SEMS Podcast

SEMS
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  • EVERY TWO WEEKS

Welcome to the SEMS Podcast! We are a Singapore-based podcast, and we aim to provide a platform for emergency medicine updates and education as well as inter-hospital sharing of medical knowledge and experiences. Episodes will be published once or twice a month, tune in and follow us to be notified of new episodes! 

  1. 5 DAYS AGO

    Palliative Care in the Emergency Department

    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 bringing palliative care to the ED?  04:49 Could you explain why it is important for an ED doctor to be able to handle these situations well?  06:26 What does a goals of care discussion in the emergency department sound like in your practice? 08:59 How can you direct the conversation to help patients and families understand the gravity of their present crisis? 13:21 Tips on high-yield questions that help to bring out the wishes of a patient in a new crisis situation that can help the doctor to make a sound recommendation? 15:41 Navigating situations where patients have deferred serious illness decision-making to their family members 20:48 How much time do you budget for your communication when it is your first time meeting the family? 22:55 In terms of communication, what are the common blind spots that you would like to highlight?     25:19 What ED innovation of the future is likely to have the most impact on ED Palliative Care delivery; What highlights have you seen from your time here with us, and how could we feasibly and meaningfully advance from here?  References https://pmc.ncbi.nlm.nih.gov/articles/PMC8219473/  https://connects.catalyst.harvard.edu/Profiles/display/Person/125411  Credits Music: Life-line by Colorful Sound via Pixabay/SGH Podcast Studio Any comments or feedback? Suggestions for future episodes? Send us a message! https://semspodcast.buzzsprout.com/

    29 min

  2. 28 FEB

    Geriatric Emergency Medicine

    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 the issues with the term “mechanical fall”, and what questions should we be asking to uncover the truth behind the fall? 07:51 Minimum falls history; SPLATT mnemonic (Symptoms, Previous falls, Location, Activity, Time of fall, Trauma/ post fall complications) 09:36 Reversible causes of falls to look out for MAPHD (Medications, visual Acuity, Postural Hypotension, 4 Ds - Delirium, Dementia, Depression, Vitamin D)  10:47 Gait assessment: Timed up and go test, Gait Speed Test 13:56 Safe alternatives to admissions 17:17 Polypharmacy High risk meds mnemonic: ABCS (anticholinergics, benzodiazepines and sedating drugs, cardiovascular medications).  22:33 Safe discharge measures  24:36 Advice for those who would like to learn more about the GeriEM scene 26:13 Practical takeaways References 1. Sri-on J, Tirrell GP, Lipsitz LA, Liu SW. Is there such a thing as a mechanical fall? Am J Emerg Med. 2016 Mar;34(3):582-5. doi: 10.1016/j.ajem.2015.12.009. Epub 2015 Dec 12. PMID: 26795891; PMCID: PMC6785031. 2. American College of Surgeons Geriatric Trauma Management: Best Practice Guidelines Nov 2023 3. https://www.facs.org/media/ubyj2ubl/best-practices-guidelines-geriatric-trauma.pdf 4. GeriatricsCareOnline.org 5. https://gedcollaborative.com/  Credits Music: Life-line by Colorful Sound via Pixabay  SGH Podcast Studio Any comments or feedback? Suggestions for future episodes? Send us a message! https://semspodcast.buzzsprout.com/

