/2021/06/sgem-memes-332/)
- [SGEM Twitter Poll #332](https://thesgem.com/2021/06/sgem-twitter-poll-332/)
- [SGEM#332: Think Outside the Cardiac Box](https://thesgem.com/2021/05/sgem332-think-outside-the-cardiac-box/) - Date: May 20th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Reference: Jhunjhunwala et al. Reassessing the cardiac box: A comprehensive evaluation of the relationship between thoracic gunshot wounds and cardiac injury. Journal of Trauma and
- [SGEM Paper in a Pic #331](https://thesgem.com/2021/05/sgem-paper-in-a-pic-331/)
- [SGEM Paper in a Pic #330](https://thesgem.com/2021/05/sgem-paper-in-a-pic-330/)
- [SGEM Twitter Poll #331](https://thesgem.com/2021/05/sgem-twitter-poll-331/)
- [SGEM Memes #331](https://thesgem.com/2021/05/sgem-memes-331/)
- [SGEM Memes #330](https://thesgem.com/2021/05/sgem-memes-330/)
- [SGEM Twitter Poll #330](https://thesgem.com/2021/05/sgem-twitter-poll-330/)
- [SGEM Paper in a Pic #329](https://thesgem.com/2021/05/sgem-paper-in-a-pic-329/)
- [SGEM Twitter Poll #329](https://thesgem.com/2021/05/sgem-twitter-poll-329/)
- [SGEM Memes #329](https://thesgem.com/2021/05/sgem-memes-329/)
- [SGEM#328: I Can't fight this Med Any Longer – Droperidol for Acute Agitation](https://thesgem.com/2021/04/sgem328-i-cant-fight-this-med-any-longer-droperidol-for-acute-agitation/) - Date: April 19th, 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She is Chair of the Royal College of Emergency Medicine Women in Emergency Medicine group and involved with the RCEM Public Health and Informatics groups. Kirsty is
- [SGEM Xtra: The NNT is Mellow Yellow for tPA in Acute Ischemic Stroke](https://thesgem.com/2021/05/sgem-xtra-the-nnt-is-mellow-yellow-for-tpa-in-acute-ischemic-stroke/) - Date: April 30th, 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com. He is also one of the SGEM Hot Off the Press Faculty. Reference: Donaldson et al. Review article: Why is there still a debate regarding the safety and efficacy of intravenous thrombolysis in the
- [SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?](https://thesgem.com/2021/05/sgem329-will-corticosteroids-help-ifi-will-survive-a-cardiac-arrest/) - Date: May 7th, 2021 Guest Skeptic: Dr. Ryan Stanton is a community emergency physician with Central Emergency Physicians in Lexington, KY. He is on the Board of Directors for the American College of Emergency Physicians and host of the ACEP Frontline Podcast. He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR
- [SGEM Paper in a Pic #328](https://thesgem.com/2021/04/sgem-paper-in-a-pic-328/)
- [SGEM Twitter Poll #328](https://thesgem.com/2021/04/sgem-twitter-poll-328/)
- [SGEM Memes #328](https://thesgem.com/2021/04/sgem-memes-328/)
- [SGEM Paper in a Pic #327](https://thesgem.com/2021/04/sgem-paper-in-a-pic-327/)
- [SGEM Twitter Poll #327](https://thesgem.com/2021/04/sgem-twitter-poll-327/)
- [SGEM Memes #327](https://thesgem.com/2021/04/sgem-memes-327/)
- [SGEM#327: MAGNUM PA – Nebulized Magnesium for Pediatric Asthma](https://thesgem.com/2021/04/sgem327-magnum-pa-nebulized-magnesium-for-pediatric-asthma/) - Date: April 16th, 2021 Guest Skeptic: Dr. Anthony Crocco is the Deputy Chief - McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. Reference: Schuh et al. Effect of Nebulized Magnesium vs Placebo Added to Albuterol on Hospitalization Among Children With Refractory Acute Asthma Treated in the Emergency Department: A Randomized Clinical
- [SGEM Twitter Poll #326](https://thesgem.com/2021/04/sgem-twitter-poll-326/)
- [SGEM Paper in a Pic #326](https://thesgem.com/2021/04/sgem-paper-in-a-pic-326/)
- [SGEM Memes #326](https://thesgem.com/2021/04/sgem-memes-326/)
- [SGEM#326: The SALSA Study: Hypertonic Saline to Treat Hyponatremia](https://thesgem.com/2021/04/sgem326-the-salsa-study-hypertonic-saline-to-treat-hyponatremia/) - Date: April 6th, 2021 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from the NW of Australia. He is a GP by training but works in Emergency Department, Anaesthesia, Internal Medicine and Paediatrics. Dr. Parker is currently studying to become a Sonologist. He has a wonderful #FOAMed blog and podcast called Broomedocs and also work
- [SGEM Twitter Poll #325](https://thesgem.com/2021/04/sgem-twitter-poll-325/)
- [SGEM Paper in a Pic #325](https://thesgem.com/2021/04/sgem-paper-in-a-pic-325/)
- [SGEM Memes #325](https://thesgem.com/2021/04/sgem-memes-325/)
- [SGEM#75: Video Killed Direct Laryngoscopy?](https://thesgem.com/2014/05/sgem75-video-killed-direct-laryngoscopy/) - [display_podcast] Date: May 13th, 2014 Guest Skeptics: Dr. Steve Carroll is an active duty Emergency Medicine Physician with the US Army. He runs the EM Basic podcast which reviews core EM topics at the level of a medical student or intern. Steve is currently on the clinical staff at Darnall Army Community Hospital in Fort Hood Texas.
- [SGEM Paper in a Pic #324](https://thesgem.com/2021/04/sgem-paper-in-a-pic-324/)
- [SGEM Twitter Poll #324](https://thesgem.com/2021/03/sgem-twitter-poll-324/)
- [SGEM Memes #324](https://thesgem.com/2021/03/sgem-memes-324/)
- [SGEM#324: Blow Away, Blow Away, Blow Away - Spirometry for Discharging Older Patients with Rib Fractures](https://thesgem.com/2021/03/sgem324-blow-away-blow-away-blow-away-spirometry-for-discharging-older-patients-with-rib-fractures/) - Date: March 17th, 2021 Guest Skeptic: Dr. Emil Ejersbo Iversen is an emergency medicine resident at the University Hospital of Zealand, Denmark. He currently serves as Vice-Chair of the Danish Society for Emergency Medicine and Chair of the Young Doctors in Emergency Medicine in Denmark. He has a passion for FOAMed and is the creator of the
- [SGEM#323: Mama I’m Comin’ Home – For Outpatient Treatment of a Pulmonary Embolism](https://thesgem.com/2021/03/sgem323-momma-im-comin-home-for-outpatient-treatment-of-a-pulmonary-embolism/) - Date: March 16th, 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Westafer et al. Outpatient Management of Patients Following Diagnosis of Acute Pulmonary Embolism. AEM March 2021 Case: You are evaluating a 48-year-old female for pleuritic chest pain. She is low risk
- [SGEM Memes #323](https://thesgem.com/2021/03/sgem-memes-323/)
- [SGEM Twitter Poll #323](https://thesgem.com/2021/03/sgem-twitter-poll-323/)
- [SGEM Paper in a Pic #322](https://thesgem.com/2021/03/sgem-paper-in-a-pic-322/)
- [SGEM Paper in a Pic #321](https://thesgem.com/2021/03/sgem-paper-in-a-pic-321/)
- [SGEM Twitter Poll #322](https://thesgem.com/2021/03/sgem-twitter-poll-322/)
- [SGEM Memes #322](https://thesgem.com/2021/03/sgem-memes-322/)
- [SGEM#322: TXA for SAH - Won’t Stop Me Now](https://thesgem.com/2021/03/sgem322-txa-for-sah-wont-stop-me-now/) - Date: March 11th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Ohio. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US AIR FORCE. Reference: Post et al. Ultra-early tranexamic acid after subarachnoid haemorrhage (ULTRA): a randomised controlled trial. Lancet 2021 Case: You’re
- [SGEM#51: Home (Discharging Patients with Acute Pulmonary Emboli Home from the Emergency Department)](https://thesgem.com/2013/11/sgem51-home-discharging-patients-with-acute-pulmonary-emboli-home-from-the-emergency-department/) - [display_podcast] Date: October 30, 2013 Guest Skeptics: Dr. Chris Carpenter, Associate Professor (Emergency Medicine), Washington University, Author Diagnostic Testing and Clinical Decision Rules. Dr. Lazo-Langner, Assistant Professor, Western University, Department of Epidemiology and Biostatistics and Department of Medicine (Division of Hematology). Case:Healthy 19 year old undergraduate student presents with chest pain
- [SGEM#321: The Times they are a Changin’ for TXA in Epistaxis?](https://thesgem.com/2021/03/sgem321-the-times-they-are-a-changin-for-txa-in-epistaxis/) - Date: March 4th, 2021 Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Joseph’s Regional Medical Center in Paterson, NJ. Managing editor of EM:RAP and Associate Editor at REBEL EM. Reference: Reuben A et al. The Use of Tranexamic Acid to Reduce the Need for Nasal Packing in Epistaxis (NoPAC): Randomized Controlled Trial. Ann Emerg
- [SGEM#53: Sunday, Bloody Sunday (Epistaxis and Tranexamic Acid)](https://thesgem.com/2013/11/sgem53-sunday-bloody-sunday-epistaxis-and-tranexamic-acid/) - [display_podcast] Date: November 17, 2013 Guest Skeptic: Dr. Erich Hanel, Assistant Professor of Emergency Medicine at McMaster University and the newest member of the BEEM Dream Team Case: A 72-year-old man presents with epistaxis. He has no history of coagulopathy but does have a history of hypertension, coronary artery disease and osteoarthritis. His vital signs are BP
- [SGEM Memes #321](https://thesgem.com/2021/03/sgem-memes-321/)
- [SGEM Twitter Poll #321](https://thesgem.com/2021/03/sgem-twitter-poll-321/)
- [SGEM#320: The RAMPED Trial – It’s a Gas, Gas, Gas](https://thesgem.com/2021/02/sgem320-the-ramped-trial-its-a-gas-gas-gas/) - Date: February 18th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Reference: Brichko et al. Rapid Administration of Methoxyflurane to Patients in the Emergency Department (RAMPED): A Randomised controlled trial of Methoxyflurane vs Standard care.
