SMART EM show

SMART EM

Summary: SMART EM is a medical podcast dedicated to evidence. If evidence is out there on a monthly topic, we'll find it and bring it to you, then you decide. No more accepting what you're told—it's time to hear about the data.

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Podcasts:

 SMART Troponins | File Type: audio/mpeg | Duration: 5971
 Pseudoaxioms 2 and Literature Update | File Type: audio/mpeg | Duration: 3599

Pseudioaxioms—false medical truths—surround us. Here's one about blistering ear infections, and an update on recent public health and stroke literature. One might title the update "When Editorial Boards Fail...."

 SMART Statins | File Type: audio/mpeg | Duration: 3600

It turns out that sometimes there are simple answers to complicated questions.

 SMART Statins | File Type: audio/mpeg | Duration: 3600

It turns out that sometimes there are simple answers to complicated questions.

 SMART Literature Update | File Type: audio/mpeg | Duration: 5608

This month we're going back to core EM with a literature update, something we plan on  doing on a regular basis. We'll tackle a few of the latest and greatest studies, get you comfy with the data, and show you what they really say. Join us on the cutting edge.

 SMART Thrombolytics for Stroke: Update | File Type: audio/mpeg | Duration: 5036

It's baack. The greatest controversy in acute care rages on, and a new guideline is making headlines. Behind the guideline, into the data. And, a bonus: the Courtroom of Science tries its first case.

 SMART Kid Fractures | File Type: audio/mpeg | Duration: 5220

Johnny fell down and his ankle is tender, but the film is normal. Now what? This classic teaching goes back to 1895, the advent of x-rays. So we went back farther... time travel is revealing.

 SMART Kid Fractures | File Type: audio/mpeg | Duration: 5220

Johnny fell down and his ankle is tender, but the film is normal. Now what? This classic teaching goes back to 1895, the advent of x-rays. So we went back farther... time travel is revealing.

 SMART Pseudoaxioms 1: The Digital Axiom | File Type: application/pdf | Duration: 2138

Pseudoaxioms, like pseudoscience, are long lived. They never die, and sometimes fade too slowly. No epinephrine in a digital block? Join us as we trace the history of the digital axiom.

 SMART SAH: A Picture is Worth a Thousand LPs | File Type: application/pdf | Duration: 7908

Subarachnoid hemorrhage is the bogeyman of headache—but it is real. This month we asked what may be medicine's most fundamental question: how can we ferret out the bogeyman without creating so much collateral damage that we've done more harm than good? We have an answer that is simple, surprising, and scientific. This one is a game-changer.

 SMART Coronary CT: The Latest and Greatest | File Type: audio/mpeg | Duration: 4306

Coronary computed tomographic angiography: seeing the arteries is, apparently, believing. Here it is, an update on the two hottest trials in EM—and the editorial that could change everything. 

 SMART Thrombolytics for Acute Stroke | File Type: audio/mpeg | Duration: 9331

This week The Lancet formally published the largest ever randomized trial of thrombolytics for acute stroke. Hands are wringing, teeth are gnashing, and department heads are fighting. It is the biggest, baddest controversy in our field: Do clot-busters benefit stroke patients? Let's do this.

 SMART Testing: Back to basics | File Type: audio/mpeg | Duration: 3844

In medicine we love us a good diagnostic test; we're always looking for the next one. It is strange, then, that we should be aloof to the basics of diagnostic testing. This month's audio is a primer on testing—and it changes everything. We're going back to basics: if you learn the four axioms of diagnostic testing you'll know more about how to choose and how to interpret diagnostic tests than just about everyone. Weird thing is that it turns out you knew it all already... you just needed a reminder. 

 SMART Updates 2012 | File Type: audio/mpeg | Duration: 3592

This is a month for reflection, so we're reflecting on some of our previous podcasts. In fact we're updating earlier material based on the latest literature. Previous podcasts like Chest Pain Risk, Stress Testing, and Subarachnoid Hemorrhage are getting a fresh new coat. The updates are brief but they're dense, so be prepared for some practice-changers. Much to discuss. Tolstoy once said "Everyone thinks of changing the world, but no one thinks of changing himself." Perhaps it is time.

 Stress Testing: A Moment of Clarity | File Type: audio/mpeg | Duration: 8304

The 'stress test' is a part of our cultural lexicon, whether it's for banks or the human heart, and the concept is elegant: take a machine to its limits, and when you find the cracks shore them up. But on cue, scientific reality intervenes. It's tough to imagine a more tangled web than the literature that comprises the foundation for modern stress testing. Indeed some of the world's foremost experts repeatedly disagree—with themselves. This dive is a century deep, but all it took was a moment of clarity. Join us on another journey to the center of the data.

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