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Date: 13 January 2013

Case Scenario: A nine-year-old girl playing ringette slipped on ice and hurt her right, dominant wrist.  She was seen in an “academic” pediatric emergency department one week ago. The diagnosis of a “buckle” fracture of the distal radius was made, placed in a below elbow full cast and had follow-up…

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Date: 6 January 2013

Title: Eye of the Tiger (Traumatic Hyphema)

Case Scenario: 18yo 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 …

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Date: 30 December 2012

Title: The Best FOAM/#FOAMed of 2012

For the last show of 2012 we decided to list the top five FOAM sites. To help compile the list we invited Lauren Westafer who is a fourth year medical student in Florida. A theme of TheSGEM is for medical information to bubble up…

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Date: 23 December 2012

Title: Ho, Ho Hold the Proton Pump Inhibitor in Upper Gastrointestinal Bleed

Case Scenario: A jolly old man presents to the emergency department vomiting bright red blood all over his fur lined winter coat.  You quickly assess his A,B,Cs. The nurse places two big IVs, you bring the advanced airway…

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Date: December 2012

Title: Choosing Wisely

The American Board of Internal Medicine (ABIM) started the project called Choosing Wisely. According to the ABIM foundation website: “Choosing Wisely is part of a multi-year effort of the ABIM Foundation to help physicians be better stewards of finite health care resources. Originally conceived and piloted by the…

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Date: December 9, 2012

Title: You Can Ring My Bell (Steroids and Antivirals for Bell’s Palsy)

Guest: Dr. Tony Seupal

Question: Steroids Y/N, Antivirals Y/N or both?

Case Scenario: 35yo healthy awakes with unilateral facial droop. Triage nurse brings promptly this case to your attention for query CVA.Bell’s Palsy:  Here is the Wikipedia entry…

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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…

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Date: 18 November 2012

Case Scenario: A four–year-old child presents with a one day history of vomiting. They are otherwise healthy, immunized, no fever, no rash, no recent travel, no abdominal pain, no cough and no sick contacts.

Background on Dehydration in Children: Dehydration in children is a common presentation to the emergency department.…

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Date: 11 November 2012

Title: All Seizures Stop…Eventually (Magnesium and Eclampsia)

Case Scenario:

A healthy 23 year old woman presents 37 weeks pregnant seizing. She has no history of seizures, drugs, trauma, illness, etc.  You are addressing the A, B, Cs and the nurses asks “what med do you want to stop the seizure”?…

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Date: 4 November 2012

Something a little different this time. Always trying out new things on TheSGEM to improve knowledge translation and dissemination. Today I want to look at evidence based medicine again. There are some critics of EBM.  I appreciate the system is not perfect. There are a number of limitations to EBM.…