SEMS Podcast

In this episode, Jocelyn and Elizabeth interview Dr Tang Dilin on the intriguing topic of Toxic Alcohols.  Timestamps 00:40 Brief overview  01:20 Methanol, Ethylene Glycol, Isopropyl Alcohol - Comparing and contrasting  04:20 Approach to undifferentiated high osmolar gap or high anion gap  08:04 Osmolar gap, hockey stick diagram  12:18 Treatment of toxic alcohol including Fomepizole  21:13 Role of...

In this episode, Dr Joanna Chan and Dr Matthew Low interview Dr Kei Ouchi, Associate Professor at Harvard Medical School, on the topic of Palliative Emergency Medicine. His work focuses on improving care for adults with palliative care needs through high quality serious illness communications in the ED setting. Tune in to find out more!  Timestamps 00:56 What first drew you to the topic of bringin...

In this episode, Dr Eunizar Omar interviews Dr Colin Ong and Dr Juliana Poh on the  topic of Geri EM! They discuss CFS, safe discharge measures, falls, frailty and gait assessments and more! Tune in to find out more.  Timestamps 01:03 Tell us about GeriEm in your department? 04:50 Clinical Frailty Scale (CFS): Why it is important, evidence supporting it, and applicability.  06:03 Falls: What are t...

In this episode, Matthew and Elizabeth interview Dr Sohil Pothiawala and Dr Nijanth M Raj about hyperacute stroke in the Emergency Department. Ever wondered what was the evidence behind the time cut-offs for thrombolysis, tried to recall all the relative and absolute contraindications for thrombolysis, or wondered what was the optimal blood pressure for your patient and which anti-hypertensive to...

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 Tip...

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...

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 re...

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...

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 Veterinaria...

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 res...

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 Shock 07:04 CENSER 08:14 CLOVERS 09:23 SOAP II  09:43 Second line Vasopressors  10:54 Pe...

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...

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 expectations 11:18 Tail...

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) ...

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) 1...

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 M...

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 f...

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 P...

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/ Bes...