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SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis



Reference:  Shaikh N, et al. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial. JAMA July 2023 Date: October 17, 2023 Dr. Alasdair Munro Gues…


Published on 2 years ago

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SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?



Date: November 22, 2023 Reference: Stopyra et al. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. AEM November 2023. Guest Skeptic: Dr. Lauren…


Published on 2 years ago

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SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?



Date: November 2, 2023 Reference: Coventry et al. Which clinical features best predict occult scaphoid fractures? A systematic review of diagnostic test accuracy studies. Emerg Med J. Aug 2023 Guest…


Published on 2 years, 1 month ago

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SGEM Xtra: Say What You Need to Say…but Don’t Say “Sepsis Screening”



Reference: Roland D, Munro A. Time for paediatrics to screen out sepsis “screening.” BMJ. June 2023 Date: Sept 12, 2023 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicest…


Published on 2 years, 1 month ago

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SGEM#419: Welcome Back – To Another Episode on Back Pain



Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Lancet July 20…


Published on 2 years, 1 month ago

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SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess



Date: October 20, 2023 Reference: Cai et al. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023. Guest Skeptic: Dr. Kirsty Challen is a Consul…


Published on 2 years, 1 month ago

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SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs



Reference: Brennan L et al. Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study. J Paediatr Child Health. March 2023 Date: July 12th, …


Published on 2 years, 2 months ago

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SGEM#416: She’s Always A Woman, Query PE?



Date: September 28, 2023 Reference: Jarman et al. Sex Differences in Guideline-Consistent Diagnostic Testing for Acute Pulmonary Embolism Among Adult Emergency Department Patients Aged 18-49. AEM Se…


Published on 2 years, 2 months ago

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SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures



Reference: Snelling et al. Ultrasonography or radiography for suspected pediatric distal forearm fractures. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Pa…


Published on 2 years, 3 months ago

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SGEM#414: The SQuID Protocol



Date: August 30, 2023 Reference: Griffey et al. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. AEM August 2023 Dr. Suchismita Datta Guest S…


Published on 2 years, 3 months ago





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