- [SGEM Paper in a Pic #320](https://thesgem.com/2021/03/sgem-paper-in-a-pic-320/)
- [SGEM Twitter Poll #320](https://thesgem.com/2021/03/sgem-twitter-poll-320/)
- [SGEM Memes #320](https://thesgem.com/2021/03/sgem-memes-320/)
- [SGEM Xtra: Dogmalysis 2021](https://thesgem.com/2021/02/sgem-xtra-dogmalysis-2021/) - Date: February 19th, 2021 This is an SGEM Xtra episode. I had the honour of presenting at the Lehigh Valley Health Network Grand Rounds on February 4th, 2021. The title of the talk "Dogmalysis: Five Medical Myths in Emergency Medicine". The presentation is available to listen to on iTunes and GooglePlay and all the slides can be downloaded
- [SGEM#210: (Don't) Let it Bleed - TXA for Epistaxis in Patients on Anti-Platelet Drugs](https://thesgem.com/2018/03/dont-let-it-bleed-txa-for-epistaxis-in-patients-on-anti-platelet-drugs/) - [display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Topical Tranexamic Acid Compared With Anterior Nasal Packing for Treatment of Epistaxis in Patients Taking Antiplatelet Drugs: Randomized Controlled Trial. AEM March 2018. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of
- [SGEM#63: Goldfinger (More Dogma of Wound Care)](https://thesgem.com/2014/02/sgem63-goldfinger-more-dogma-of-wound-care/) - [display_podcast] Date: February 22, 2014 Guest Skeptic: Eve Purdy, Queens' University Reference: Quinn JV, Polevoi SK & Kohn MA. Traumatic lacerations: what are the risks for infection and has the ‘golden period’ of laceration care disappeared? EMJ. 2014. Case: An otherwise health 24-year-old man was out at the bar and got into a bit of a
- [SGEM #9: Who Let the Dogs Out? (Wound Care)](https://thesgem.com/2012/10/podcast-9-the-dogma-of-wound-care/) - [display_podcast] Date: 28 October 2012 Case Presentation: A 45-year-old man presents to the emergency department (ED) with a laceration to his finger. He was washing the dishes and a glass broke. There is a 1cm full thickness laceration on the pad of his index finger. The bleeding has stopped, skin edges look good, tetanus is up-to-date and he wants to know
- [SGEM Paper in a Pic #319](https://thesgem.com/2021/02/sgem-paper-in-a-pic-319/)
- [SGEM Memes #319](https://thesgem.com/2021/02/sgem-memes-319/)
- [SGEM Twitter Poll #319](https://thesgem.com/2021/02/sgem-twitter-poll-319/)
- [SGEM#319: Is it Aseptic Meningitis or More Than This?](https://thesgem.com/2021/02/sgem319-is-it-aseptic-meningitis-or-more-than-this/) - Date: February 12th, 2021 Guest Skeptic: Dr. Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Reference: Mintegi S et al. Clinical Prediction Rule for Distinguishing Bacterial from Aseptic Meningitis. Pediatrics 2020 Case: A 4-year-old immunized girl presents to the emergency department (ED) with a fever and rhinorrhea for the
- [SGEM Twitter Poll #318](https://thesgem.com/2021/02/sgem-twitter-poll-318/)
- [SGEM Paper in a Pic #318](https://thesgem.com/2021/02/sgem-paper-in-a-pic-318/)
- [SGEM Memes #318](https://thesgem.com/2021/02/sgem-memes-318/)
- [SGEM#318: Why Am I Throwing Up - Because You Got High](https://thesgem.com/2021/02/sgem318-why-am-i-throwing-up-because-you-got-high/) - Date: January 20th, 2021 Guest Skeptics: Dr. Thorben Doll and Dr. Johannes Pott. They are both fourth year resident doctors in anesthesiology, intensive care and emergency care in St. Bernward Hospital in Hildesheim, Germany. Thorben and Johannes have a knowledge translation project called Pin-Up-Docs. It is a German emergency medicine and intensive care podcast. Their mission
- [SGEM#86: Achy Breaky Heart (Colchicine for Acute Pericarditis)](https://thesgem.com/2014/09/sgem86-achy-breaky-heart-colchicine-for-acute-pericarditis/) - [display_podcast] Date: August 26th, 2014 Guest Skeptic: Dr. Chris Bond. Chris is a clinical lecturer and emergency physician at the University of Calgary, #FOAM blogger, dogma basher, wine and food supergeek. Chris has a blog called SOCMOB, is part of the REBEL-EM Alliance and did a blog entry on colchicine for pericarditis. Reference: Imazio, et al. A Randomized
- [SGEM#317: Dese Bones Gonna Heal Again – With or Without a Non-Selective NSAID](https://thesgem.com/2021/01/sgem317-dese-bones-gonna-heal-again-with-or-without-a-non-selective-nsaid/) - Date: January 22nd, 2021 Guest Skeptic: Dr. Steve Joseph. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. He served with the Canadian Forces as a Medical Officer and Flight Surgeon. Steve is currently an Assistant Professor in the Department of Family Medicine at Western University (London, Ontario)
- [SGEM Memes #317](https://thesgem.com/2021/02/sgem-memes-317/)
- [SGEM#316: What A Difference An A.P.P. Makes? Diagnostic Testing Differences Between A.P.P.s and Physicians](https://thesgem.com/2021/01/sgem316-what-a-difference-an-a-p-p-makes-diagnostic-testing-differences-between-a-p-p-s-and-physicians/) - Date: January 20th, 2021 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 cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and research methodology editor for Annals of Emergency Medicine
- [SGEM Paper in a Pic #316](https://thesgem.com/2021/01/sgem-paper-in-a-pic-316/)
- [SGEM Twitter Poll #316](https://thesgem.com/2021/01/sgem-twitter-poll-316/)
- [SGEM Xtra: Happy New Year 2021](https://thesgem.com/2021/01/sgem-xtra-happy-new-year-2021/) - Date: January 7th, 2021 Happy New Years to all the SGEMers. I know 2020 has been a bit of a dumpster fire. We have all faced challenges During the COVID19 global pandemic. I tried not to contribute to the large volume of information coming out on Sars-Cov2. There were only four episodes that directly addressed
- [SGEM Paper in a Pic #315](https://thesgem.com/2021/01/sgem-paper-in-a-pic-315/)
- [SGEM Twitter Poll #315](https://thesgem.com/2021/01/sgem-twitter-poll-315/)
- [SGEM Memes #316](https://thesgem.com/2021/01/sgem-memes-316/)
- [SGEM Twitter Poll #314](https://thesgem.com/2021/01/sgem-twitter-poll-314/)
- [SGEM Paper in a Pic #314](https://thesgem.com/2021/01/sgem-paper-in-a-pic-314/)
- [SGEM#315: Comfortably Numb with Topical Tetracaine for Corneal Abrasions](https://thesgem.com/2021/01/sgem315-comfortably-numb-with-topical-tetracaine-for-corneal-abrasions/) - Date: January 5th, 2021 Reference: Shipman et al. Short-Term Topical Tetracaine Is Highly Efficacious for the Treatment of Pain Caused by Corneal Abrasions: A Double-Blind, Randomized Clinical Trial. Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “Dr. Glaucomflecken” on Twitter and
- [SGEM#18: Eye of the Tiger (Traumatic Hyphema)](https://thesgem.com/2013/01/sgem18-eye-of-the-tiger/) - [display_podcast] Date: 6 January 2013 Case Scenario: 18-year-old male who was "doing nothing" when someone jumped him and punched him in the face. He has a hyphema in his left eye. His visual acuity is 20/20 OU and has no other injuries. Background on Traumatic Hyphema: Hyphemas are defined as blood in the anterior chamber (between the
- [SGEM Memes #314](https://thesgem.com/2021/01/sgem-memes-314/)
- [SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?](https://thesgem.com/2021/01/sgem314-ohca-should-you-take-em-on-the-run-baby-if-you-dont-get-rosc/) - Date: January 5th, 2021 Reference: Grunau et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services
- [SGEM Xtra: EBM Master Class - McGill University Grand Rounds 2020](https://thesgem.com/2021/01/sgem-xtra-ebm-master-class-mcgill-university-grand-rounds-2020/) - Date: January 4th, 2021 This is an SGEM Xtra episode. I had the honour of presenting at the McGill University Emergency Medicine Academic Grand rounds. They titled the talk "Evidence-Based Medicine Master Class". The presentation is available to watch on YouTube, listen to on iTunes and all the slides can be downloaded (McGill 2020 Part 1 and
- [SGEM PaperinaPic #313](https://thesgem.com/2020/12/sgem-paperinapic-313/)
- [SGEM Twitter Poll #313](https://thesgem.com/2020/12/sgem-twitter-poll-313/)
- [SGEM Memes #313](https://thesgem.com/2020/12/sgem-memes-313/)
- [SGEM Xtra: Relax - Damm It!](https://thesgem.com/2020/12/sgem-xtra-relax-damm-it/) - Date: December 21st, 2020 This is a SGEM Xtra book review. I had the pleasure of interviewing Professor Timothy Caulfield. Tim is a Canadian professor of law at the University of Alberta, the Research Director of its Health Law Institute, and current Canada Research Chair in Health Law and Policy. His area of expertise is
- [SGEM#313: Here Comes A Regular to the ED](https://thesgem.com/2020/12/sgem313-here-comes-a-regular-to-the-ed/) - Date: December 18th, 2020 Reference: Hulme et al. Mortality among patients with frequent emergency department use for alcohol-related reasons in Ontario: a population-based cohort study. CMAJ 2020 Guest Skeptic: Dr. Hasan Sheikh is an emergency and addictions physician in Toronto and a lecturer at the University of Toronto. He holds a Masters in Public Administration from the
- [SGEM Paper in a Pic #312](https://thesgem.com/2020/12/sgem-paper-in-a-pic-312/)
- [SGEM Twitter Poll #312](https://thesgem.com/2020/12/sgem-twitter-poll-312/)
- [SGEM Memes #312](https://thesgem.com/2020/12/sgem-memes-312/)
- [SGEM#83: In Your Eyes (Topical Tetracaine for Corneal Abrasions)](https://thesgem.com/2014/07/sgem83-in-your-eyes-topical-tetracaine-for-corneal-abrasions/) - [display_podcast] Date: July 12th, 2014 Rebel Skeptic: Dr. Salim Rezaie is an Assistant Professor in the Department of Emergency Medicine and Internal Medicine at the University of Texas at San Antonio. You may better know him from his website REBEL EM or twitter handle @srrezaie. Case Scenario: 47 year old man is playing Marco Polo in the pool with his
- [SGEM Twitter Poll #311](https://thesgem.com/2020/12/sgem-twitter-poll-311/)
- [SGEM#311: Here We Go Loop De Loop to Treat Abscesses](https://thesgem.com/2020/12/sgem311-here-we-go-loop-de-loop-to-treat-abscesses/) - Date: December 10th, 2020 Reference: Ladde et al. A Randomized Controlled Trial of Novel Loop Drainage Technique Versus Drainage and Packing in the Treatment of Skin Abscesses. AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She is
- [SGEM#312: Oseltamivir is like Bad Medicine – for Influenza](https://thesgem.com/2020/12/sgem312-oseltamivir-is-like-bad-medicine-for-influenza/) - Date: December 16th, 2020 Reference: Butler et al. Oseltamivir plus usual care versus usual care for influenza-like illness in primary care: an open-label, pragmatic, randomised controlled trial. The Lancet 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. He has a great new blog post about how
- [SGEM#215: Love Will Tear Us Apart – Diagnostic Challenges of Aortic Dissection](https://thesgem.com/2018/04/sgem215-love-will-tear-us-apart-diagnostic-challenges-of-aortic-dissection/) - [display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). Case: You are in the emergency department caring for a 65-year-old man
- [SGEM#310: I Heard A Rumour - ER Docs are Not Great at the HINTS Exam](https://thesgem.com/2020/12/sgem310-i-heard-a-rumour-er-docs-are-not-great-at-the-hints-exam/) - Date: November 30th, 2020 Reference: Ohle R et al. Can Emergency Physicians Accurately Rule Out a Central Cause of Vertigo Using the HINTS Examination? A Systematic Review and Meta-analysis. AEM 2020 Guest Skeptic: Dr. Mary McLean is an Assistant Program Director at St. John’s Riverside Hospital Emergency Medicine Residency in Yonkers, New York. She is
- [SGEM Paper in a Pic #310](https://thesgem.com/2020/12/sgem-paper-in-a-pic-310/)
- [SGEM Paper in a Pic #311](https://thesgem.com/2020/12/sgem-paper-in-a-pic-311/)
- [SGEM Memes #311](https://thesgem.com/2020/12/sgem-memes-311/)
- [SGEM#218: Excited Delirium Syndrome](https://thesgem.com/2018/05/sgem218-excited-delirium-syndrome/) - [display_podcast] Date: May 12th, 2018 Reference: Gonin P et al. Excited Delirium: A Systematic Review. AEM May 2018. Guest Skeptic: Dr. Chris Bond is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris also has his own
- [SGEM Twitter Poll #310](https://thesgem.com/2020/12/sgem-twitter-poll-310/)
- [SGEM Memes #310](https://thesgem.com/2020/12/sgem-memes-310/)
- [SGEM#308: Taking Care of Patients Everyday with Physician Assistants and Nurse Practitioners](https://thesgem.com/2020/11/sgem308-taking-care-of-patients-with-pas-and-nps/) - Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Pines et al. The impact of advanced practice provider staffing on emergency department care: productivity, flow, safety, and experience. AEM November 2020. Case: You are the medical director of a medium sized
- [SGEM#213: Upside Down You Convert Me Out of SVT?](https://thesgem.com/2018/04/sgem213-upside-down-you-convert-me-out-of-svt/) - [display_podcast] Date: March 30th, 2018 Reference: Bronzetti et al. Upside-down position for the out of hospital management of children with supraventricular tachycardia. International Journal of Cardiology. February 2018. Guest Skeptic: Dr. Robert Edmonds is an Emergency physician in the US Air Force. This is his 6th visit to the SGEM. DISCLAIMER: The views and opinions of this podcast do
- [SGEM Paper in a Pic #309](https://thesgem.com/2020/12/sgem-paper-in-a-pic-309/)
- [SGEM Twitter Poll #309](https://thesgem.com/2020/12/sgem-twitter-poll-309/)
- [SGEM#221: Smells Like Isopropyl Alcohol for Nausea](https://thesgem.com/2018/06/sgem221-smells-like-isopropyl-alcohol-for-nausea/) - [display_podcast] Date: June 8th, 2018 Reference: April MD, et al. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. She’s recently transitioned into industry, taking on a position
- [SGEM Memes #309](https://thesgem.com/2020/11/sgem-memes-309/)
- [SGEM Xtra: Everything You Know is Wrong](https://thesgem.com/2014/10/sgem-xtra-everything-you-know-is-wrong/) - [display_podcast] Date: October 29th, 2014 Guest Skeptic: Dr. Jeremy Faust. Emergency Medicine Resident, Mt. Sinai Hospital, New York City. Co-Creator of FOAM Cast with Dr. Lauren Westfer. This is a Skeptics' Guide to Emergency Medicine Extra (SGEM-Xtra). An extra blog/podcast created in addition to the weekly content. Normally we do a structured critical review of a
- [SGEM Paper in a Pic #308](https://thesgem.com/2020/11/sgem-paper-in-a-pic-308/)
- [SGEM Twitter Poll #308](https://thesgem.com/2020/11/sgem-twitter-poll-308/)
- [SGEM Memes #308](https://thesgem.com/2020/11/sgem-memes-308/)
- [SGEM#23: A Bump Up Ahead (Diagnosis of Appendicitis)](https://thesgem.com/2013/02/sgem23-a-bump-up-ahead/) - [display_podcast] Date: 10 February 2013 Case Scenario: 28-year-old woman presents to the emergency department at 2am with steadily increasing right lower quadrant (RLQ) pain. She has a past medical history of ovarian cysts. Her vital signs are stable, afebrile and tender over the RLQ. The blood work is unremarkable and specifically her pregnancy test is negative. Ultrasound
- [SGEM Paper in a Pic #307](https://thesgem.com/2020/11/sgem-paper-in-a-pic-307/)
