First10EM Journal Club: May 2018

Gday – welcome back! It is podcast time..

It is May and that means another episode of the journal club with Dr. Justin Morgenstern.

This month we cover biases, show our biases about bronchiolitis therapy, cute scrotums, judging and dealing with capacity and how butt-slapping might help you delouse your colleagues….

[DISCLAIMER: we do not recommend that extradural hemorrhage ever be treated with an Ezy-IO drill, it is silly and dangerous.]

If any of that sounds like your deal then have a listen.  If you are super patient and listen all the way through there is a real treat for you….

… a world premiere musical parody song by Dr. Gerry Considine and yours truly. ( we are kinda like Elton & Bernie)

Below is the list of papers that we dissect and discuss on the pod.


Davis DP, Hwang JQ, Dunford JV.    Rate of decline in oxygen saturation at various pulse oximetry values with prehospital rapid sequence intubation. Prehospital emergency care. 2008; 12(1):46-51. PMID: 18189177

Kodama D, Yanagawa B, Chung J, Fryatt K, Ackery AD. “Is there a doctor on board?”: Practical recommendations for managing in-flight medical emergencies. CMAJ. 2018; 190(8):E217-E222

Franklin D, Babl FE, Schlapbach LJ, et al. A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. The New England journal of medicine. 2018; 378(12):1121-1131. PMID: 29562151

Lee SH, Yun SJ, Kim DH, Jo HH, Ryu S. Do we need a change in ED diagnostic strategy for adult acute epiglottitis? The American journal of emergency medicine. 2017; 35(10):1519-1524. PMID: 28460811

Marco CA, Brenner JM, Kraus CK, McGrath NA, Derse AR, .  Refusal of Emergency Medical Treatment: Case Studies and Ethical Foundations. Annals of emergency medicine. 2017; 70(5):696-703. PMID: 28559033

Goldfrank LR, Wittman I. Capacity? Informed Consent; Informed Discharge? Uncertainty! Annals of emergency medicine. 2017; 70(5):704-706. PMID: 28662910

Bulstrode H, Kabwama S, Durnford A, Hempenstall J, Chakraborty A. Temporising extradural hematoma by craniostomy using an intraosseous needle. Injury. 2017; 48(5):1098-1100. PMID: 28238447

Frohlich LC, Paydar-Darian N, Cilento BG, Lee LK. Prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum. Academic emergency medicine. 2017; 24(12):1474-1482. PMID: 28833896

Oliver G, Oliver G, Body R. BET 2: Poor evidence on whether teaching cognitive debiasing, or cognitive forcing strategies, lead to a reduction in errors attributable to cognition in emergency medicine students or doctors. Emergency medicine journal :   EMJ. 2017; 34(8):553-554. PMID: 28724568

Kraus MW, Huang C, Keltner D. Tactile communication, cooperation, and performance: an ethological study of the NBA. Emotion. 2010; 10(5):745-9. PMID: 21038960

The SGEM: Batman Effect Podcast

Hello once again,

Just back from leave and straight into NIGHT SHIFT! Such is life.  This is a quick Editorial to let you know what is happening in the Broomedocs backroom.

I have been very busy behind the scenes working on a few fun and entertaining projects.   Recently I have been collaborating a bit with Dr. Ken Milne of the famous Skeptics Guide to Emergency Medicine site.  Ken was nice enough to invite me to podcast with him on his podcast, it was a real honor and a lot of fun.

We talked about the BATMAN EFFECT paper – which was the subject of an article I reviewed with Justin on the podcast a few months ago.  Ken is mildly obsessed with Batman and as such, we needed to deep dive into the article and talk nerdy about all things superhero!

You can hear the podcast over at the SGEM here.

In other news… there will be a world exclusive Music Video release on the SGEM on the 16th of May.  This is a collaboration between Ken, myself and SAs hippest GP – Dr. Gerry Considine.  Keep an ear out for that one!

A bit of Admin here:

The long-awaited Crisis Resource Management book is close to entering publication.  Scott Weingart, David Borschoff and the team have been busy trying to perfect the final product.  This is a huge effort; dozens of authors from all over the world have each distilled their expertise into a single page of simple, life-saving awesomeness.  I have seen the draft and it looks amazing.  This will soon be one of those resources every ED in the world will have on the shelf – watch this space.

On the topic of books – I have 2 other chapters [in different books] in the editorial phase which I hope will be coming out in upcoming months.  A big thank you to Dr. Leanne Hartnett and Dr. Matt Fitzpatrick who have tirelessly reviewed and corrected these in the last few months.

If you are a Rural GP Anaesthetist then I strongly urge you to join the Rural Anaesthesia Down Under (RADU) Facebook forum.  This is a closed group where we discuss all the science, subtlety and shenanigans of being a bush Gas doc.  If you are not on Facebook – it is worth the ticket of admission [hint: $0.00].  If you are interested then please search it out, or just send me an email, comment or tweet and I will get you hooked up with the growing hive-mind (now well over 300 GPAs ).

I am hoping to do another episode of the RADU podcast in coming weeks – so please send me any articles you want to us to discuss, dissect or debunk.

Only about 3 weeks until the inaugural GPs Down Under Conference on the Gold Coast. I will be there and hope to meet as many of you as I can.  I will be traveling with full podcast kit to catch a few of my heroes on the mic.  If you would like to share a story or some wisdom…  get in touch.

OK, that is it.

Back with more clinical stuff next week with another episode of the First10EM Journal Club with Justin.

Bye.  C

Gamblers and Dissection… a musical treat

Hi All

I am just about back after a glorious 6 weeks of long service leave, fun, sun and family.

However, I did manage to do a little FOAM stuff this week…

Ken Milne from the SGEM podcast / blog started a whole thing about aortic dissection and I couldn’t resist penning this parody of the classic Kenny Rogers hit – The Gambler.

The main trouble is that neither Ken nor myself can sing a tune if our aorta depended on it!  Drs Gerry and Mel Considine to the rescue.

The soulful South Aussies recorded the lyrics and the result is below:

Gambling on a Dissection:

You can read the article that inspired this meme and read the full “SGEM dissection” of the paper over on Ken’s site

the paper is entitled Clinical Examination for Aortic Dissection: a Systematic review and meta-analysis.  In Acad Emerg MEd, April 2018 [free full text]