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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 5 months, 1 week 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 5 months, 1 week ago

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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. T…


Published on 5 months, 3 weeks ago

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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 emerge…


Published on 5 months, 4 weeks ago

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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 emerge…


Published on 6 months ago

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SGEM#469: 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…


Published on 6 months, 1 week ago

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SGEM#468: 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(…


Published on 6 months, 3 weeks ago

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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 i…


Published on 6 months, 4 weeks ago

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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. Lan…


Published on 7 months, 1 week ago

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SGEM#466: I Love ROC-n-Roll…But Not When It’s 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…


Published on 7 months, 2 weeks ago





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