- [SGEM Memes #307](https://thesgem.com/2020/11/sgem-memes-307/)
- [SGEM Twitter Poll #307](https://thesgem.com/2020/11/sgem-twitter-poll-307/)
- [SGEM#201: It's in the Way That You Use It - Ottawa SAH Tool](https://thesgem.com/2018/01/sgem201-its-in-the-way-that-you-use-it-ottawa-sah-tool/) - [display_podcast] Date: December 19th, 2017 Reference: Perry J et al. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. Case: A 35-year-old female presents to your emergency
- [SGEM#48: Thunderstruck (Subarachnoid Hemorrhage)](https://thesgem.com/2013/10/sgem48-thunderstruck-sah/) - [display_podcast] Date: October 9, 2013 Guest Skeptic: Dr. Jeff Perry. Senior Scientist, Clinical Epidemiology, Ottawa Hospital Research Institute. Associate Professor, Department of Emergency Medicine, Faculty of Medicine, University of Ottawa. Case Scenario: A 34-year-old woman presents with acute onset of headache peaking in 30 minutes with no recent trauma, focal deficits and a normal neurologic examination. Question:
- [SGEM#306: Fire Brigade and the Staying Alive App for OHCAs in Paris](https://thesgem.com/2020/10/sgem306-fire-brigade-and-the-staying-alive-app-for-ohcas-in-paris/) - Date: October 21st, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician, creator of the excellent #FOAMed project called First10EM.com and a member of the #SGEMHOP team. Reference: Derkenne et al. Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year "Greater Paris Fire Brigade" Experience. AEM Oct 2020. Case: You are waiting in
- [SGEM#185: Every EHR Wants to “Rule” the World](https://thesgem.com/2017/07/sgem185-every-ehr-wants-to-rule-the-world/) - [display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. AEM July 2017. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator
- [SGEM#159: Computer Games – Computer Provider Order Entry (CPOE)](https://thesgem.com/2016/07/sgem159-computer-games-computer-provider-order-entry-cpoe/) - [display_podcast] Date: July 5th, 2016 Guest Skeptic: Dr. Chris Bond. Chris is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. Chris also has his own #FOAMed blog called Standing on the Corner Minding My
- [SGEM#307: Buff up the lido for the local anesthetic](https://thesgem.com/2020/10/sgem307-buff-up-the-lido-for-the-local-anesthetic/) - Date: October 29th, 2020 Guest Skeptic: Martha Roberts is a critical and emergency care, triple-certified nurse practitioner currently living and working in Sacramento, California. She is the host of EM Bootcamp in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education (CCME). She writes a blog
- [SGEM Twitter Poll #306](https://thesgem.com/2020/10/sgem-twitter-poll-306/)
- [SGEM Twitter Poll #305](https://thesgem.com/2020/10/sgem-twitter-poll-305/)
- [SGEM Paper in a Pic #306](https://thesgem.com/2020/10/sgem-paper-in-a-pic-306/)
- [SGEM#209: Cephalexin - You Are My Only One for Uncomplicated Cellulitis](https://thesgem.com/2018/03/sgem209-cephalexin-you-are-my-only-one-for-uncomplicated-cellulitis/) - [display_podcast] Date: February 27th, 2018 Reference: Moran et al. Effect of Cephalexin plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis - A Randomized Clinical Trial. JAMA May 2017. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. He also hosts a great #FOAMed
- [SGEM#164: Cuts Like a Knife - But you Might Also Need Antibiotics for Uncomplicated Skin Abscesses](https://thesgem.com/2016/10/sgem164-cuts-like-a-knife-but-you-might-also-need-antibiotics-for-uncomplicated-skin-abscesses/) - [display_podcast] Date: October 13th, 2016 Reference: Talan et al. Trimethoprim–Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess. NEJM March 2016 Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant working primarily in rural Missouri in community hospitals. He has international experience in critical care and emergency medicine. He has a new blog called TOTAL EM, which stands
- [SGEM #13: Better Out than In (Simple Cutaneous Abscesses)](https://thesgem.com/2012/12/podcast-13-better-out-than-in/) - [display_podcast] Date: 2 December 2012 Case Presentation: Healthy 45-year-old man presents with a 3cm abscess under left arm. There is no surrounding cellulitis. He is not an intravenous drug user and never had an abscess before. You make the diagnosis of an uncomplicated superficial cutaneous abscess. You know that antibiotics are probably not necessary after incision
- [SGEM Memes #306](https://thesgem.com/2020/10/sgem-memes-306/)
- [SGEM Xtra: How to Think, Not What to Think](https://thesgem.com/2020/10/sgem-xtra-how-to-think-not-what-to-think/) - Date: October 21st, 2020 This is an SGEM Xtra episode. I had the honour of presenting at the Department of Family Medicine's Grand Rounds at the Schulich School of Medicine and Dentistry. The title of the talk was: How to think, not what to think. The presentation is available to watch on YouTube, listen to on
- [SGEM Paper in a Pic #305](https://thesgem.com/2020/10/sgem-paper-in-a-pic-305/)
- [SGEM Memes #305](https://thesgem.com/2020/10/sgem-memes-305/)
- [SGEM#305: Somebody Get Me A Doctor – But Do I Need TXA by EMS for a TBI?](https://thesgem.com/2020/10/sgem305-somebody-get-me-a-doctor-but-do-i-need-txa-by-ems-for-a-tbi/) - Date: October 14th, 2020 Guest Skeptic: Dr.Salim Rezaie is a community emergency physician at Greater San Antonio Emergency Physicians (GSEP), where he is the director of clinical education. Salim is probably better known as the creator and founder of the wonderful knowledge translation project called REBEL EM. It is a free, critical appraisal blog and podcast
- [SGEM Paper in a Pic #304](https://thesgem.com/2020/10/sgem-paper-in-a-pic-304/)
- [SGEM Twitter Poll #304](https://thesgem.com/2020/10/sgem-twitter-poll-304/)
- [SGEM Memes #304](https://thesgem.com/2020/10/sgem-memes-304/)
- [SGEM Xtra: Money, Money, Money It’s A Rich Man’s World - In the House of Medicine](https://thesgem.com/2020/10/sgem-xtra-money-money-money-its-a-rich-mans-world-in-the-house-of-medicine/) - Date: September 28th, 2020 Guest Skeptic: Dr.Michelle Cohen (@DocMCohen). She is a rural Family Physician, writer (CBC News, Toronto Star and McLean’s Magazine), Assistant Professor Queens University and the Co-Chair of the Advocacy Committee of Canadian Women in Medicine. This is an SGEM Xtra episode based on an article by Dr. Cohen and Dr. Kiran published in the Canadian
- [SGEM Paper in a Pic #303](https://thesgem.com/2020/10/sgem-paper-in-a-pic-303/)
- [SGEM#304: Treating Acute Low Back Pain – It’s Tricky, Tricky, Tricky](https://thesgem.com/2020/10/sgem304-treating-acute-low-back-pain-its-tricky-tricky-tricky/) - Date: October 9th, 2020 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED. Reference: Friedman et al. Ibuprofen Plus Acetaminophen
- [SGEM#143: Call Me Maybe for Bystander CPR](https://thesgem.com/2016/01/sgem143-call-me-maybe-for-bystander-cpr/) - [display_podcast] Date: January 14th, 2016 Guest Skeptics: Dave Harrison, Carl Berdahl and Todd Schneberk are Emergency Medicine residents in the Department of Emergency Medicine at the Keck School of Medicine of the University of Southern California. Reference: Ringh et al. Mobile-Phone dispatch of Laypersons for CPR in Out-of-Hospital Cardiac Arrest. NEJM June 2015 Case: A 78-year-old man with
- [SGEM#175: Dancing on the Ceiling with Ketorolac for Pain](https://thesgem.com/2017/04/sgem175-dancing-on-the-ceiling-with-ketorolac-for-pain/) - [display_podcast] Date: April 20th, 2017 Reference: Motov et al. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med Dec 2016 Guest Skeptic: Dr. Ken Milne is a front line community emergency medicine physician passionate about skepticism, evidence based medicine and knowledge translation.
- [SGEM Twitter Poll #303](https://thesgem.com/2020/10/sgem-twitter-poll-303/)
- [SGEM#87: Let Your Back Bone Slide (Paracetamol for Low-Back Pain)](https://thesgem.com/2014/09/sgem87-let-your-back-bone-slide-paracetamol-for-low-back-pain/) - [display_podcast] Date: September 17th, 2014 Guest Skeptic: Dr. Pal Ager-Wick is from Norway. Consultant at Legevakten in Drammen, which is a GP run ED handling most things except major trauma. Keen interest in everything evidence based especially ultrasound. Pal is bringing Matt and Mike from the Ultrasound podcast to Norway. Case Scenario: 35 year old man presents to
- [SGEM#173: Diazepam Won’t Get Back Pain Down](https://thesgem.com/2017/04/sgem173-diazepam-wont-get-back-pain-down/) - [display_podcast] Date: March 21st, 2017 Reference: Friedman BW et al. Diazepam is no better than placebo when added to naproxen for acute low back pain. Ann Emerg Med 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of EM at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The
- [SGEM#303: Two Can Make It - Less likely to have another stroke but more likely to have a bleed (THALES Trial)](https://thesgem.com/2020/10/sgem303-two-can-make-it-less-likely-to-have-another-stroke-but-more-likely-to-have-a-bleed-thales-trial/) - Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the Emergency Department of the Erasmus University Medical Center in Rotterdam, the Netherlands. She is the creator of the HEART Score and an enthusiastic researcher. Reference: Claiborne Johnston S et al. Ticagrelor and Aspirin or Aspirin Alone in Acute Ischemic Stroke or TIA. NEJM
- [SGEM Memes #303](https://thesgem.com/2020/10/sgem-memes-303/)
- [SGEM#302: We Didn’t Start the Fire but Can Antacid Monotherapy Stop the Fire?](https://thesgem.com/2020/09/sgem302-we-didnt-start-the-fire-but-can-antacid-monotherapy-stop-the-fire/) - Date: September 22nd, 2020 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician in Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. Reference: Warren et al. Antacid monotherapy is more effective in relieving epigastric pain than in combination with lidocaine. A randomized double-blind clinical trial. AEM Sept 2020. Case: A 34-year-old male presents
- [SGEM Paper in a Pic #302](https://thesgem.com/2020/10/sgem-paper-in-a-pic-302/)
- [SGEM Memes #302](https://thesgem.com/2020/09/sgem-memes-302/)
- [SGEM Twitter Poll #302](https://thesgem.com/2020/09/sgem-twitter-poll-302/)
- [SGEM Xtra: Masks4All in Canada Debate](https://thesgem.com/2020/05/sgem-xtra-mask4all-debate/) - Date: May 18th, 2020 I was asked to participate in a debate regarding the issue of Masks4All in Canada by the people involved in the COVID Information for Canadian Physicians Facebook group. This is a private group ~22,000 physicians, residents, students and nurse practitioners from around the world. I was reluctant to participate but was convinced
- [SGEM#6: Orthopedic Surgeons: Strong AND Smart!](https://thesgem.com/2012/10/pubcast6-orthopedic-surgeons-strong-and-smart/) - [display_podcast] Date: September 4, 2012 Case Scenario: A new anesthetist meets a new orthopedic colleague who jokes that his hand shake is very firm but can’t finish the cross word puzzle. Question: Are orthopedic surgeons dumber and stronger than anesthetists? Reference: Orthopedic surgeons: as strong as an ox and almost twice as clever? Multi-centre prospective comparative study. Subramanian
- [SGEM#24: The Strokes (Stroke Prevention with Clopidogrel)](https://thesgem.com/2013/02/sgem24-the-strokes/) - [display_podcast] Date: February 17th, 2013 Case Scenario: A 68 year old man arrives to the emergency department (ED) with 15 minutes of tingling in his right arm and leg. He has a history of hypertension and previous transient ischemic attack (TIA). The examination is completely normal. He is already taking ASA 325mg daily. Background: Stroke is
- [SGEM PaperinaPic #301](https://thesgem.com/2020/09/sgem-paperinapic-301/)
- [SGEM PaperinaPic #300](https://thesgem.com/2020/09/sgem-paper-in-a-pic-300/)
- [SGEM Twitter Poll #301](https://thesgem.com/2020/09/sgem-twitter-poll-301/)
- [SGEM Twitter Poll #300](https://thesgem.com/2020/09/sgem-twitter-poll-300/)
- [SGEM Memes #301](https://thesgem.com/2020/09/sgem-memes-301/)
- [SGEM#301: You Can’t Stop GI Bleeds with TXA](https://thesgem.com/2020/09/sgem301-you-cant-stop-gi-bleeds-with-txa/) - Date: September 16th, 2020 Guest Skeptics: Dr. Robert Goulden and Dr. Audrey Marcotte are Chief Residents from the Royal College of Emergency Medicine Program at McGill University. Robert’s academic interests include research and evidence-based medicine. Alongside his EM residency, he is doing a PhD in epidemiology. Audrey’s academic interests include trauma and resuscitation. Outside of medicine, Audrey likes
- [SGEM#109: One Platelet, One Plasma and One RBC - PROPPR Trial](https://thesgem.com/2015/03/sgem109-one-platelet-one-plasma-and-one-rbc-proppr-trial/) - [display_podcast] Date: February 28th, 2015 Guest Skeptic: Dr. Salim R. Rezaie. Salim is faculty member at University of Texas Health Science Center at San Antonio, TX. He is currently the creator/founder of REBEL EM blog and REBEL Cast available on iTunes. Case: 28 year-old male is involved in an altercation and shot multiple times in
- [SGEM Xtra: The Water is Wide](https://thesgem.com/2020/09/sgem-xtra-the-water-is-wide/) - Date: September 11th, 2020 This is an SGEM Xtra episode. I was invited by the College of Physicians and Surgeons of Ontario (CPSO) to give a talk at their council meeting on burnout. It was an opportunity to share my journey and give an important message about kindness. I have discussed burnout and wellness a number
- [SGEM#300: The Lung is Up Where it Belongs - With or Without a Chest Tube](https://thesgem.com/2020/09/sgem300-the-lung-is-up-where-it-belongs-with-or-without-a-chest-tube/) - Date: August 27th, 2020 Guest Skeptic: Dr. Malthaner is the Chair/Chief of the Division of Thoracic Surgery, Director of Thoracic Surgery Research and Simulation, and Professor in the Departments of Surgery, Oncology, and Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry and Western University. Rick is also the founder of Western University’s Department of
- [SGEM Memes #300](https://thesgem.com/2020/09/sgem-memes-300/)
- [SGEM Xtra: Read It In Books - Season#6](https://thesgem.com/2020/09/sgem-xtra-read-it-in-books-season6/) - Date: September 3rd, 2020 It has been a tough year for all of us with the global pandemic of COVID19. I hope everyone is safe and taking care of themselves both physically and mentally. It is more important than ever during these difficult times to stay socially connected to those we love and care about.

## Pages

- [What is the SGEM?](https://thesgem.com/what-is-the-sgem/) - Welcome to the Skeptics’ Guide to Emergency Medicine (SGEM) - Meet ‘em, greet ‘em, treat ‘em & street ‘em. It is known that it can take 17 years for high-quality, clinically relevant information to reach patients. This has been referred to as the knowledge translation (KT) gap and is illustrated by the leaky pipe model below.
