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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 th…


Published on 4 months, 3 weeks ago

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SGEM Xtra: Ten Lessons They Don’t 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 com…


Published on 5 months ago

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SGEM#476: 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 Lanc…


Published on 5 months, 1 week ago

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SGEM#475: 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…


Published on 5 months, 2 weeks ago

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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…


Published on 5 months, 3 weeks ago

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SGEM#474: 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, 2…


Published on 5 months, 4 weeks ago

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SGEM#473: 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 Sk…


Published on 6 months, 1 week ago

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SGEM#472: 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 …


Published on 6 months, 2 weeks ago

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SGEM#471: 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…


Published on 6 months, 4 weeks ago

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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 crowd…


Published on 7 months ago





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