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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 …


Published on 4 months, 4 weeks 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 Challe…


Published on 5 months 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 Dr. Brandon Ho Guest Skept…


Published on 5 months, 2 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 crow…


Published on 5 months, 3 weeks 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. …


Published on 6 months 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 emerg…


Published on 6 months, 1 week 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 Dr. Lauren Rosenfeld Guest Skeptic: Dr. Lauren Ros…


Published on 6 months, 2 weeks 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: Februar…


Published on 6 months, 3 weeks 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 7 months ago

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SGEM Xtra: Rock, Robot Rock – AI for Clinical Research



Date: February 11, 2025 Dr. Ross Prager Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critic…


Published on 7 months, 1 week ago





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