- [Chris Carpenter](https://thesgem.com/faculty/chris-carpenter/) - Christopher R. Carpenter MD, MSc, FACEP, FAAEM, AGSFDr. Christopher Carpenter is residency trained in Emergency Medicine and Internal Medicine and Professor of Emergency Medicine and Vice Chair of Implementation and Innovation at Mayo Clinic-Rochester. He served on the Society for Academic Emergency Medicine (SAEM) Board of Directors from 2019-2022 and continues to serve on the
- [Ken Milne](https://thesgem.com/faculty/ken-milne/) - Ken Milne MD, MSc, MBA, CCFP-EM, FCFP, FRRMS Dr. Milne is a staff physician at the Strathroy Middlesex General Hospital in Strathroy, Ontario, Canada. He has been conducting medical research for 42 years and has published on a variety of topics. Dr. Milne has been working clinically for 31 years and is an Associate Professor
- [SGEM Memes #477](https://thesgem.com/sgem-memes-477/)
- [The SGEM Hot Off the Press (SGEM HOP)](https://thesgem.com/the-sgem-hot-off-the-press/) - The goal of the SGEM continues to be to cut the knowledge translation (KT) window down from over ten years to less than one year. The SGEM has entered into an arrangement with Society of Academic Emergency Medicine (SAEM) and previously with the Canadian Association of Emergency Medicine (CAEP) to cut the KT window down
- [The SGEM Xtra](https://thesgem.com/the-sgem-xtra/) - The goal of the Skeptics' Guide to Emergency Medicine (SGEM) is to cut the knowledge translation (KT) window from over ten years to less than one year. It does this by conducting a structured critical review on a recent publication. A guest skeptic is invited onto the show to discuss the publication. These reviews are
- [Suchismita Datta](https://thesgem.com/faculty/suchismita_datta/) - Dr. Suchismita [Suchi] Datta, MD is an Assistant Professor and Director of Research in the Department of Emergency Medicine at NYU Grossman Long Island Hospital. Aside from providing stellar patient care, Suchi has a big interest in medical education innovation and research, and is currently pursuing a Masters in Healthcare Professions Education from University of Maastricht School of
- [SGEM Books](https://thesgem.com/sgem-books/) - Previous seasons of the SGEM have been transformed into PDF books. They contain all the critical appraisals plus some bonus features and hyperlinks out to other resources. The latest book is of Season#9 which was put together by Dr. Tayler Lee. She is a first year Family Medicine resident at Queen’s University. Her interests are quality
- [Dennis Ren](https://thesgem.com/faculty/dennis-ren/) - Dennis Ren Dr. Dennis Ren is a pediatric emergency medicine physician at Children's National Hospital in Washington, DC. He has been a guest skeptic on the SGEM and has created FOAMed content for First10EM, Don't Forget the Bubbles, and PedsRAP. His other areas of interest include medical education, simulation, and disaster/emergency preparedness. When he's not
- [Lauren Westafer](https://thesgem.com/faculty/lauren-westafer/) - Lauren Westafer Lauren Westafer, DO, MPH, MS is an Assistant Professor in the Department of Emergency Medicine and Department of Healthcare Delivery and Population Science at the University of Massachusetts Chan Medical School-Baystate. She also serves as the Director of the Emergency Medicine Research Fellowship. She is a practicing emergency physician and clinician-researcher with a
- [The SGEM Paper in a Pic](https://thesgem.com/the-sgem-paper-in-a-pic/) - Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). She did Medical School at Manchester, with a History of Medicine BSc at the same time. Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield. Kirsty has a
- [The SGEM Global](https://thesgem.com/the-sgem-global/) - [et_pb_section fb_built=”1″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https://thesgem.com/wp-content/uploads/2021/10/Anonymous-Flag-of-Portugal.png” title_text=”Anonymous-Flag-of-Portugal” url=”https://thesgem.com/category/global-podcast/” align=”center” _builder_version=”4.10.8″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” admin_label=”Image” sticky_enabled=”0″][/et_pb_image][/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.10.8″ _module_preset=”default” global_colors_info=”{}”][/et_pb_column][/et_pb_row][/et_pb_section]
- [Additional Resources](https://thesgem.com/additional-resources/) - FOAMed Life in the Fast Lane Academic Life in Emergency Medicine Rural Doctors Broome Docs GoogleFOAM FOAMed for GPs FOAMed on Scoop.it Boring EM Standing on the Corner Minding My Own Business (SOCMOB) Manu et Corde Flipped Classroom in EM TotalEM First10EM REBEL EM CanadiEM FeminEM Don't Forget the Bubbles Emergency Medicine Guidelines Podcasts EM
- [Contact Us](https://thesgem.com/contact-us/) - The Skeptic's Guide to Emergency Medicine is a project in process. I am always trying to make it better. This means feedback is important and appreciated. If you have a comment, suggestion or advice on how I can make TheSGEM better please let me know. Perhaps you have a show idea or paper you would
- [Continuing Medical Education (CME) Credits](https://thesgem.com/cme-landing/) - The Skeptics' Guide to Emergency Medicine (SGEM) is part of the Free Open Access to Meducation movement (FOAMed). The SGEM tries to cut the knowledge translation window down from over ten years to less than one year with the power of social media. The ultimate goal is for patients to get the best care based
- [Chris Bond](https://thesgem.com/faculty/chris-bond/) - Chris Bond is a clinical assistant professor and emergency physician at the University of Calgary, working at both academic and community hospitals. He has a passion for knowledge translation, medical education and is a proud supporter of #FOAMed through the SGEMHOP series.
- [Kirsty Challen](https://thesgem.com/faculty/kirsty-challen/) - Kirsty Challen Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She completed undergrad and postgrad training in North West England, acquiring a History of Medicine BSc, a PhD in Health Services Research, an anesthesiologist husband and four children along the
- [Swag](https://thesgem.com/swag/)
- [Previous Posts](https://thesgem.com/previous-posts/)
- [The SGEM Memes](https://thesgem.com/the-sgem-memes/)
- [The SGEM Twitter Polls](https://thesgem.com/the-sgem-twitter-polls/)
- [Anthony Crocco](https://thesgem.com/faculty/anthony-crocco/) - Anthony Crocco MD Dr. Anthony G. Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster's Children's Hospital. He is an Associate Professor at McMaster University. Anthony is interested in teaching Pediatric Emergency topics as well as teaching EBM concepts. He has been
- [Corey Heitz](https://thesgem.com/faculty/corey-heitz/) - Dr. Heitz is an Emergency Physician at Lewis Gale Medical Center in Salem, Virginia. He has almost a decade of experience in academic medicine, having spent time as faculty at the Virginia Tech Carilion School of Medicine and residency in Emergency Medicine where his roles included serving as the clerkship director for EM and simulation
- [Disclaimer](https://thesgem.com/disclaimer/) - The Skeptics' Guide to Emergency Medicine (SGEM) is produced in Canada and is intended for emergency medicine and critical care clinicians. A goal of the SGEM is to disseminate the best evidence so you can provide your patients with the best care. The SGEM may discuss commercial products and/or devices as well as the unapproved/investigative use of commercial products/devices. The SGEM does not have
- [The SGEM Journal Club](https://thesgem.com/the-sgem-journal-club/) - In an on-going attempt to make the Skeptics' Guide to Emergency Medicine even better the SGEM Journal Club (SGEM JC) was launched in Season #2. The first SGEM JC done in the home of Dr. William Osler. Dr. Osler was credited for starting the first formal journal club at McGill University in 1875. The original purpose
- [The SGEM Live](https://thesgem.com/the-sgem-live/) - The SGEM is going to be LIVE at the 14th Annual Dr. Tom Steele Emergency Care Symposium Friday, May 6th, 2016 in Springfield Missouri. It will feature Dr. Anthony Crocco (@SketchyEMB) the ranting pediatric EM super star from SketchyEBM fame and Dr. Chris Carpenter (@SAEMEBM and @GeriatricEDNews) who is a Geriatric EM specialist from Washington
- [About Us](https://thesgem.com/about-us/) - The Skeptics' Guide to Emergency Medicine (SGEM) is a knowledge translation (KT) project. The goal of the SGEM is to shorten the KT window from over ten years down to less than one year. It does this by turning traditional medical education on its head. The top down/didactic method of the 19th century with an older
- [BEEM](https://thesgem.com/beem/) - Best Evidence in Emergency Medicine (BEEM) is a knowledge translation and dissemination project. Dr. Andrew Worster of McMaster University started it in 2005. It provides up to 12hrs of continuing medical education per course. BEEM does not have any financial or other affiliation with any commercial organization. BEEM Mission: To provide Emergency Medicine practitioners with
- [Faculty](https://thesgem.com/faculty/)
- [Hot or Not](https://thesgem.com/hot-or-not/)
- [My profile](https://thesgem.com/my-profile/)
- [Register](https://thesgem.com/register/)
- [Thank You](https://thesgem.com/hot-or-not/thank-you/)
- [Suggest an Article](https://thesgem.com/hot-or-not/suggest-an-article/)
- [Results](https://thesgem.com/hot-or-not/results/)
- [Content](https://thesgem.com/content/) - Conferences Cardiac Dermatologic Endocrine Eye Gastrointestinal Genitourinary Gynecologic Hematologic Infectious Musculoskeletal Neurologic Obstetric Oncologic Psychiatric Pulmonary All Podcasts
- [Just for Fun](https://thesgem.com/just-for-fun/) - The Exact Opposite of the Emergency Department: How I Feel After Working a 24-hour Shift: Me Doing an Abdominal Exam: What I've Learned After Working in the ER:
- ["Don't Panic"](https://thesgem.com/dont-panic/)

## MailPoet Page

- [MailPoet Page](https://thesgem.com/?mailpoet_page=captcha) - [mailpoet_page]
- [MailPoet Page](https://thesgem.com/?mailpoet_page=subscriptions) - [mailpoet_page]

## Categories

- [Podcasts](https://thesgem.com/category/podcast/)
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- [Hematologic](https://thesgem.com/category/hematologic/)
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- [Portuguese](https://thesgem.com/category/global-podcast/portuguese/)

## Tags

- [renal colic](https://thesgem.com/tag/renal-colic/)
- [alpha blocker](https://thesgem.com/tag/alpha-blocker/)
- [kidney stones](https://thesgem.com/tag/kidney-stones/)
- [skeptics guide to emergency medicine](https://thesgem.com/tag/skeptics-guide-to-emergency-medicine/)
- [SGEM](https://thesgem.com/tag/sgem/)
- [evidence based medicine](https://thesgem.com/tag/evidence-based-medicine/)
- [ebm](https://thesgem.com/tag/ebm/)
- [ottawa ankle rules](https://thesgem.com/tag/ottawa-ankle-rules/)
- [OAR](https://thesgem.com/tag/oar/)
- [clinical decision instruments](https://thesgem.com/tag/clinical-decision-instruments/)
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- [knee](https://thesgem.com/tag/knee/)
- [fracture](https://thesgem.com/tag/fracture/)
- [pulmonary](https://thesgem.com/tag/pulmonary-2/)
- [edema](https://thesgem.com/tag/edema/)
- [non-invasive](https://thesgem.com/tag/non-invasive/)
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- [CVA](https://thesgem.com/tag/cva/)
- [TIA](https://thesgem.com/tag/tia/)
- [Stroke](https://thesgem.com/tag/stroke/)
- [laceration](https://thesgem.com/tag/laceration/)
- [wound](https://thesgem.com/tag/wound/)
- [epinephrine](https://thesgem.com/tag/epinephrine/)
- [suture](https://thesgem.com/tag/suture/)
