SEMS Podcast

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 Emergency Medicine Singapore)

References
1. ARMA trial: Acute Respiratory Distress Syndrome Network; Brower RG et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1301-8.
All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/

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
SGH Podcast Studio
SEMS
All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/

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 Multiplication Product*

*Note: The study quoted was in a population treated with NAC.

14:53 Anaphylactoid reactions

15:37 When to cease NAC

16:24 RSTI

18:04 Massive Paracetamol OD

19:58 Liver transplant

20:47 3 Takeaways

Thank you for listening!

Credits

Music: Life-line by Colorful Sound via Pixabay

SGH Podcast Studio

SEMS

Dr Mong Rupeng for reviewing this episode

References

1. Chiew AL, Reith D, Pomerleau A, Wong A, Isoardi KZ, Soderstrom J, Buckley NA. Updated guidelines for the management of paracetamol poisoning in Australia and New Zealand. Med J Aust. 2020 Mar;212(4):175-183. doi: 10.5694/mja2.50428. Epub 2019 Dec 1. PMID: 31786822.
2. Wong A, Isbister G, McNulty R, Isoardi K, Harris K, Chiew A, Greene S, Gunja N, Buckley N, Page C, Graudins A. Efficacy of a two bag acetylcysteine regimen to treat paracetamol overdose (2NAC study). EClinicalMedicine. 2020 Mar 19;20:100288. doi: 10.1016/j.eclinm.2020.100288. PMID: 32211597
3. Wong A, Sivilotti MLA, Graudins A. Accuracy of the paracetamol-aminotransferase multiplication product to predict hepatotoxicity in modified-release paracetamol overdose. Clin Toxicol (Phila). 2017 Jun;55(5):346-351. doi: 10.1080/15563650.2017.1290253. Epub 2017 Feb 15. PMID: 28421844.

All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/

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 algorithm
29:29: Dix Hallpike
34:36: Supine Head Roll
References:
1) Edlow JA et al. Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department. Acad Emerg Med. 2023 May;30(5):442-486.
2) https://emcrit.org/emcrit/dizziness-still-makes-me-dizzy/

Credits
Music: Life-line by Colorful Sound via Pixabay
SGH Podcast Studio
SEMS

All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/

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 conference1:02 Pre-conference Workshops2:50 Plenary Speakers4:10 Scientific Programme7:35 Taiwan-HK-SG Resident’s Forum8:35 Joy at Work Award9:08 SIMWARSDo 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!

Thank you for listening!
Credits
Music: Life-line by Colorful Sound via Pixabay
SGH Podcast Studio
SEMS

All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/