Best Fractured Roll Podcasts (2025)

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SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma? 24:12

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14h ago24:12

24:12

Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025 Date: May 7, 2025 Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust. S…

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SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs 38:50

8d ago38:50

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Reference: Solnick et al. Sex Disparities in Chlamydia and Gonorrhea Treatment in US Adult Emergency Departments: A Systematic Review and Meta-analysis. AEM June 2025 Date: June 24, 2025 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island…

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SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy 32:36

21d ago32:36

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Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontiers in Medicine. 2025 Feb Date: June 12, 2025 Guest Skeptic: Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. She is the former president of the…

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SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc 24:21

29d ago24:21

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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 the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV […] The post SGEM Xtra: You…

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SGEM Xtra: Ten Lessons They Don’t Teach in Medical School (But Should) 37:22

1M ago37:22

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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 complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is an SGEM Xtra episode. The inspiration…

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SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis 45:06

1M ago45:06

45:06

Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomized noni-inferiority trial. The Lancet. Jan 2025 Date: March 19, 2025 Guest Skeptic: Dr. Camille Wu is a paediatric surgeon based at Sydney Children’s Hospital where she is the Head of Dep…

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SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures 25:46

2M ago25:46

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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: Dr. Matt Schmitz is an orthopedic surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. He practices at the Rady Child…

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SGEM Xtra: Doctor, Doctor – Paging Dr. Robby 28:34

2M ago28:34

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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 that groundbreaking show, he has been busy with multiple movie roles (Pirates of Silicon Valley, Donnie Darko, White Oleander, Shot, and […] The post …

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SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants? 31:15

2M ago31:15

31:15

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, 2025 Guest Skeptic: Dr. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University …

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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 53:59

2M ago53:59

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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 Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago, College of Medicine at Rockford. Prior to that, he…

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SGEM#472: Together In Electric Dreams – Or Is It Reality? 38:44

3M ago38:44

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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 is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It may be April, but as you sit in your departmental meeting with your em…

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SGEM#471: Are ESI Levels Accurate for Triage of Pediatric Patients? 26:19

3M ago26:19

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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 is a graduating pediatric emergency medicine fellow at Children’s National Hospital in Washington DC and soon to be attending physician at Seattle Chi…

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SGEM Xtra Zombie Idea: ED Crowding is Due to Non-Urgent Patients 27:15

3M ago27:15

27:15

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 crowding is due to non-urgent patients. You can click on this LINK and get a PDF copy of my slides. The […] The post SGEM Xtra Zombie Idea: ED Crowding is D…

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SGEM Xtra: 5 Papers in 15 Minutes (Incrementum 2025) 21:04

4M ago21:04

21:04

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. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in […] The post SGEM Xtra: 5 Papers in 15 Minutes (Incr…

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SGEM Xtra: On the Boulevard of Broken Dreams – Citation Errors in the Biomedical Literature 45:37

4M ago45:37

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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 emergency medicine. In 2015, Nick was part of the first-ever class to study at Duke University’s new campus in China, where he earned […] The post SGEM Xtra:…

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SGEM #470: Here We Go Up Up Up or Lateral for Infant Lumbar Punctures 23:00

4M ago23:00

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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 emergency medicine resident at George Washington University. She is also a new podcast host for Emergency Medicine Residents’ Association (EMRA) Cast Series.…

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SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients 25:42

4M ago25:42

25:42

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 27, 2025 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical …

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SGEM#468: Wide Open Monocytes – Using MDW to Diagnose Sepsis 22:14

4M ago22:14

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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(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo…

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

5M ago

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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 is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is another SGEM Xtra. On today’s ep…

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SGEM #467: Send me on my way…without Cervical Spine Imaging 38:49

5M ago38:49

38:49

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. Lancet Child Adolesc Health. June 2024. Date: Oct 15, 2024 Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency …

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SGEM#466: I Love ROC-n-Roll…But Not When It’s Hacked 25:12

5M ago25:12

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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 AHN-Saint Vincent EM Residency in Erie Pennsylvania. He is the former National Director of Clinical Education for US Acute Care Solutions and an Ameri…

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SGEM Xtra: This is My Fight Song – FeminEM 2.0 1:17:18

