In this episode, Jocelyn and Dr Lokesh interview Dr Francis Lee about the exciting topic of Lung Ultrasound in the ED! Tune in to learn about when to do lung ultrasound, tips for how to improve your lung ultrasound skills, and what’s potentially in the future for lung ultrasound. Timestamps: 3:00 Lung US basics 8.31 Conditions and scenarios where Lung US is useful 12:14 BLUE protocol 19:11 Tips for EPs hoping to improve in Lung US skills 21:13 Future Directions for Lun...

In this episode, Matthew and Elizabeth interview Dr Mok Shao Feng about Feedback in Education and Entrustable Professional Activities (EPAs). Tune in to learn more about what EPAs are, what they mean to the frontline clinician, and how to apply principles of good feedback to do workplace based assessments well. Shownotes can be found at: https://tinyurl.com/EPAshownotes Timestamps 01:01 What is an EPA 03:42 How do you use the data from EPA based assessments? 08:14 Models of ...

In this episode, Jocelyn and Elizabeth interview Dr Nicolas Lim (@POCUSclub) about his unique journey through both Emergency Medicine and Intensive Care training. Tune in to hear about his motivations, inspirations, challenges, and experiences! Credits: Music - Life-line by Colorful Sound via Pixabay/ Best Day by OctoSound via Pixabay SEMS Dr Nicolas’s Recording Studio Note: This episode was recorded in Dec 2024 All recordings should not be taken by users/ audience as...

In this episode, Jocelyn and Elizabeth interview Dr Nicolas Lim (@POCUSclub) about Ultrasound in Shock! Tune in to find out more about how to utilize POCUS in patients in shock in the ED, as well as how to integrate your findings into clinical decision making! Timestamps 01:47 Ultrasound in the ED and how it has evolved over the years 04:29 RUSH protocol 06:45 Volume Responsiveness & Volume Tolerance 09:45 Integration of findings into clinical decision making 12:44 Tips for EP...

In this episode, Jocelyn and Elizabeth interview Prof Phua Dong Haur about the exciting topic of Plant Toxicology! Interested to find out what makes plant poisoning unique, what are the common toxidromes and clinical features as well as management? Tune in to find out more! References D Frohne Et Al.Poisonous Plants: A Handbook For Pharmacists, Doctors, Toxicologists, Biologists And Veterinarians, 2nd Edition 2005Kent R. Olson, Et Al. Poisoning & Drug Overdose, 7th Ed.Neal Flo...

In this episode, Dr Liu Zhenghong interviews Dr Koh Shao Hui about Sepsis in the ED, including definitions, the Marik and Rivers studies, treatment principles and goals as well as the evidence behind them, and future directions. Timestamps: 01:51 Sepsis definitions (SOFA, qSOFA, NEWS, Sepsis 3, Septic shock) 09:37 Treatment principles and goals: Fluid Resuscitation 11.03 POCUS directed fluid resuscitation & Passive Leg Raise 14:23 Vasopressors in Sepsis 17:57 Time to Antibioti...

In this episode, Dr Elizabeth Tan and Dr Lenard Cheng interview Dr Tallie Chua about Vasopressors. We discuss a recent article published in The Journal of Emergency Medicine 2024 entitled: A Clinical Review of Vasopressors in Emergency Medicine. Timestamps 02:03 Case Scenario (Hypothetical) 05:52 Hypovolemic Shock07:04 CENSER08:14 CLOVERS09:23 SOAP II 09:43 Second line Vasopressors 10:54 Peripheral vasopressors16:37 Push Dose pressors 20:14 Optimal MAP22:29 Cardiogen...

In this episode, Elizabeth and Matthew discuss Paracetamol Toxicity with Dr Ng Mingwei. We cover the 2 Bag versus 3 Bag regimens, when to stop NAC, RSTI, what to do for anaphylactoid reactions, massive paracetamol OD, and the paracetamol multiplication product. Timestamps 01:57 Case #1 03:01 Mechanism of Toxicity 04:00 Risk profiling and Rumack-Matthew Nomogram 06:20 Case #2 08.25: NAC/ 2 bag vs 3 bag regimen 11:24 Paracetamol Guidelines 12:56 Paracetamol Multipl...

