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The Skeptics Guide to Emergency Medicine


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SGEM#366: Relax, Don’t Do It – Skeletal Muscle Relaxants for Low Back Pain
26:59
26:59
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26:59
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 […]…
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The Skeptics Guide to Emergency Medicine


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SGEM Xtra: She Blinded Me with Science Communication
31:19
31:19
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31:19
,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 […]…
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The Skeptics Guide to Emergency Medicine


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SGEM#365: Stop! It’s Not Always Hammer Time
22:26
22:26
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22:26
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: …
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The Skeptics Guide to Emergency Medicine


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SGEM#364: Don’t You Forget About Me – DW:MRI Sensitivity for Transient Global Amnesia
33:16
33:16
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33:16
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…
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The Skeptics Guide to Emergency Medicine


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SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety
36:03
36:03
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36:03
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…
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The Skeptics Guide to Emergency Medicine


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SGEM Xtra: Float Away, Float Away, Float Away – from Misinformation
1:28:22
1:28:22
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1:28:22
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…
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The Skeptics Guide to Emergency Medicine


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SGEM#362: Screen Time – Can’t Take My Eyes Off of You – But Should I Post-Concussion?
21:34
21:34
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21:34
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…
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The Skeptics Guide to Emergency Medicine


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SGEM#361: Under My Umbrella, Ella, Ella – Review of Meta-Analyses in Emergency Medicine
53:21
53:21
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53:21
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 Emer…
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The Skeptics Guide to Emergency Medicine


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SGEM#360: We Care a Lot – The EmPATH Study
29:49
29:49
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29:49
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 Researc…
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…
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The Skeptics Guide to Emergency Medicine


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SGEM#359: Meet Me Halfway on the Duration of Antibiotics for Non-Severe Pediatric Community-Acquired Pneumonia
23:10
23:10
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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 thre…
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The Skeptics Guide to Emergency Medicine


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SGEM#358: I Would Do Anything for Septic Olecranon Bursitis But I Won’t Tap That
25:02
25:02
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25:02
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 wo…
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The Skeptics Guide to Emergency Medicine


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SGEM#357: COVID it’s Getting Harder and Harder to Breathe but will Budesonide Help?
23:35
23:35
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23:35
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 First10…
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The Skeptics Guide to Emergency Medicine


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SGEM#356: Drugs are Gonna Knock You Out – Etomidate vs. Ketamine for Emergency Endotracheal Intubation
19:01
19:01
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19:01
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…
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The Skeptics Guide to Emergency Medicine


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SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes
22:35
22:35
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22:35
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 Emer…
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The Skeptics Guide to Emergency Medicine


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SGEM#354: Everybody Walk the Dinosaur and Not Take the MSU
48:40
48:40
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48:40
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…
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 …
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The Skeptics Guide to Emergency Medicine


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SGEM#352: Amendment – Addressing Gender Inequities in Academic Emergency Medicine
34:12
34:12
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34:12
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-…
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The Skeptics Guide to Emergency Medicine


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SGEM Xtra: Change the World – Honoring Dr. Rakesh Engineer
22:45
22:45
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22:45
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 S…
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The Skeptics Guide to Emergency Medicine


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SGEM#351: How to Stop Geriatrics from Free Fallin’
30:15
30:15
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30:15
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 Te…
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The Skeptics Guide to Emergency Medicine


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SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests
26:40
26:40
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26:40
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 profes…
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The Skeptics Guide to Emergency Medicine


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SGEM#349: Can tPA Be A Bridge Over Trouble Waters to Mechanical Thrombectomy?
36:38
36:38
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36:38
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 neurolog…
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The Skeptics Guide to Emergency Medicine


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SGEM#348: Take the Long Med Home – for Cellulitis
38:45
38:45
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38:45
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 Sch…
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The Skeptics Guide to Emergency Medicine


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SGEM Xtra: From EBM to FBM – Gender Equity in the House of Medicine
54:00
54:00
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54:00
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 […]…
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The Skeptics Guide to Emergency Medicine


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SGEM#347: It Don’t Matter to Me – Balanced Solution or Saline
25:16
25:16
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25:16
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 Medic…