6M ago1:17:18

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Date: January 7, 2025 Guest Skeptics: Dr. Dara Kass is an emergency medicine physician, public health leader, and advocate passionate about equity and healthcare reform. She founded FemInEM, promoting gender equity in emergency medicine, and champions organ donation reform after donating part of her liver to her youngest son. Dr. Kass is dedicated …

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SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs 35:03

6M ago35:03

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Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023 Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physicia…

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SGEM Xtra: Think, About It – Ten Commandments for Teachers

6M ago

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Date: December 6, 2024 Guest Skeptic: Akil Dasan is a multifaceted artist renowned for his talents as a rapper, singer, guitarist, and beatboxer. He gained prominence as a member of the British jazz-rap group Us3, contributing to their 2006 album “Schizophonic“. This is an SGEM Xtra. We have done a top ten list before on the […] The post SGEM Xtra:…

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SGEM#464: I Can Do It with A Broken Heart – Compassion for Patients with OUD 43:33

6M ago43:33

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Date: December 26, 2024 Reference: Steinhauser S et al. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. AEM December 2024 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossm…

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SGEM Xtra: The 12 Days of Christmas the SGEM Gave to Me 20:48

7M ago20:48

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Date: December 15, 2024 Guest Skeptics: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Today, we’re sleighing through the holiday season with a special episode filled with statistical cheer, a dash of skepticism, and a hint of eggnog-flavoured nerdiness. This is an SGEM Xtra like the one we did on What I […] The post SGEM Xtr…

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SGEM #463: Like the Legend of the Phoenix… Criteria for Sepsis 40:54

7M ago40:54

40:54

Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester’s SAPPHIRE group. He specializes in Paediatric Emergency Medi…

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SGEM Xtra: If I Had A Million Dollars 40:48

7M ago40:48

40:48

Date: November 7, 2024 Guest Skeptics: Shirley Ngo is a Digital Product Director at RBC. She has extensive experience working with top financial organizations such as General Electric, Citibank, and CIBC in both Canada and Singapore. Additionally, she is co-host and producer of the “Make It Shine Money” podcast, which offers a unique perspective th…

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Philosophy, Guilds and Open Machines — Ven Gist 1:09:44

7M ago1:09:44

1:09:44

Ven Gist is a philosopher of networks, designer of worlds. Researcher at The Open Machine which is a publication for the generation of experimental cultural and conceptual compliments to the decentralized web. He's an early member of MetaCartel, an org which funded many projects to develop open source technology and experiment with DAOs. Now workin…

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SGEM#462: Spooky Scary Access – IV or IO for OHCA 25:45

7M ago25:45

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Date: November 10, 2024 Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK. Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington’s […]…

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SGEM#461: If You’re Appy and You Know It…Do You Need a Clinical Prediction Score?

7M ago

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Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasibility Study. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. He’s also the host of SG…

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SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration 32:11

8M ago32:11

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Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. He leads an AI team intending to improve patient outcomes …

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SGEM#459: Domo Arigato Misuta Roboto – Using AI to Assess the Quality of the Medical Literature 22:56

8M ago22:56

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Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. In addition to finding ways to use technology in emerg…

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Art, Music and AI with ORIGIN STØRIES — Sean Bradford 1:18:41

8M ago1:18:41

1:18:41

Sean Bradford is an artist, musician and creative technologist. Founder of ORIGIN STØRIES, a creative tech studio producing custom AI-powered tools for co-created experiences. He's lived many lives. As a vocalist and recording artist signed to a major label. Performing on Broadway. A DJ who spent a lot of time in Berlin, before moving to Stockholm …

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SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department

8M ago

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Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department […]…

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Creating Onchain Media with Pods — Lucas 53:13

8M ago53:13

53:13

Lucas is the Founder of Pods. A new way to publish, discover, and own your favourite podcasts. The place for bringing your podcast onchain. He's also Co-Founder of Fire Eyes DAO, a collective of crypto-natives who designed token economic and governance systems for projects including Optimism, ENS and Gitcoin. And was also an early employee at Bankl…

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SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain? 29:01

9M ago29:01

29:01

Date: October 7, 2024 Reference: Nguyen et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physici…

