Musculoskeletal - The Skeptics Guide to Emergency Medicine

Date: January 10th , 2019 Reference:  Busse JW et al. Opioids for Chronic Noncancer Pain A Systematic Review and Meta-analysis. JAMA December 2018 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the […] The post SGEM#240: I Can’t Get No Satisfaction for My Chronic Non-Cancer Pain first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: October 5th , 2018 Reference: Stiell et al. A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses. Annals of EM Oct 2018 Guest Skeptic: Alison Armstrong is an Emergency Department Nurse, TNCC Course Director, Trauma Program Coordinator and Canadian C-Spine Rule Nurse Champion. Case: There are two case scenarios this […] The post SGEM#232: I Can See Clearly Now the Collar is Gone – Thanks to the Triage Nurse first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: June 20th, 2018 Reference: Fox LM et al. Battlefield acupuncture to treat low back pain in the emergency department. Am J  EM 2018 Guest Skeptics: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. This is Bob’s seventh visit to the SGEM, and his first since returning from deployment.  DISCLAIMER: The views and […] The post SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ Nov 2016. Guest Skeptic: Dr. Steve Joseph. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. He served with the Canadian Forces as a Medical […] The post SGEM#191: No Time for Physio – Roll With It first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: September 7th, 2017 Reference: Cohen et al. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. MJA 2017 Guest Skeptic: Dr. Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, […] The post SGEM#187: Pin Cushion – Acupuncture in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation […] The post SGEM#177: POCUS – A New Sensation for Diagnosing Pediatric Fractures first appeared on The Skeptics Guide to Emergency Medicine.

Date: April 7th, 2017 Superstar Nurse Brenda Palsa and I had a wonderful time presenting at Talk Trauma 2017 this week in London, Ontario. It is a one day conference for nurses, allied health & EMS professionals involved in providing care for adult and paediatric trauma patients. Talk Trauma is put on by the London Health […] The post SGEM Xtra: Talk Trauma 2017- Tales from the Outer Rim first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: March 21st, 2017 Reference: Friedman BW et al. Diazepam is no better than placebo when added to naproxen for acute low back pain. Ann Emerg Med 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of EM at NYU/Bellevue Hospital in the Department of Emergency Medicine. He is also part of REBEL EM, The […] The post SGEM#173: Diazepam Won’t Get Back Pain Down first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: November 29th, 2015 Guest Skeptics: Dr. Brandon Ritcey is an Emergency Medicine Resident from the University of Ottawa. Dr. Chris Bond is an Emergency Medicine physician and clinical lecturer at the University of Calgary. His interests include knowledge translation, FOAMed, and all things food and wine related. Chris has a blog called SOCMOB and is the […] The post SGEM#138: Hip to be Blocked – Regional Nerve Blocks for Hip and Femoral Neck Fractures first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: September 22nd, 2015 Guest Skeptic: Dr. Marcel Emond is an Associate professor, Laval University. Emergency physician the level one trauma centre in Quebec City. Research Director of the Canadian Emergency Team Initiative (CETI). Marcel is also the lead for SGEM Global French. If you are interested in evidence based medicine, shortening the KT window […] The post SGEM#130: Low Dose Ketamine for Acute Pain Control in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: June 11th, 2015 Guest Skeptic: Dr. Greg Hall is Director of EM Ultrasound at the Brantford General Hospital in Brantford Ontario and Assistant Clinical Professor at McMaster University.  He is Vice President of the Canadian Emergency Ultrasound Society, co-author of Point-of-care Ultrasound for Emergency Physicians, co-creator of the EDE 2 Course: Advanced Emergency Department […] The post SGEM#124: Ultrasound for Skull Fractures – Little Bones first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: May 22nd, 2015 Guest Skeptic: Dagny Kane-Haas is a physiotherapist who just completed her Masters degree in Clinical Science in Manipulative Therapy. Case: 24 year-old man is goofing around on the Memorial Day long weekend at the beach. He falls and dislocates his shoulder for the first time. An examination shows it is […] The post SGEM#121: Internal or External Shoulder Immobilization (It Don’t Matter to Me) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: October 5th, 2014 Guest Skeptic: Dr. Chris Carpenter. Associate Professor, Emergency Medicine. Director, Evidence Based Medicine, Washington University. C0-Author of Evidence Based Emergency Care- Diagnostic, Testing and Clinical Decision Rules. @SAEMEBM The goal of the SGEM continues to be to cut the knowledge translation window down from over ten years to less than one year. […] The post SGEM#89: Preventing Falling to Pieces first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date:  September 17th, 2014  Guest Skeptic: Dr. Pal Ager-Wick is from Norway. Consultant at Legevakten in Drammen, which is a GP run ED handling most things except major trauma. Keen interest in everything evidence based especially ultrasound. Pal is bringing Matt and Mike from the Ultrasound podcast to Norway. Case Scenario: 35 year old man presents to […] The post SGEM#87: Let Your Back Bone Slide (Paracetamol for Low-Back Pain) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date:  June 12th, 2014  Guest Skeptic: Dr. Anand Swaninathan is an assistant program director at NYU/Bellevue Hospital in the Department of Emergency Medicine. Case Scenario: You are working in a busy urban trauma center when EMS slams through the doors with a 22-year-old man who was in a major MVC. The patient has significant abdominal […] The post SGEM#80: CRASH-2 (Classic Paper) first appeared on The Skeptics Guide to Emergency Medicine.