- [infection](https://thesgem.com/tag/infection/)
- [cardiac](https://thesgem.com/tag/cardiac-2/)
- [arrest](https://thesgem.com/tag/arrest/)
- [vasopressin](https://thesgem.com/tag/vasopressin/)
- [steroid](https://thesgem.com/tag/steroid/)
- [journal club](https://thesgem.com/tag/journal-club/)
- [influenza](https://thesgem.com/tag/influenza/)
- [flu](https://thesgem.com/tag/flu/)
- [healthcare](https://thesgem.com/tag/healthcare/)
- [antibiotics](https://thesgem.com/tag/antibiotics/)
- [basal skull fracture](https://thesgem.com/tag/basal-skull-fracture/)
- [prophylaxis](https://thesgem.com/tag/prophylaxis/)
- [macrolide](https://thesgem.com/tag/macrolide/)
- [calcium channel blocker](https://thesgem.com/tag/calcium-channel-blocker/)
- [CCB](https://thesgem.com/tag/ccb/)
- [hypotension](https://thesgem.com/tag/hypotension/)
- [LP](https://thesgem.com/tag/lp/)
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- [diagnosis](https://thesgem.com/tag/diagnosis/)
- [social media](https://thesgem.com/tag/social-media/)
- [medical education](https://thesgem.com/tag/medical-education/)
- [meningitis](https://thesgem.com/tag/meningitis/)
- [subarachnoid hemorrhage](https://thesgem.com/tag/subarachnoid-hemorrhage/)
- [SAH](https://thesgem.com/tag/sah/)
- [diuretics](https://thesgem.com/tag/diuretics/)
- [DVT](https://thesgem.com/tag/dvt/)
- [deep vein thrombosis](https://thesgem.com/tag/deep-vein-thrombosis/)
- [thrombophlebitis](https://thesgem.com/tag/thrombophlebitis/)
- [SoMe](https://thesgem.com/tag/some/)
- [thrombolysis](https://thesgem.com/tag/thrombolysis/)
- [migraine](https://thesgem.com/tag/migraine/)
- [headache](https://thesgem.com/tag/headache/)
- [diabetic](https://thesgem.com/tag/diabetic/)
- [osteomyelitis](https://thesgem.com/tag/osteomyelitis/)
- [pediatric](https://thesgem.com/tag/pediatric/)
- [cough](https://thesgem.com/tag/cough/)
- [prevention](https://thesgem.com/tag/prevention/)
- [clopidogrel](https://thesgem.com/tag/clopidogrel/)
- [ASA](https://thesgem.com/tag/asa/)
- [appendicitis](https://thesgem.com/tag/appendicitis/)
- [contraception](https://thesgem.com/tag/contraception/)
- [hypothermia](https://thesgem.com/tag/hypothermia/)
- [cardiac arrest](https://thesgem.com/tag/cardiac-arrest/)
- [buckle](https://thesgem.com/tag/buckle/)
- [greenstick](https://thesgem.com/tag/greenstick/)
- [trauma](https://thesgem.com/tag/trauma/)
- [hyphema](https://thesgem.com/tag/hyphema/)
- [ophthomology](https://thesgem.com/tag/ophthomology/)
- [proton pump inhibitor](https://thesgem.com/tag/proton-pump-inhibitor/)
- [PPI](https://thesgem.com/tag/ppi/)
- [gastrointestinal](https://thesgem.com/tag/gastrointestinal-2/)
- [hemorrhage](https://thesgem.com/tag/hemorrhage/)
- [antiviral](https://thesgem.com/tag/antiviral/)
- [bell's palsy](https://thesgem.com/tag/bells-palsy/)
- [abscess](https://thesgem.com/tag/abscess/)
- [cutaneous](https://thesgem.com/tag/cutaneous/)
- [vomiting](https://thesgem.com/tag/vomiting/)
- [ondansetron](https://thesgem.com/tag/ondansetron/)
- [seizure](https://thesgem.com/tag/seizure/)
- [eclampsia](https://thesgem.com/tag/eclampsia/)
- [magnesium](https://thesgem.com/tag/magnesium/)
- [pregnancy](https://thesgem.com/tag/pregnancy/)
- [pulmonary embolism](https://thesgem.com/tag/pulmonary-embolism/)
- [Well's criteria](https://thesgem.com/tag/wells-criteria/)
- [PERC](https://thesgem.com/tag/perc/)
- [PESI](https://thesgem.com/tag/pesi/)
- [Hestia](https://thesgem.com/tag/hestia/)
- [bat doc](https://thesgem.com/tag/bat-doc/)
- [vaccination](https://thesgem.com/tag/vaccination/)
- [choose wisely](https://thesgem.com/tag/choose-wisely/)
- [batman](https://thesgem.com/tag/batman/)
- [asthma](https://thesgem.com/tag/asthma/)
- [knowledge translation](https://thesgem.com/tag/knowledge-translation/)
- [guidelines](https://thesgem.com/tag/guidelines/)
- [nose bleed](https://thesgem.com/tag/nose-bleed/)
- [epistaxis](https://thesgem.com/tag/epistaxis/)
- [tranexamic acid](https://thesgem.com/tag/tranexamic-acid/)
- [ENT](https://thesgem.com/tag/ent/)
- [pre-hospital](https://thesgem.com/tag/pre-hospital/)
- [thanksgiving](https://thesgem.com/tag/thanksgiving/)
- [holiday](https://thesgem.com/tag/holiday/)
- [narcotics](https://thesgem.com/tag/narcotics/)
- [dental](https://thesgem.com/tag/dental/)
- [pain](https://thesgem.com/tag/pain/)
- [mcmaster](https://thesgem.com/tag/mcmaster/)
- [BEEM](https://thesgem.com/tag/beem/)
- [twitter](https://thesgem.com/tag/twitter/)
- [impact factor](https://thesgem.com/tag/impact-factor/)
- [anaphylaxis](https://thesgem.com/tag/anaphylaxis/)
- [allergy](https://thesgem.com/tag/allergy/)
- [biphasic](https://thesgem.com/tag/biphasic/)
- [reaction](https://thesgem.com/tag/reaction/)
- [christmas](https://thesgem.com/tag/christmas/)
- [conferences](https://thesgem.com/tag/conferences-2/)
- [emergency medicine](https://thesgem.com/tag/emergency-medicine/)
- [CPR](https://thesgem.com/tag/cpr/)
- [resuscitation](https://thesgem.com/tag/resuscitation/)
- [witness](https://thesgem.com/tag/witness/)
- [PTSD](https://thesgem.com/tag/ptsd/)
- [COPD](https://thesgem.com/tag/copd/)
- [furosemide](https://thesgem.com/tag/furosemide/)
- [nitrous oxide](https://thesgem.com/tag/nitrous-oxide/)
- [pain control](https://thesgem.com/tag/pain-control/)
- [GI bleed](https://thesgem.com/tag/gi-bleed/)
- [transfusion](https://thesgem.com/tag/transfusion/)
- [Chronic obstructive pulmonary disease](https://thesgem.com/tag/chronic-obstructive-pulmonary-disease/)
- [end of life](https://thesgem.com/tag/end-of-life/)
- [DNR](https://thesgem.com/tag/dnr/)
- [Dogma](https://thesgem.com/tag/dogma/)
- [EMS](https://thesgem.com/tag/ems/)
- [OPALS](https://thesgem.com/tag/opals/)
- [ACLS](https://thesgem.com/tag/acls/)
- [OHCA](https://thesgem.com/tag/ohca/)
- [ACEP](https://thesgem.com/tag/acep/)
- [ketorolac](https://thesgem.com/tag/ketorolac/)
- [Valsalva Maneuver](https://thesgem.com/tag/valsalva-maneuver/)
- [SVT](https://thesgem.com/tag/svt/)
- [supra ventricular tachycardia](https://thesgem.com/tag/supra-ventricular-tachycardia/)
- [shock](https://thesgem.com/tag/shock/)
- [SweetBEEM](https://thesgem.com/tag/sweetbeem/)
- [Sweden](https://thesgem.com/tag/sweden/)
- [vital signs](https://thesgem.com/tag/vital-signs/)
- [Rant](https://thesgem.com/tag/rant/)
- [RANThony](https://thesgem.com/tag/ranthony/)
- [honey](https://thesgem.com/tag/honey/)
- [poison](https://thesgem.com/tag/poison/)
- [early goal directed therapy](https://thesgem.com/tag/early-goal-directed-therapy/)
- [EGDT](https://thesgem.com/tag/egdt/)
- [sepsis](https://thesgem.com/tag/sepsis/)
- [SIRS](https://thesgem.com/tag/sirs/)
- [Rivers](https://thesgem.com/tag/rivers/)
- [ProCESS Trial](https://thesgem.com/tag/process-trial/)
- [tPA](https://thesgem.com/tag/tpa/)
- [NINDS](https://thesgem.com/tag/ninds/)
- [Swami](https://thesgem.com/tag/swami/)
- [Classic](https://thesgem.com/tag/classic/)
- [null hypothesis](https://thesgem.com/tag/null-hypothesis/)
- [ICH](https://thesgem.com/tag/ich/)
- [intracranial hemorrhage](https://thesgem.com/tag/intracranial-hemorrhage/)
- [Best of BEEM](https://thesgem.com/tag/best-of-beem/)
- [BoB Talk](https://thesgem.com/tag/bob-talk/)
- [SRPC](https://thesgem.com/tag/srpc/)
- [stone](https://thesgem.com/tag/stone/)
- [renal](https://thesgem.com/tag/renal/)
- [colic](https://thesgem.com/tag/colic/)
- [kidney](https://thesgem.com/tag/kidney/)
- [tamsulosin](https://thesgem.com/tag/tamsulosin/)
- [FOAM](https://thesgem.com/tag/foam/)
- [FOAMed](https://thesgem.com/tag/foamed/)
- [MedEd](https://thesgem.com/tag/meded/)
- [KT](https://thesgem.com/tag/kt/)
- [ALiEM](https://thesgem.com/tag/aliem/)
- [LITFL](https://thesgem.com/tag/litfl/)
- [Joe Lex](https://thesgem.com/tag/joe-lex/)
- [westafer](https://thesgem.com/tag/westafer/)
- [godfather](https://thesgem.com/tag/godfather/)
- [short coat](https://thesgem.com/tag/short-coat/)
- [blood pressure](https://thesgem.com/tag/blood-pressure/)
- [intracerebral hemorrhage](https://thesgem.com/tag/intracerebral-hemorrhage/)
- [Mukherji](https://thesgem.com/tag/mukherji/)
- [rotator cuff disease](https://thesgem.com/tag/rotator-cuff-disease/)
- [shoulder](https://thesgem.com/tag/shoulder/)
- [physiotherapy](https://thesgem.com/tag/physiotherapy/)
- [direct](https://thesgem.com/tag/direct/)
- [video](https://thesgem.com/tag/video/)
- [laryngoscopy](https://thesgem.com/tag/laryngoscopy/)
- [glidescope](https://thesgem.com/tag/glidescope/)
- [endotracheal](https://thesgem.com/tag/endotracheal/)
- [intubation](https://thesgem.com/tag/intubation/)
- [elevator pitch](https://thesgem.com/tag/elevator-pitch/)
- [disclaimer](https://thesgem.com/tag/disclaimer/)
- [azithromycin](https://thesgem.com/tag/azithromycin/)
- [arrhythmia](https://thesgem.com/tag/arrhythmia/)
- [cardiovascular](https://thesgem.com/tag/cardiovascular/)
- [oligoanalgesia](https://thesgem.com/tag/oligoanalgesia/)
- [LET](https://thesgem.com/tag/let/)
- [father](https://thesgem.com/tag/father/)
- [CRASH2](https://thesgem.com/tag/crash2/)
- [TXA](https://thesgem.com/tag/txa/)
- [bleeding](https://thesgem.com/tag/bleeding/)
- [swaminathan](https://thesgem.com/tag/swaminathan/)
- [lidocaine](https://thesgem.com/tag/lidocaine/)
- [mouth](https://thesgem.com/tag/mouth/)
- [ulcers](https://thesgem.com/tag/ulcers/)
- [gingivostomatitis](https://thesgem.com/tag/gingivostomatitis/)
- [stomatitis](https://thesgem.com/tag/stomatitis/)
- [dehydration](https://thesgem.com/tag/dehydration/)
- [TTM](https://thesgem.com/tag/ttm/)
- [ROSC](https://thesgem.com/tag/rosc/)
- [tetracaine](https://thesgem.com/tag/tetracaine/)
- [corneal](https://thesgem.com/tag/corneal/)
- [abrasion](https://thesgem.com/tag/abrasion/)
- [suicide](https://thesgem.com/tag/suicide/)
- [robin williams](https://thesgem.com/tag/robin-williams/)
- [rt-PA](https://thesgem.com/tag/rt-pa/)
- [pericarditis](https://thesgem.com/tag/pericarditis/)
- [colchicine](https://thesgem.com/tag/colchicine/)
- [back](https://thesgem.com/tag/back/)
- [tylenol](https://thesgem.com/tag/tylenol/)
- [paracetamol](https://thesgem.com/tag/paracetamol/)
- [acetaminophen](https://thesgem.com/tag/acetaminophen/)
- [atrial fibrillation](https://thesgem.com/tag/atrial-fibrillation/)
- [defibrillation](https://thesgem.com/tag/defibrillation/)
- [rate control](https://thesgem.com/tag/rate-control/)
- [rhythm control](https://thesgem.com/tag/rhythm-control/)
- [BCVI](https://thesgem.com/tag/bcvi/)
- [CTA](https://thesgem.com/tag/cta/)
- [pediatrics](https://thesgem.com/tag/pediatrics-2/)
- [fever](https://thesgem.com/tag/fever/)
- [febrile](https://thesgem.com/tag/febrile/)
- [antipyretic](https://thesgem.com/tag/antipyretic/)
- [geriatrics](https://thesgem.com/tag/geriatrics/)
- [elderly](https://thesgem.com/tag/elderly/)
- [senior](https://thesgem.com/tag/senior/)
- [falls](https://thesgem.com/tag/falls/)
- [ProCESS](https://thesgem.com/tag/process/)
- [MAP](https://thesgem.com/tag/map/)
- [ARISE](https://thesgem.com/tag/arise/)
- [peer review](https://thesgem.com/tag/peer-review/)
- [extra](https://thesgem.com/tag/extra/)
- [Xtra](https://thesgem.com/tag/xtra/)
- [Kubler-Ross](https://thesgem.com/tag/kubler-ross/)
- [Faust](https://thesgem.com/tag/faust/)
- [ketamine](https://thesgem.com/tag/ketamine/)
- [intracranial](https://thesgem.com/tag/intracranial/)
- [aneurysm](https://thesgem.com/tag/aneurysm/)
- [NIPPV](https://thesgem.com/tag/nippv/)
- [CPAP](https://thesgem.com/tag/cpap/)
- [BiPAP](https://thesgem.com/tag/bipap/)
- [CHF](https://thesgem.com/tag/chf/)
- [CT](https://thesgem.com/tag/ct/)
- [burnout](https://thesgem.com/tag/burnout/)
- [drugs](https://thesgem.com/tag/drugs/)
- [abuse](https://thesgem.com/tag/abuse/)
- [opioids](https://thesgem.com/tag/opioids/)