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Writing, Podcasts and Minting Base Colors — JAKE 1:32:18

9M ago1:32:18

1:32:18

JAKE is a pseudo anonymous internet creator. Going with the classic blue, colour code #0000FF as his pfp. Host at POD OF JAKE where he’s interviewed almost 200 guests over 4 years. Most recently Jacob from Zora and others such as Vitalik Buterin, pplpleasr and Mark Cuban. Writer at BLOG OF JAKE, where he’s published about creativity and writing, do…

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SGEM #456: We are Young…but we can still Understand 19:47

9M ago19:47

19:47

Reference: Ma K et al. A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments. PLoS One. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder of website lead of Don’t […] The …

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Electronic Music Scenes — Sound Of Fractures 1:23:25

9M ago1:23:25

1:23:25

Jamie Reddington is an electronic music producer, consultant and lecturer from London who recently released his debut album Scenes. His music is shaped by hiphop, UK dance music and soul. Leaning into telling stories, with textures and samples captured from his phone, featuring the sound of his daughter’s heartbeat. The record was released as a co-…

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Exploring the Memecoin Supercycle with IMF — Gami, Clouted 1:12:04

9M ago1:12:04

1:12:04

Gami and Clouted are core contributors from International Meme Fund (IMF) and $MONEY. Their team believes it is now crucial to have native liquidity and financial infrastructure for the meme sector. They're both from Sydney and have shared interests in defi financial engineering, game theory and the memecoin phenomonen. We talk about financial nihi…

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SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes 33:38

9M ago33:38

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Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School –…

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SGEM#454: I Just Died in Your Arms Tonight – Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes 27:12

9M ago27:12

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Date: September 23, 2024 Reference: Essat et al. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis. Annals of Emergency Medicine, May 2024 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from Australia who is also an ultrasounder. Case: You are working a busy shift in a rural emergency department (…

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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests 25:30

10M ago25:30

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Date: September 18, 2024 Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Before attending medical school, he w…

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Interpreting Technology with AIxDESIGN — Nadia Piet 1:01:52

10M ago1:01:52

1:01:52

Nadia Piet is Founder and Creative Lead of AIxDESIGN, a global community conducting critical AI research for the benefit of people, not profits. She's a designer, researcher, organiser and faculty member at ELISAVA's Design for Responsible AI. We talk about AlphaGO and Move 37. AI models being trained on creative assets without permission. And what…

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SGEM#452: I’m Still Standing – After the Allergy Challenge 34:48

10M ago34:48

34:48

Date: September 12, 2024 Reference: Anderson et al. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. AEM August 2024. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It’s another day, another dollar in the emergency department (ED).…

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SGEM Xtra: I’m Just An Ordinary Average Guy – Dr. Mel Herbert

10M ago

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Date: August 30, 2024 Guest Skeptic: Dr. Mel Herbert is a famous Emergency Medicine Physician, award-winning educator, entrepreneur and philanthropist. Mel founded both EM:RAP which creates and distributes Emergency Medicine education in over 160 countries. He also started a non-profit company called EM:RAP GO. This is an SGEM Xtra to end Season#12…

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SGEM#451: I’ve Become So Numb – Serratus Anterior Plane Blocks for Rib Fractures 25:21

11M ago25:21

25:21

Date: August 19, 2024 Reference: Partyka et al. Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. …

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SGEM Xtra: The Final Countdown – To IncrEMentuM 2025 29:57

11M ago29:57

29:57

Date: August 13, 2024 Guest Skeptics: We have two guest skeptics for this SGEM Xtra episode. Dr. Francisco Campillo Palma is an Emergency Medicine doctor. He works in prehospital (EMS and HEMS), and at Morales Meseguer Hospital in public medical service in Murcia, Spain. Franciso has postgraduate Master’s degrees in emergencies and urgent care, cli…

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Rolling Forever with Skateboarding and Art — Dave Bachinsky 57:48

11M ago57:48

57:48

Dave Bachinsky is a professional skateboarder, woodworker, and visual artist based in Carlsbad, California. In 2020, he launched a visual collection called Roll Forever featuring videos filmed with a drone from a bird's-eye view, observing a skaters' line in a pool or skate spot and edited to loop indefinitely, as if the line never ends. His new pr…