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Date:  May 26, 2013

Title: TheSGEM Down Under

This week I had the pleasure of giving a keynote address on social media and rural medicine. The cool thing about it was giving it virtually. I was in Goderich, Canada and the presentation was streamed live to Adelaide, Australia. Social Medial is shrinking the world.…

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Date:  May 20, 2013

Title: TNT (To Not Treat) with Prophylactic Antibiotics for Basilar Skull Fractures

Case Scenario: An otherwise healthy 21yo male patient who has been drinking alcohol all day at the beach. He tries to jump into the back of his friends moving Jeep and does a face plant. He arrives by…

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Date:  May 12, 2013

Title: Mac and CCBs (Macrolides and Calcium Channel Blockers)

Case Scenario: 67 year-old woman presents with a one week history of productive cough and no fever. She is a non-smoker and has no history of lung disease. Her past medical history is positive for hypertension and she is taking a…

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Date: May 5th, 2013

This is a follow-up to Episode#30: My Generation. Every five episodes or so I like to deviate from the case based evidence based medicine (EBM) formula where we critically review an article or topic.

The goal of TheSGEM however remains the same, to cut the knowledge translation (KT) window from…

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Date:  April 28, 2013

Title: This is Spinal Tap (Lumbar Punctures)

Case Scenario: A 66YO man presents with a 48hr history of fever, lethargy and headache. No significant past medical history. On physical examination he has a temperature of 38.8C, GCS 15, stiff neck on flexion and no rash. Urinalysis and CXR are normal.…

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Date:  April 21, 2013

Title: Boston 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…

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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…

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Date:  April 7, 2013

Title: She’s Got Legs (Deep Vein Thrombosis and Thrombophlebitis)

Case Scenario: A 58-year-old woman arrives to the ED with a painful leg. You do an appropriate history and physical examination. She is Well’s criteria low so you order a d-dimer. The d-dimer comes back elevated so you ask for an…

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Date:  March 2013

Guests:

Dr. Chris Carpenter: Director Evidence Based Medicine, Wahington University

Dr. Greg Polites Course Master Practice of Medicine, Washington University

Dr. Peter Panagos Director of Stroke Network, Washington University

Case Scenario: Emergency Medicine resident approaches her staff physician after listening to an episode of TheSGEM. The information she is being taught…

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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…