- [taylor swift](https://thesgem.com/tag/taylor-swift/)
- [never ever](https://thesgem.com/tag/never-ever/)
- [tamiflu](https://thesgem.com/tag/tamiflu/)
- [neuraminidase](https://thesgem.com/tag/neuraminidase/)
- [oseltamivir](https://thesgem.com/tag/oseltamivir/)
- [zanamivir](https://thesgem.com/tag/zanamivir/)
- [relenza](https://thesgem.com/tag/relenza/)
- [SMACC](https://thesgem.com/tag/smacc/)
- [Chicago](https://thesgem.com/tag/chicago/)
- [Cup Song](https://thesgem.com/tag/cup-song/)
- [Flipped](https://thesgem.com/tag/flipped/)
- [Flip Classroom](https://thesgem.com/tag/flip-classroom/)
- [Rogers](https://thesgem.com/tag/rogers/)
- [Stella](https://thesgem.com/tag/stella/)
- [ITAD](https://thesgem.com/tag/itad/)
- [EGDD](https://thesgem.com/tag/egdd/)
- [Johnson-Purdy](https://thesgem.com/tag/johnson-purdy/)
- [evidence based dating](https://thesgem.com/tag/evidence-based-dating/)
- [Happy](https://thesgem.com/tag/happy/)
- [EMA](https://thesgem.com/tag/ema/)
- [emergency Medicine Abstracts](https://thesgem.com/tag/emergency-medicine-abstracts/)
- [Mallon](https://thesgem.com/tag/mallon/)
- [Carpenter](https://thesgem.com/tag/carpenter/)
- [Lin](https://thesgem.com/tag/lin/)
- [SGEM HOP](https://thesgem.com/tag/sgem-hop/)
- [Hot off the Press](https://thesgem.com/tag/hot-off-the-press/)
- [texting](https://thesgem.com/tag/texting/)
- [sgemhop](https://thesgem.com/tag/sgemhop/)
- [geriatric](https://thesgem.com/tag/geriatric/)
- [AEM](https://thesgem.com/tag/aem/)
- [Smoking](https://thesgem.com/tag/smoking/)
- [steroids](https://thesgem.com/tag/steroids/)
- [inhaled](https://thesgem.com/tag/inhaled/)
- [corticosteroids](https://thesgem.com/tag/corticosteroids/)
- [std](https://thesgem.com/tag/std/)
- [sti](https://thesgem.com/tag/sti/)
- [sex](https://thesgem.com/tag/sex/)
- [gonorrhea](https://thesgem.com/tag/gonorrhea/)
- [chlamydia](https://thesgem.com/tag/chlamydia/)
- [nadia awad](https://thesgem.com/tag/nadia-awad/)
- [ectopic](https://thesgem.com/tag/ectopic/)
- [tubal](https://thesgem.com/tag/tubal/)
- [POCUS](https://thesgem.com/tag/pocus/)
- [CCHR](https://thesgem.com/tag/cchr/)
- [NOC](https://thesgem.com/tag/noc/)
- [Canadian CT Head Rules](https://thesgem.com/tag/canadian-ct-head-rules/)
- [New Orleans Criteria](https://thesgem.com/tag/new-orleans-criteria/)
- [Stiell](https://thesgem.com/tag/stiell/)
- [hands on](https://thesgem.com/tag/hands-on/)
- [Vfib](https://thesgem.com/tag/vfib/)
- [Pura Vida](https://thesgem.com/tag/pura-vida/)
- [Vertigo](https://thesgem.com/tag/vertigo/)
- [BPPV](https://thesgem.com/tag/bppv/)
- [Epley](https://thesgem.com/tag/epley/)
- [dizzy](https://thesgem.com/tag/dizzy/)
- [PROPPR](https://thesgem.com/tag/proppr/)
- [PROMMTT](https://thesgem.com/tag/prommtt/)
- [massive](https://thesgem.com/tag/massive/)
- [1:1:1](https://thesgem.com/tag/111/)
- [ACE-I](https://thesgem.com/tag/ace-i/)
- [angioedema](https://thesgem.com/tag/angioedema/)
- [icatibant](https://thesgem.com/tag/icatibant/)
- [bradikinin](https://thesgem.com/tag/bradikinin/)
- [SDDK](https://thesgem.com/tag/sddk/)
- [SAEM](https://thesgem.com/tag/saem/)
- [Billy Sin](https://thesgem.com/tag/billy-sin/)
- [Paediatrics](https://thesgem.com/tag/paediatrics/)
- [concussion](https://thesgem.com/tag/concussion/)
- [head](https://thesgem.com/tag/head/)
- [PECARN](https://thesgem.com/tag/pecarn/)
- [Promise](https://thesgem.com/tag/promise/)
- [ketofol](https://thesgem.com/tag/ketofol/)
- [propofol](https://thesgem.com/tag/propofol/)
- [carroll](https://thesgem.com/tag/carroll/)
- [EM Basic](https://thesgem.com/tag/em-basic/)
- [Sedation](https://thesgem.com/tag/sedation/)
- [NOTA](https://thesgem.com/tag/nota/)
- [Shared decision making](https://thesgem.com/tag/shared-decision-making/)
- [RIC](https://thesgem.com/tag/ric/)
- [STEMI](https://thesgem.com/tag/stemi/)
- [Remote ischemic conditioning](https://thesgem.com/tag/remote-ischemic-conditioning/)
- [diarrhea](https://thesgem.com/tag/diarrhea/)
- [IV](https://thesgem.com/tag/iv/)
- [Groth](https://thesgem.com/tag/groth/)
- [AAD](https://thesgem.com/tag/aad/)
- [CDI](https://thesgem.com/tag/cdi/)
- [ADJUST PE](https://thesgem.com/tag/adjust-pe/)
- [PE](https://thesgem.com/tag/pe/)
- [age adjusted d-dimer](https://thesgem.com/tag/age-adjusted-d-dimer/)
- [D-dimer](https://thesgem.com/tag/d-dimer/)
- [embolism](https://thesgem.com/tag/embolism/)
- [de Wit](https://thesgem.com/tag/de-wit/)
- [b-lines](https://thesgem.com/tag/b-lines/)
- [acute heart failure](https://thesgem.com/tag/acute-heart-failure/)
- [CAP](https://thesgem.com/tag/cap/)
- [pneumonia](https://thesgem.com/tag/pneumonia/)
- [beta-lactam](https://thesgem.com/tag/beta-lactam/)
- [EMPharm](https://thesgem.com/tag/empharm/)
- [vomit](https://thesgem.com/tag/vomit/)
- [gastroenteritis](https://thesgem.com/tag/gastroenteritis/)
- [zofran](https://thesgem.com/tag/zofran/)
- [crocco](https://thesgem.com/tag/crocco/)
- [caep](https://thesgem.com/tag/caep/)
- [fentanyl](https://thesgem.com/tag/fentanyl/)
- [skull](https://thesgem.com/tag/skull/)
- [paediatric](https://thesgem.com/tag/paediatric/)
- [rural](https://thesgem.com/tag/rural/)
- [JREM](https://thesgem.com/tag/jrem/)
- [journal of rural emergency medicine](https://thesgem.com/tag/journal-of-rural-emergency-medicine/)
- [Season 2](https://thesgem.com/tag/season-2/)
- [Season Two](https://thesgem.com/tag/season-two/)
- [Alia](https://thesgem.com/tag/alia/)
- [Dharamsi](https://thesgem.com/tag/dharamsi/)
- [Khan](https://thesgem.com/tag/khan/)
- [Bill Nye](https://thesgem.com/tag/bill-nye/)
- [Eve Purdy](https://thesgem.com/tag/eve-purdy/)
- [CAEP2015](https://thesgem.com/tag/caep2015/)
- [Lauren](https://thesgem.com/tag/lauren/)
- [Unlearning](https://thesgem.com/tag/unlearning/)
- [Chris Bond](https://thesgem.com/tag/chris-bond/)
- [CAEP15](https://thesgem.com/tag/caep15/)
- [Kline](https://thesgem.com/tag/kline/)
- [VTE](https://thesgem.com/tag/vte/)
- [rivaroxaban](https://thesgem.com/tag/rivaroxaban/)
- [NOAC](https://thesgem.com/tag/noac/)
- [hot or not](https://thesgem.com/tag/hot-or-not/)
- [SketchyEBM](https://thesgem.com/tag/sketchyebm/)
- [SGEM Global](https://thesgem.com/tag/sgem-global/)
- [Spanish](https://thesgem.com/tag/spanish/)
- [French](https://thesgem.com/tag/french/)
- [Portuguese](https://thesgem.com/tag/portuguese/)
- [Bianca](https://thesgem.com/tag/bianca/)
- [Marcel](https://thesgem.com/tag/marcel/)
- [Manrique](https://thesgem.com/tag/manrique/)
- [troponin](https://thesgem.com/tag/troponin/)
- [Worster](https://thesgem.com/tag/worster/)
- [HS-troponin](https://thesgem.com/tag/hs-troponin/)
- [acute MI](https://thesgem.com/tag/acute-mi/)
- [AMI](https://thesgem.com/tag/ami/)
- [Acute myocardial infarction](https://thesgem.com/tag/acute-myocardial-infarction/)
- [Chest tube](https://thesgem.com/tag/chest-tube/)
- [thoracostomy](https://thesgem.com/tag/thoracostomy/)
- [pneumothorax](https://thesgem.com/tag/pneumothorax/)
- [hemopneumothorax](https://thesgem.com/tag/hemopneumothorax/)
- [hemothorax](https://thesgem.com/tag/hemothorax/)
- [Emond](https://thesgem.com/tag/emond/)
- [subdissociative](https://thesgem.com/tag/subdissociative/)
- [MRSA](https://thesgem.com/tag/mrsa/)
- [SSTI](https://thesgem.com/tag/ssti/)
- [Pharmacy](https://thesgem.com/tag/pharmacy/)
- [Cellulitis](https://thesgem.com/tag/cellulitis/)
- [skin](https://thesgem.com/tag/skin/)
- [otitis](https://thesgem.com/tag/otitis/)
- [effusion](https://thesgem.com/tag/effusion/)
- [lubell](https://thesgem.com/tag/lubell/)
- [nasal balloon](https://thesgem.com/tag/nasal-balloon/)
- [autoinflation](https://thesgem.com/tag/autoinflation/)
- [OME](https://thesgem.com/tag/ome/)
- [otitis media](https://thesgem.com/tag/otitis-media/)
- [beta blocker](https://thesgem.com/tag/beta-blocker/)
- [diltiazem](https://thesgem.com/tag/diltiazem/)
- [metoprolol](https://thesgem.com/tag/metoprolol/)
- [rapid ventricular response](https://thesgem.com/tag/rapid-ventricular-response/)
- [TRC](https://thesgem.com/tag/trc/)
- [The Reality Check](https://thesgem.com/tag/the-reality-check/)
- [Spinal](https://thesgem.com/tag/spinal/)
- [tap](https://thesgem.com/tag/tap/)
- [Nasal oxygen](https://thesgem.com/tag/nasal-oxygen/)
- [HFNO](https://thesgem.com/tag/hfno/)
- [NIV](https://thesgem.com/tag/niv/)
- [First10EM](https://thesgem.com/tag/first10em/)
- [Morgenstern](https://thesgem.com/tag/morgenstern/)
- [Justin](https://thesgem.com/tag/justin/)
- [Mechanical](https://thesgem.com/tag/mechanical/)
- [LUCAS](https://thesgem.com/tag/lucas/)
- [REBEL](https://thesgem.com/tag/rebel/)
- [Manual](https://thesgem.com/tag/manual/)
- [thrombectomy](https://thesgem.com/tag/thrombectomy/)
- [endovascular](https://thesgem.com/tag/endovascular/)
- [EM Nerd](https://thesgem.com/tag/em-nerd/)
- [Rory](https://thesgem.com/tag/rory/)
- [Spiegel](https://thesgem.com/tag/spiegel/)
- [nerve block](https://thesgem.com/tag/nerve-block/)
- [hip](https://thesgem.com/tag/hip/)
- [HOP](https://thesgem.com/tag/hop/)
- [CJEM](https://thesgem.com/tag/cjem/)
- [dabigatran](https://thesgem.com/tag/dabigatran/)
- [idarucizumab](https://thesgem.com/tag/idarucizumab/)
- [reversal](https://thesgem.com/tag/reversal/)
- [radecki](https://thesgem.com/tag/radecki/)
- [thrombin](https://thesgem.com/tag/thrombin/)
- [anticoagulation](https://thesgem.com/tag/anticoagulation/)
- [GWEM](https://thesgem.com/tag/gwem/)
- [Popeye](https://thesgem.com/tag/popeye/)
- [SPIDES](https://thesgem.com/tag/spides/)
- [spinach](https://thesgem.com/tag/spinach/)
- [myth](https://thesgem.com/tag/myth/)
- [iron](https://thesgem.com/tag/iron/)
- [Essentials of Emergency Medicine](https://thesgem.com/tag/essentials-of-emergency-medicine/)
- [las vegas](https://thesgem.com/tag/las-vegas/)
- [EEM](https://thesgem.com/tag/eem/)
- [contest](https://thesgem.com/tag/contest/)
- [canadiEM](https://thesgem.com/tag/canadiem/)
- [Rowe](https://thesgem.com/tag/rowe/)
- [education](https://thesgem.com/tag/education/)
- [mobile](https://thesgem.com/tag/mobile/)
- [phone](https://thesgem.com/tag/phone/)
- [bystander](https://thesgem.com/tag/bystander/)
- [nausea](https://thesgem.com/tag/nausea/)
- [isopropyl](https://thesgem.com/tag/isopropyl/)
- [inhalation](https://thesgem.com/tag/inhalation/)
- [meghan](https://thesgem.com/tag/meghan/)
- [topical](https://thesgem.com/tag/topical/)
- [Salim](https://thesgem.com/tag/salim/)
- [HEAT](https://thesgem.com/tag/heat/)
- [ICU](https://thesgem.com/tag/icu/)
- [modified](https://thesgem.com/tag/modified/)
- [tachycardia](https://thesgem.com/tag/tachycardia/)
- [intravenous](https://thesgem.com/tag/intravenous/)
- [glue](https://thesgem.com/tag/glue/)
- [simon](https://thesgem.com/tag/simon/)
- [St. Emlyn's](https://thesgem.com/tag/st-emlyns/)
- [cyanoacrylate](https://thesgem.com/tag/cyanoacrylate/)
- [SDM](https://thesgem.com/tag/sdm/)
- [TBI](https://thesgem.com/tag/tbi/)
- [Hypertonic](https://thesgem.com/tag/hypertonic/)
- [saline](https://thesgem.com/tag/saline/)
- [traumatic brain injury](https://thesgem.com/tag/traumatic-brain-injury/)
- [METRIQ](https://thesgem.com/tag/metriq/)
- [Skeptic](https://thesgem.com/tag/skeptic/)
- [Thoma](https://thesgem.com/tag/thoma/)
- [ACS](https://thesgem.com/tag/acs/)
- [HEART Score](https://thesgem.com/tag/heart-score/)
- [HEART Pathway](https://thesgem.com/tag/heart-pathway/)
- [Mahler](https://thesgem.com/tag/mahler/)
- [paramedic](https://thesgem.com/tag/paramedic/)
- [SIM](https://thesgem.com/tag/sim/)
- [Miller](https://thesgem.com/tag/miller/)
- [Kirkpatrick](https://thesgem.com/tag/kirkpatrick/)
- [ZPD](https://thesgem.com/tag/zpd/)
- [Bloom](https://thesgem.com/tag/bloom/)
- [Competency](https://thesgem.com/tag/competency/)
- [Olszynski](https://thesgem.com/tag/olszynski/)
- [MET](https://thesgem.com/tag/met/)