  [display_podcast] Date:  May 1st, 2014  Guest Skeptic: Physiotherapist Dagny Kane-Haas. Dagny is a currently studying for her Masters degree in Clinical Science in Manipulative Therapy. Case Scenario: A 54 year old man presents with increasing pain in his right shoulder. Question: Does this patient with shoulder pain have rotator cuff disease? Background: Shoulder pain is the third most […] The post SGEM#74: Broken Arms (Diagnosing Rotator Cuff Disease) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date:  March 6, 2014 Each week I usually put my skeptical eye on a recent publication. This is an attempt to cut the knowledge translation window down from an average of 10 years to 1 year. I use the Best Evidence in Emergency Medicine (BEEM) Appraisal Tools to do a structured critical review. However, […] The post SGEM#65: Relax, Don’t Do It (Top 5 List for Emergency Medicine) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date:  January 22, 2014 Guest Skeptic: Dr. Josh Williams Case Scenario: You are working at “The Hut” (Ski Patrol Hut) and a 46yo snowboarder comes in after falling. He has an obvious deformity of his right wrist. He is neurovascularly intact but in a moderate pain. It is 45 minutes transfer from the ski hill to […] The post SGEM#60: Nitrous Oxide It’s a Gas, Gas, Gas first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date:  June 2, 2013 Title: Weak in the Knees (Diagnosis of Septic Joint) Guest Host: Dr. Chris Carpenter Case Scenario: 40yo construction worker presents to the emergency department with a swollen and painful right knee. No history of injury. No significant past medical history. Palpable effusion on examination with no overlying redness or warmth to […] The post SGEM#39: Weak in the Knees (Diagnosis of Septic Joint) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date:  10 March 2013 Case Scenario: 62 year-old man presents to the emergency department feeling weak. His vital signs at triage are normal but his glucometer reading is high. He is a known type 2 diabetic and states his sugars have been running a little high lately. After conducting an appropriate history and directed physical […] The post SGEM#27: Bad to the Bone (Diabetic Osteomyelitis) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] 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 arranged with […] The post SGEM#19: Bust-a-Move (Buckle and Greenstick Fractures) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: September 4, 2012 Case Scenario: A new anesthetist meets a new orthopedic colleague who jokes that his hand shake is very firm but can’t finish the cross word puzzle. Question: Are orthopedic surgeons dumber and stronger than anesthetists? Reference: Orthopedic surgeons: as strong as an ox and almost twice as clever? Multi-centre prospective comparative study. Subramanian […] The post SGEM#6: Orthopedic Surgeons: Strong AND Smart! first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: September 4, 2012 Case Scenario: Ten year old Johnny was playing hockey last night. Twisted his knee but could not finish the game. Mom brings him in after asking for an xray. The Ottawa Knee Rule (OKR): These were also developed by Dr. Ian Stiell .The rule says xrays are only required if the patient […] The post SGEM#5: Does Johnny “kneed” an X-ray? (Ottawa Knee Rule) first appeared on The Skeptics Guide to Emergency Medicine.

[display_podcast] Date: September 3, 2012 Case Scenario: An eight year old girl brought into emergency department by mother after twisting her ankle on a trampoline. She was able to walk on it but has become very swollen. The mother wants to know if she should get an xray to see if her daughter broke the ankle. […] The post SGEM#3: To X-ray or not to X-ray (Ottawa Ankle Rule) first appeared on The Skeptics Guide to Emergency Medicine.