Ever had a busy shift where you had to teach at the same time, and wondered how to juggle it all, or a less busy shift where you wondered how to teach without an abundance of clinical material? In this episode, we talk with Dr Derek Heng about ways to teach more effectively on shift! Timestamps 03:09 What is a good teaching shift? 07:01 How to go about it? 07:36 Setting expectations11:18 Tailoring to patient acuity 23:30 Metacognition 25:49 Wrapping up28:16 Enj...

In Part 1 of this episode, Elizabeth and Jocelyn go through a brief Introduction to Toxicology with the RRSIDEAD approach and common toxidromes, and in Part 2, Matthew and Elizabeth interview Dr Loo Kee Vooi about the exciting topic of Methemoglobinemia! Thank you for listening! Timestamps Introduction to Toxicology 01:45 RRSIDEAD 05:55 MDAC (ABCDQ Mnemonic) 06:45 Dialyzable toxins (PLASMA TV) 07:33 Antidote Quiz 10:11 Toxidromes 10:38 Sedative Hypnotic 11:08 Anticholinergic Toxid...

Ever had a patient with giddiness and felt overwhelmed with the dizzying array of tests one is supposed to know? In this episode, Matthew and Elizabeth discuss the SAEM GRACE-3 Giddiness Guidelines! Timestamps: 05:07: GRACE-3 Guideline Recommendations 08:34:Timing and Triggers approach (Acute Vestibular Syndrome, Spontaneous Episodic Vestibular Syndrome, Triggered Episodic Vestibular Syndrome) 11:56: HINTS exam (for AVS) 20:28: HINTS+ 22:21: Differential Diagnosis 25:45: STANDING a...

In this episode, Matthew and Elizabeth discuss the Junior Resident to Senior Resident transition with Dr Desiree Lim, Dr Georgina Kwek and Dr Timothy Wong. 1:46 What was it like when first turning Senior Resident? 7:30 What advice would you give the JR turning SR? 14:42 Managing the shopfloor 25:45 Growth in non-clinical aspects/ Admin Responsibilities/Teaching Thank you for listening! Credits Music: Life-line by Colorful Sound via Pixabay/Best Day by Octosound via Pixabay SG...

In this episode, Matthew and Elizabeth interview Dr Lee Weifeng, SEMS ASM 2025 Scientific Chair, about the upcoming SEMS ASM 2025! Timestamps 0:29 Experience organizing a conference 1:02 Pre-conference Workshops 2:50 Plenary Speakers 4:10 Scientific Programme 7:35 Taiwan-HK-SG Resident’s Forum 8:35 Joy at Work Award 9:08 SIMWARS Do visit the SEMS ASM 2025 website at https://semsasm.com/ for the full list of the available pre-conference workshops and tracks in the scientific programme!&...

In this episode, we have Part 2 of Ventilator Settings, where Matthew and Elizabeth go through the prototypes of Metabolic Acidosis, Obstructive Lung Disease, and raised ICP with Dr Alexander Ng. Thank you for listening! Timestamps 01:28 Metabolic Acidosis 05:35 Obstructive Lung Disease 11:30 Raised ICP Credits Music: Life-line by Colorful Sound via Pixabay/ Best Day by Octosound via Pixabay SGH Podcast Studio SEMS All recordings should not be taken by users/ audience as medical advice. Ev...

In this episode, Elizabeth and Matthew interview Prof Anantharaman and Prof Steven Lim about the history and future of SEMS. We then have Dr Alexander Ng going over Ventilator Settings 101 and the prototypes of ARDS and Shock. 01:52 History and Future of SEMS 21:33 Ventilator Settings 101 33:04 ARDS 40:20 Shock Thank you for listening! Credits Music: Life-line by Colorful Sound via Pixabay/ Best Day by Octosound via Pixabay SGH Podcast Studio SEMS (Society for Emergenc...