- [medical expulsive therapy](https://thesgem.com/tag/medical-expulsive-therapy/)
- [kidney stone](https://thesgem.com/tag/kidney-stone/)
- [PAS](https://thesgem.com/tag/pas/)
- [irrigation](https://thesgem.com/tag/irrigation/)
- [PA](https://thesgem.com/tag/pa/)
- [pediatric appendicitis score](https://thesgem.com/tag/pediatric-appendicitis-score/)
- [bronchiolitis](https://thesgem.com/tag/bronchiolitis/)
- [hypertonic saline](https://thesgem.com/tag/hypertonic-saline/)
- [nebulized](https://thesgem.com/tag/nebulized/)
- [anthony](https://thesgem.com/tag/anthony/)
- [constipation](https://thesgem.com/tag/constipation/)
- [Top 10](https://thesgem.com/tag/top-10/)
- [families](https://thesgem.com/tag/families/)
- [CPOE](https://thesgem.com/tag/cpoe/)
- [EHR](https://thesgem.com/tag/ehr/)
- [EMR](https://thesgem.com/tag/emr/)
- [Bond](https://thesgem.com/tag/bond/)
- [Paperinapic](https://thesgem.com/tag/paperinapic/)
- [challen](https://thesgem.com/tag/challen/)
- [kirsty](https://thesgem.com/tag/kirsty/)
- [infographic](https://thesgem.com/tag/infographic/)
- [hs-cTnT](https://thesgem.com/tag/hs-ctnt/)
- [Sternum](https://thesgem.com/tag/sternum/)
- [Sternal](https://thesgem.com/tag/sternal/)
- [Amiodarone](https://thesgem.com/tag/amiodarone/)
- [ALPS](https://thesgem.com/tag/alps/)
- [ventricular fibrillation](https://thesgem.com/tag/ventricular-fibrillation/)
- [pulseless ventricular tachycardia](https://thesgem.com/tag/pulseless-ventricular-tachycardia/)
- [CDT](https://thesgem.com/tag/cdt/)
- [TMP/SMX](https://thesgem.com/tag/tmpsmx/)
- [halloween](https://thesgem.com/tag/halloween/)
- [MedSkl](https://thesgem.com/tag/medskl/)
- [Sanjay](https://thesgem.com/tag/sanjay/)
- [NPO](https://thesgem.com/tag/npo/)
- [aspiration](https://thesgem.com/tag/aspiration/)
- [Beach](https://thesgem.com/tag/beach/)
- [procedural sedation](https://thesgem.com/tag/procedural-sedation/)
- [sickle](https://thesgem.com/tag/sickle/)
- [CXR](https://thesgem.com/tag/cxr/)
- [Plint](https://thesgem.com/tag/plint/)
- [RSV](https://thesgem.com/tag/rsv/)
- [community](https://thesgem.com/tag/community/)
- [Choosing Wisely](https://thesgem.com/tag/choosing-wisely/)
- [Amy Cheng](https://thesgem.com/tag/amy-cheng/)
- [SOFA](https://thesgem.com/tag/sofa/)
- [qSOFA](https://thesgem.com/tag/qsofa/)
- [HYPRESS](https://thesgem.com/tag/hypress/)
- [hydrocortisone](https://thesgem.com/tag/hydrocortisone/)
- [EFBI](https://thesgem.com/tag/efbi/)
- [glucagon](https://thesgem.com/tag/glucagon/)
- [esophageal](https://thesgem.com/tag/esophageal/)
- [foreign body](https://thesgem.com/tag/foreign-body/)
- [OHFRS](https://thesgem.com/tag/ohfrs/)
- [Step-by-Step](https://thesgem.com/tag/step-by-step/)
- [IBI](https://thesgem.com/tag/ibi/)
- [invasive bacterial infection](https://thesgem.com/tag/invasive-bacterial-infection/)
- [diazepam](https://thesgem.com/tag/diazepam/)
- [back pain](https://thesgem.com/tag/back-pain/)
- [NSAID](https://thesgem.com/tag/nsaid/)
- [red flags](https://thesgem.com/tag/red-flags/)
- [INTERACT-2](https://thesgem.com/tag/interact-2/)
- [ATACH-2](https://thesgem.com/tag/atach-2/)
- [Total EM](https://thesgem.com/tag/total-em/)
- [Chip](https://thesgem.com/tag/chip/)
- [IAEMC](https://thesgem.com/tag/iaemc/)
- [talk trauma](https://thesgem.com/tag/talk-trauma/)
- [LHSC](https://thesgem.com/tag/lhsc/)
- [Mario](https://thesgem.com/tag/mario/)
- [vit C](https://thesgem.com/tag/vit-c/)
- [vitamin c](https://thesgem.com/tag/vitamin-c/)
- [torodol](https://thesgem.com/tag/torodol/)
- [chest pain](https://thesgem.com/tag/chest-pain/)
- [Ottawa](https://thesgem.com/tag/ottawa/)
- [CPCM](https://thesgem.com/tag/cpcm/)
- [McGill](https://thesgem.com/tag/mcgill/)
- [PEM](https://thesgem.com/tag/pem/)
- [Mindfulness](https://thesgem.com/tag/mindfulness/)
- [meditation](https://thesgem.com/tag/meditation/)
- [stress](https://thesgem.com/tag/stress/)
- [MBSR](https://thesgem.com/tag/mbsr/)
- [Heroin](https://thesgem.com/tag/heroin/)
- [naloxone](https://thesgem.com/tag/naloxone/)
- [narcan](https://thesgem.com/tag/narcan/)
- [overdose](https://thesgem.com/tag/overdose/)
- [toxicology](https://thesgem.com/tag/toxicology/)
- [non-operative](https://thesgem.com/tag/non-operative/)
- [pan scan](https://thesgem.com/tag/pan-scan/)
- [total body](https://thesgem.com/tag/total-body/)
- [REACT-2](https://thesgem.com/tag/react-2/)
- [PATCH](https://thesgem.com/tag/patch/)
- [platelets](https://thesgem.com/tag/platelets/)
- [FIX2017](https://thesgem.com/tag/fix2017/)
- [FeminEM](https://thesgem.com/tag/feminem/)
- [Dara Kass](https://thesgem.com/tag/dara-kass/)
- [gender](https://thesgem.com/tag/gender/)
- [equity](https://thesgem.com/tag/equity/)
- [PEITHO](https://thesgem.com/tag/peitho/)
- [legends](https://thesgem.com/tag/legends/)
- [Diane](https://thesgem.com/tag/diane/)
- [birnbaumer](https://thesgem.com/tag/birnbaumer/)
- [legend](https://thesgem.com/tag/legend/)
- [CDS](https://thesgem.com/tag/cds/)
- [joe](https://thesgem.com/tag/joe/)
- [lex](https://thesgem.com/tag/lex/)
- [judy](https://thesgem.com/tag/judy/)
- [Judith](https://thesgem.com/tag/judith/)
- [Tintinalli](https://thesgem.com/tag/tintinalli/)
- [jerry Jerome](https://thesgem.com/tag/jerry-jerome/)
- [Hoffman](https://thesgem.com/tag/hoffman/)
- [rick](https://thesgem.com/tag/rick/)
- [richard](https://thesgem.com/tag/richard/)
- [bukata](https://thesgem.com/tag/bukata/)
- [RSI](https://thesgem.com/tag/rsi/)
- [Apneic](https://thesgem.com/tag/apneic/)
- [ApOx](https://thesgem.com/tag/apox/)
- [ApO2](https://thesgem.com/tag/apo2/)
- [acupuncture](https://thesgem.com/tag/acupuncture/)
- [science based medicine](https://thesgem.com/tag/science-based-medicine/)
- [feminism](https://thesgem.com/tag/feminism/)
- [racism](https://thesgem.com/tag/racism/)
- [Esther Choo](https://thesgem.com/tag/esther-choo/)
- [ECMO](https://thesgem.com/tag/ecmo/)
- [E-CPR](https://thesgem.com/tag/e-cpr/)
- [BLS](https://thesgem.com/tag/bls/)
- [UTI](https://thesgem.com/tag/uti/)
- [Quick-Wee](https://thesgem.com/tag/quick-wee/)
- [CALS](https://thesgem.com/tag/cals/)
- [ACE](https://thesgem.com/tag/ace/)
- [Ankle](https://thesgem.com/tag/ankle/)
- [sprain](https://thesgem.com/tag/sprain/)
- [RICE](https://thesgem.com/tag/rice/)
- [physio](https://thesgem.com/tag/physio/)
- [SEMAC](https://thesgem.com/tag/semac/)
- [oxygen](https://thesgem.com/tag/oxygen/)
- [DETO2X](https://thesgem.com/tag/deto2x/)
- [heart attack](https://thesgem.com/tag/heart-attack/)
- [wonder woman](https://thesgem.com/tag/wonder-woman/)
- [gunter](https://thesgem.com/tag/gunter/)
- [jen](https://thesgem.com/tag/jen/)
- [Facebook live](https://thesgem.com/tag/facebook-live/)
- [sweet](https://thesgem.com/tag/sweet/)
- [sucrose](https://thesgem.com/tag/sucrose/)
- [science](https://thesgem.com/tag/science/)
- [Boot Camp](https://thesgem.com/tag/boot-camp/)
- [Bootcamp](https://thesgem.com/tag/bootcamp/)
- [Western](https://thesgem.com/tag/western/)
- [Residents](https://thesgem.com/tag/residents/)
- [Clerk](https://thesgem.com/tag/clerk/)
- [dexamethasone](https://thesgem.com/tag/dexamethasone/)
- [prednisolone](https://thesgem.com/tag/prednisolone/)
- [temperature](https://thesgem.com/tag/temperature/)
- [Gastroparesis](https://thesgem.com/tag/gastroparesis/)
- [haldol](https://thesgem.com/tag/haldol/)
- [haloperidol](https://thesgem.com/tag/haloperidol/)
- [IHCA](https://thesgem.com/tag/ihca/)
- [AHA](https://thesgem.com/tag/aha/)
- [sergey](https://thesgem.com/tag/sergey/)
- [motov](https://thesgem.com/tag/motov/)
- [low-dose](https://thesgem.com/tag/low-dose/)
- [orthopaedics](https://thesgem.com/tag/orthopaedics/)
- [PUBcast](https://thesgem.com/tag/pubcast/)
- [OTC](https://thesgem.com/tag/otc/)
- [epilepsy](https://thesgem.com/tag/epilepsy/)
- [status](https://thesgem.com/tag/status/)
- [camp fever](https://thesgem.com/tag/camp-fever/)
- [bloodletting](https://thesgem.com/tag/bloodletting/)
- [alexander hamilton](https://thesgem.com/tag/alexander-hamilton/)
- [Season#3](https://thesgem.com/tag/season3/)
- [Book](https://thesgem.com/tag/book/)
- [Fix](https://thesgem.com/tag/fix/)
- [2017](https://thesgem.com/tag/2017/)
- [sore throat](https://thesgem.com/tag/sore-throat/)
- [pharyngitis](https://thesgem.com/tag/pharyngitis/)
- [PIVC](https://thesgem.com/tag/pivc/)
- [torsion](https://thesgem.com/tag/torsion/)
- [testicles](https://thesgem.com/tag/testicles/)
- [TWIST](https://thesgem.com/tag/twist/)
- [wheeze](https://thesgem.com/tag/wheeze/)
- [cephalexin](https://thesgem.com/tag/cephalexin/)
- [TMP-SMX](https://thesgem.com/tag/tmp-smx/)
- [epistasis](https://thesgem.com/tag/epistasis/)
- [GeriEM](https://thesgem.com/tag/geriem/)
- [blunt](https://thesgem.com/tag/blunt/)
- [valsalva](https://thesgem.com/tag/valsalva/)
- [device](https://thesgem.com/tag/device/)
- [jeanne lenzer](https://thesgem.com/tag/jeanne-lenzer/)
- [aortic dissection](https://thesgem.com/tag/aortic-dissection/)
- [PPH](https://thesgem.com/tag/pph/)
- [Post-partum](https://thesgem.com/tag/post-partum/)
- [respiratory](https://thesgem.com/tag/respiratory/)
- [PERC rule](https://thesgem.com/tag/perc-rule/)
- [Batdoc](https://thesgem.com/tag/batdoc/)
- [Retire](https://thesgem.com/tag/retire/)
- [petition](https://thesgem.com/tag/petition/)
- [SSC](https://thesgem.com/tag/ssc/)
- [Surviving Sepsis Campaign](https://thesgem.com/tag/surviving-sepsis-campaign/)
- [ExDS](https://thesgem.com/tag/exds/)
- [Excited Delirium Syndrome](https://thesgem.com/tag/excited-delirium-syndrome/)
- [Delirium](https://thesgem.com/tag/delirium/)
- [morphine](https://thesgem.com/tag/morphine/)
- [Brian goldman](https://thesgem.com/tag/brian-goldman/)
- [kindness](https://thesgem.com/tag/kindness/)
- [night shift](https://thesgem.com/tag/night-shift/)
- [secret language of doctors](https://thesgem.com/tag/secret-language-of-doctors/)
- [cardiovert](https://thesgem.com/tag/cardiovert/)
- [battlefield](https://thesgem.com/tag/battlefield/)
- [BFA](https://thesgem.com/tag/bfa/)
- [NEXUS](https://thesgem.com/tag/nexus/)
- [CT Head](https://thesgem.com/tag/ct-head/)
- [Rude](https://thesgem.com/tag/rude/)
- [Rudeness](https://thesgem.com/tag/rudeness/)
- [CBM](https://thesgem.com/tag/cbm/)
- [Team](https://thesgem.com/tag/team/)
- [ADE](https://thesgem.com/tag/ade/)
- [adverse drug event](https://thesgem.com/tag/adverse-drug-event/)
- [ATLS](https://thesgem.com/tag/atls/)
- [Advanced trauma life support](https://thesgem.com/tag/advanced-trauma-life-support/)
- [Parry](https://thesgem.com/tag/parry/)
- [High-flow](https://thesgem.com/tag/high-flow/)
- [nasal](https://thesgem.com/tag/nasal/)
- [DFTB](https://thesgem.com/tag/dftb/)
- [PARIS](https://thesgem.com/tag/paris/)
- [Medical](https://thesgem.com/tag/medical/)
- [Legal](https://thesgem.com/tag/legal/)
- [Sued](https://thesgem.com/tag/sued/)
- [stones](https://thesgem.com/tag/stones/)
- [Intraosseous](https://thesgem.com/tag/intraosseous/)
- [IO](https://thesgem.com/tag/io/)
- [c-spine](https://thesgem.com/tag/c-spine/)
- [canadian c-spine rules](https://thesgem.com/tag/canadian-c-spine-rules/)
- [CCR](https://thesgem.com/tag/ccr/)
- [nurse](https://thesgem.com/tag/nurse/)
- [triage](https://thesgem.com/tag/triage/)
- [LDK](https://thesgem.com/tag/ldk/)
- [Opioid](https://thesgem.com/tag/opioid/)
- [SRMA](https://thesgem.com/tag/srma/)
- [CIN](https://thesgem.com/tag/cin/)
- [AKI](https://thesgem.com/tag/aki/)
- [Edoxaban](https://thesgem.com/tag/edoxaban/)
- [DOAC](https://thesgem.com/tag/doac/)
- [CST](https://thesgem.com/tag/cst/)
- [Trafficking](https://thesgem.com/tag/trafficking/)
- [screening](https://thesgem.com/tag/screening/)
- [dad](https://thesgem.com/tag/dad/)
- [ACEM18](https://thesgem.com/tag/acem18/)
- [wellness](https://thesgem.com/tag/wellness/)
- [SGU](https://thesgem.com/tag/sgu/)
- [Novella](https://thesgem.com/tag/novella/)
- [book review](https://thesgem.com/tag/book-review/)
- [PARAMEDIC2](https://thesgem.com/tag/paramedic2/)
- [adrenalin](https://thesgem.com/tag/adrenalin/)
- [convulsion](https://thesgem.com/tag/convulsion/)
- [Season5](https://thesgem.com/tag/season5/)
- [SGEM Xtra](https://thesgem.com/tag/sgem-xtra/)
- [2019](https://thesgem.com/tag/2019/)
- [happy new years](https://thesgem.com/tag/happy-new-years/)
- [intranasal](https://thesgem.com/tag/intranasal/)
- [IOTA](https://thesgem.com/tag/iota/)
- [Sandwich](https://thesgem.com/tag/sandwich/)
- [IST-3](https://thesgem.com/tag/ist-3/)
- [ECASS-III](https://thesgem.com/tag/ecass-iii/)
- [LOMAGHI](https://thesgem.com/tag/lomaghi/)
- [Meme 244](https://thesgem.com/tag/meme-244/)
- [244](https://thesgem.com/tag/244/)
- [retinal](https://thesgem.com/tag/retinal/)
- [detachment](https://thesgem.com/tag/detachment/)
- [retinal detachment](https://thesgem.com/tag/retinal-detachment/)
- [OCHA](https://thesgem.com/tag/ocha/)
- [LT](https://thesgem.com/tag/lt/)
- [ETI](https://thesgem.com/tag/eti/)
- [airway](https://thesgem.com/tag/airway/)
- [SGA](https://thesgem.com/tag/sga/)
- [supraglottic](https://thesgem.com/tag/supraglottic/)
- [twitter poll](https://thesgem.com/tag/twitter-poll/)
- [SGEM#247](https://thesgem.com/tag/sgem247/)
- [NNT](https://thesgem.com/tag/nnt/)
- [247](https://thesgem.com/tag/247/)
- [Time's Up](https://thesgem.com/tag/times-up/)
- [International Women's Day](https://thesgem.com/tag/international-womens-day/)
- [pay](https://thesgem.com/tag/pay/)
- [#TimesUpHC](https://thesgem.com/tag/timesuphc/)
- [pay disparity](https://thesgem.com/tag/pay-disparity/)
- [trans tracheal](https://thesgem.com/tag/trans-tracheal/)
- [SGEM#248](https://thesgem.com/tag/sgem248/)
- [disparity](https://thesgem.com/tag/disparity/)
- [SGEM#249](https://thesgem.com/tag/sgem249/)
- [scribes](https://thesgem.com/tag/scribes/)
- [249](https://thesgem.com/tag/249/)
- [ETT](https://thesgem.com/tag/ett/)
- [Factor Xa](https://thesgem.com/tag/factor-xa/)
- [andexanet](https://thesgem.com/tag/andexanet/)
- [screen](https://thesgem.com/tag/screen/)
- [Factor Xa Inhibitors](https://thesgem.com/tag/factor-xa-inhibitors/)
- [Xa Inhibitor](https://thesgem.com/tag/xa-inhibitor/)
- [EtCO2](https://thesgem.com/tag/etco2/)
- [EMcrit](https://thesgem.com/tag/emcrit/)
- [Scott](https://thesgem.com/tag/scott/)
- [251](https://thesgem.com/tag/251/)
- [suicidality](https://thesgem.com/tag/suicidality/)
- [mental health](https://thesgem.com/tag/mental-health/)
- [psychiatry](https://thesgem.com/tag/psychiatry/)
- [252](https://thesgem.com/tag/252/)
- [weekend](https://thesgem.com/tag/weekend/)
- [weekend effect](https://thesgem.com/tag/weekend-effect/)
- [probiotic](https://thesgem.com/tag/probiotic/)
- [probiotics](https://thesgem.com/tag/probiotics/)
- [DKA](https://thesgem.com/tag/dka/)
- [diabetic ketoacidosis](https://thesgem.com/tag/diabetic-ketoacidosis/)
- [254](https://thesgem.com/tag/254/)
- [appendectomy](https://thesgem.com/tag/appendectomy/)
- [EMTALA](https://thesgem.com/tag/emtala/)
- [law](https://thesgem.com/tag/law/)
- [meme](https://thesgem.com/tag/meme/)
- [256](https://thesgem.com/tag/256/)
- [SGEM#256](https://thesgem.com/tag/sgem256/)
- [CAEP19](https://thesgem.com/tag/caep19/)
- [Catch of the Day](https://thesgem.com/tag/catch-of-the-day/)
- [REBOA](https://thesgem.com/tag/reboa/)
- [FIX19](https://thesgem.com/tag/fix19/)
- [kass](https://thesgem.com/tag/kass/)
- [SOGC](https://thesgem.com/tag/sogc/)
- [ACOG](https://thesgem.com/tag/acog/)
- [Hyperemesis](https://thesgem.com/tag/hyperemesis/)
- [ORNGE](https://thesgem.com/tag/ornge/)
- [critical care](https://thesgem.com/tag/critical-care/)
- [fetal](https://thesgem.com/tag/fetal/)
- [malformation](https://thesgem.com/tag/malformation/)
- [congenital](https://thesgem.com/tag/congenital/)
- [anomaly](https://thesgem.com/tag/anomaly/)
- [cardioversion](https://thesgem.com/tag/cardioversion/)
- [Critical appraisal](https://thesgem.com/tag/critical-appraisal/)
- [clinical decision instrument](https://thesgem.com/tag/clinical-decision-instrument/)
- [261](https://thesgem.com/tag/261/)
- [Cristal](https://thesgem.com/tag/cristal/)
- [omadacycline](https://thesgem.com/tag/omadacycline/)
- [NYACEP](https://thesgem.com/tag/nyacep/)
- [262](https://thesgem.com/tag/262/)
- [non-inferiority](https://thesgem.com/tag/non-inferiority/)
- [nejm](https://thesgem.com/tag/nejm/)
- [263](https://thesgem.com/tag/263/)
- [antibiotic](https://thesgem.com/tag/antibiotic/)
- [Barbie](https://thesgem.com/tag/barbie/)
- [addiction](https://thesgem.com/tag/addiction/)
- [misuse](https://thesgem.com/tag/misuse/)
- [264](https://thesgem.com/tag/264/)
- [Cochrane](https://thesgem.com/tag/cochrane/)
- [convulsive](https://thesgem.com/tag/convulsive/)
- [eclipse](https://thesgem.com/tag/eclipse/)
- [consept](https://thesgem.com/tag/consept/)
- [265](https://thesgem.com/tag/265/)
- [status epilepticus](https://thesgem.com/tag/status-epilepticus/)
- [levetiracetam](https://thesgem.com/tag/levetiracetam/)
- [paperinpic](https://thesgem.com/tag/paperinpic/)
- [epilepticus](https://thesgem.com/tag/epilepticus/)
- [thrombosis](https://thesgem.com/tag/thrombosis/)
- [marik](https://thesgem.com/tag/marik/)
- [atrial](https://thesgem.com/tag/atrial/)
- [AFib](https://thesgem.com/tag/afib/)
- [266](https://thesgem.com/tag/266/)
- [washu](https://thesgem.com/tag/washu/)
- [memes](https://thesgem.com/tag/memes/)
- [267](https://thesgem.com/tag/267/)
- [ALTE](https://thesgem.com/tag/alte/)
- [BRUE](https://thesgem.com/tag/brue/)
- [nitro](https://thesgem.com/tag/nitro/)
- [NTG](https://thesgem.com/tag/ntg/)
- [convert](https://thesgem.com/tag/convert/)
- [268](https://thesgem.com/tag/268/)
- [269](https://thesgem.com/tag/269/)
- [nitroglycerin](https://thesgem.com/tag/nitroglycerin/)
- [dentist](https://thesgem.com/tag/dentist/)
- [position statement](https://thesgem.com/tag/position-statement/)
- [CRASH-3](https://thesgem.com/tag/crash-3/)
- [CRASH3](https://thesgem.com/tag/crash3/)
- [Bougie](https://thesgem.com/tag/bougie/)
- [CT Scans](https://thesgem.com/tag/ct-scans/)
- [Boxer](https://thesgem.com/tag/boxer/)
- [buddy](https://thesgem.com/tag/buddy/)
- [Boxer's fracture](https://thesgem.com/tag/boxers-fracture/)
- [orthopedics](https://thesgem.com/tag/orthopedics/)
- [buddy taping](https://thesgem.com/tag/buddy-taping/)
- [273](https://thesgem.com/tag/273/)
- [INCA](https://thesgem.com/tag/inca/)
- [boxer's](https://thesgem.com/tag/boxers/)
- [Therapeutic hypothermia](https://thesgem.com/tag/therapeutic-hypothermia/)
- [non-shockable](https://thesgem.com/tag/non-shockable/)
- [therapeutic](https://thesgem.com/tag/therapeutic/)
- [FOCUS](https://thesgem.com/tag/focus/)
- [YEARS](https://thesgem.com/tag/years/)
- [pregnant](https://thesgem.com/tag/pregnant/)
- [AOM](https://thesgem.com/tag/aom/)
- [Acute otitis media](https://thesgem.com/tag/acute-otitis-media/)
- [NNH](https://thesgem.com/tag/nnh/)
- [urology](https://thesgem.com/tag/urology/)
- [radiology](https://thesgem.com/tag/radiology/)
- [AmbuBag](https://thesgem.com/tag/ambubag/)
- [BVM](https://thesgem.com/tag/bvm/)
- [Bayes](https://thesgem.com/tag/bayes/)
- [GEM](https://thesgem.com/tag/gem/)
- [Dan Lane](https://thesgem.com/tag/dan-lane/)
- [Statistically Significant](https://thesgem.com/tag/statistically-significant/)
- [prognostic factors](https://thesgem.com/tag/prognostic-factors/)
- [PreVent](https://thesgem.com/tag/prevent/)
- [BMV](https://thesgem.com/tag/bmv/)
- [PEGeD](https://thesgem.com/tag/peged/)
- [Parachute](https://thesgem.com/tag/parachute/)
- [bmj](https://thesgem.com/tag/bmj/)
- [RCA](https://thesgem.com/tag/rca/)
- [right care](https://thesgem.com/tag/right-care/)
- [lown](https://thesgem.com/tag/lown/)
- [right care alliance](https://thesgem.com/tag/right-care-alliance/)
- [Lown Institute](https://thesgem.com/tag/lown-institute/)
- [color](https://thesgem.com/tag/color/)
- [colour](https://thesgem.com/tag/colour/)
- [anxiety](https://thesgem.com/tag/anxiety/)
- [Colouring](https://thesgem.com/tag/colouring/)
- [adult](https://thesgem.com/tag/adult/)
- [coloring](https://thesgem.com/tag/coloring/)
- [mask](https://thesgem.com/tag/mask/)
- [N95](https://thesgem.com/tag/n95/)
- [art therapy](https://thesgem.com/tag/art-therapy/)
- [pseudoscience](https://thesgem.com/tag/pseudoscience/)
- [CRP](https://thesgem.com/tag/crp/)
- [PCT](https://thesgem.com/tag/pct/)
- [WBC](https://thesgem.com/tag/wbc/)
- [biomarkers](https://thesgem.com/tag/biomarkers/)
- [dog](https://thesgem.com/tag/dog/)
- [puppy](https://thesgem.com/tag/puppy/)
- [puppies](https://thesgem.com/tag/puppies/)
- [therapy](https://thesgem.com/tag/therapy/)
- [sirens](https://thesgem.com/tag/sirens/)
- [lights](https://thesgem.com/tag/lights/)
- [AIS](https://thesgem.com/tag/ais/)
- [siren](https://thesgem.com/tag/siren/)
- [accidents](https://thesgem.com/tag/accidents/)
- [lights and sirens](https://thesgem.com/tag/lights-and-sirens/)
- [town hall](https://thesgem.com/tag/town-hall/)
- [covid19](https://thesgem.com/tag/covid19/)
- [HCQ](https://thesgem.com/tag/hcq/)
- [Remdesivir](https://thesgem.com/tag/remdesivir/)
- [masks](https://thesgem.com/tag/masks/)
- [covid](https://thesgem.com/tag/covid/)
- [coronavirus](https://thesgem.com/tag/coronavirus/)
- [debate](https://thesgem.com/tag/debate/)
- [EVT](https://thesgem.com/tag/evt/)
- [Northern Constellation](https://thesgem.com/tag/northern-constellation/)
- [norepinephrine](https://thesgem.com/tag/norepinephrine/)
- [CENSER](https://thesgem.com/tag/censer/)
- [MOO](https://thesgem.com/tag/moo/)
- [norepi](https://thesgem.com/tag/norepi/)
- [vasopressor](https://thesgem.com/tag/vasopressor/)
- [Wells](https://thesgem.com/tag/wells/)
- [CTPA](https://thesgem.com/tag/ctpa/)
- [infant](https://thesgem.com/tag/infant/)
- [SBI](https://thesgem.com/tag/sbi/)
- [NOSM](https://thesgem.com/tag/nosm/)
- [Peltzman](https://thesgem.com/tag/peltzman/)
- [diagnostic](https://thesgem.com/tag/diagnostic/)
- [testing](https://thesgem.com/tag/testing/)
- [Season#6](https://thesgem.com/tag/season6/)
- [CPSO](https://thesgem.com/tag/cpso/)
- [GI bleeds](https://thesgem.com/tag/gi-bleeds/)
- [HALT-IT](https://thesgem.com/tag/halt-it/)
- [GI](https://thesgem.com/tag/gi/)
- [Bleed](https://thesgem.com/tag/bleed/)
- [PTX](https://thesgem.com/tag/ptx/)
- [GERD](https://thesgem.com/tag/gerd/)
- [heart burn](https://thesgem.com/tag/heart-burn/)
- [pink lady](https://thesgem.com/tag/pink-lady/)
- [inequity](https://thesgem.com/tag/inequity/)
- [GI cocktail](https://thesgem.com/tag/gi-cocktail/)
- [epigastric pain](https://thesgem.com/tag/epigastric-pain/)
- [DAPT](https://thesgem.com/tag/dapt/)
- [aspirin](https://thesgem.com/tag/aspirin/)
- [ticagrelor](https://thesgem.com/tag/ticagrelor/)
- [THALES](https://thesgem.com/tag/thales/)
- [advil](https://thesgem.com/tag/advil/)
- [ibuprofen](https://thesgem.com/tag/ibuprofen/)
- [how to think](https://thesgem.com/tag/how-to-think/)
- [app](https://thesgem.com/tag/app/)
- [staying alive](https://thesgem.com/tag/staying-alive/)
- [smart phone](https://thesgem.com/tag/smart-phone/)
- [buffer](https://thesgem.com/tag/buffer/)
- [local](https://thesgem.com/tag/local/)
- [anesthetic](https://thesgem.com/tag/anesthetic/)
- [buffering](https://thesgem.com/tag/buffering/)
- [APPs](https://thesgem.com/tag/apps/)
- [NPs](https://thesgem.com/tag/nps/)
- [nurse practitioners](https://thesgem.com/tag/nurse-practitioners/)
- [physician assistants](https://thesgem.com/tag/physician-assistants/)
- [SARS-CoV-2](https://thesgem.com/tag/sars-cov-2/)
- [HINTS](https://thesgem.com/tag/hints/)
- [DANMASK](https://thesgem.com/tag/danmask/)