    28 min

  3. 26 JAN

    Hyperacute Stroke in the ED

    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 choose? Tune in to find out more!  Timestamps 02:52 NINDS trial 04:20 ECASS III trial  04:59 RTPA absolute (ABCDES mnemonic) and relative contraindications, pearls and pitfalls  08:44 BP targets and preferred antihypertensives for BP control  10:03 Permissive Hypertension  12:22 Alteplase vs Tenecteplase (AcT trial, TIMELESS trial, ETERNAL-LVO trial)  16.27 Thrombectomy (EXTEND IA trial, MR CLEAN trial, SWIFT PRIME trial, DAWN & DEFUSE-3 trials) 18.08 LVO (Large Vessel Occlusion)  20:25 Basilar strokes/ Posterior Circulation Strokes 24:33 Combining Thrombolysis and EVT  27:05 WAKE-UP trial 28:52 More on the DAWN & DEFUSE-3 trials 30:39 What works for shortening door to intervention times?  32.40 What’s on the horizon?  Credits Music: Life-line by Colorful Sound via Pixabay/ SGH Podcast Studio References Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Acute Ischemic Stroke. Ann Emerg Med. 2023 Aug;82(2):e17-e64. doi: 10.1016/j.annemergmed.2023.03.007.American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Thrombolytics; Lo BM et al. Clinical Policy: Use of Thrombolytics for the Management of Acute Ischemic Stroke in the Emergency Department. Ann Emerg Med. 2024 Dec;84(6):e57-e86. doi: 10.1016/j.annemergmed.2024.07.023. PMID: 39578010.Note: This episode was recorded in 2025. Any comments or feedback? Suggestions for future episodes? Send us a message! https://semspodcast.buzzsprout.com/

    39 min

  4. 02/11/2025

    Lung Ultrasound in the ED

    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 Lung US in ED   Credits Music: Life-line by Colorful Sound via Pixabay  SGH Podcast Studio References Lichtenstein DA. Lung ultrasound in the critically ill. Ann Intensive Care. 2014 Jan 9;4(1):1. doi: 10.1186/2110-5820-4-1. PMID: 24401163; PMCID: PMC3895677. Any comments or feedback? Suggestions for future episodes? Send us a message! https://semspodcast.buzzsprout.com/

    27 min

  5. 30/09/2025

    Feedback in Education and Entrustable Professional Activities (EPAs)

    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 Feedback 10:33 Following up on the Action Plan  12:38 Grading the EPA for Straightforward cases 14:11 Take home points Credits Music: Life-line by Colorful Sound via Pixabay  SGH Podcast Studio Any comments or feedback? Suggestions for future episodes? Send us a message! https://semspodcast.buzzsprout.com/

    15 min

  6. 29/08/2025

    Critical Convergence - Where Emergency and Intensive Care Intersect

    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 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/

    13 min
  7. POCUS in Shock

    19/08/2025

    POCUS in Shock

    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 EPs hoping to improve on our POCUS skills 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  References Kenny JS, Prager R, Rola P, Haycock K, Basmaji J, Hernández G. Unifying Fluid Responsiveness and Tolerance With Physiology: A Dynamic Interpretation of the Diamond-Forrester Classification. Crit Care Explor. 2023 Dec 12;5(12):e1022. doi: 10.1097/CCE.0000000000001022. PMID: 38094087; PMCID: PMC10718393.https://www.youtube.com/@pocusclub5411 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/

    16 min
  8. Episode 10: Plant Toxicology - Leaf it alone!

    18/07/2025

    Episode 10: Plant Toxicology - Leaf it alone!

    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 Flomenbaum, Et Al. Goldfrank's Toxicologic Emergencies, Eighth EditionPhua DH, Cham G, Seow E. Two instances of Chinese herbal medicine poisoning in Singapore. Singapore Med J. 2008 May;49(5):e131-3. PMID: 18465037.Fuchs J, Rauber-Lüthy C, Kupferschmidt H, Kupper J, Kullak-Ublick GA, Ceschi A. Acute plant poisoning: analysis of clinical features and circumstances of exposure. Clin Toxicol (Phila). 2011 Aug;49(7):671-80. doi: 10.3109/15563650.2011.597034. Epub 2011 Aug 2. PMID: 21809910.Krenzelok EP, Mrvos R. Friends and foes in the plant world: a profile of plant ingestions and fatalities. Clin Toxicol (Phila). 2011 Mar;49(3):142-9. doi: 10.3109/15563650.2011.568945. PMID: 21495882.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/

    18 min
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About

Welcome to the SEMS Podcast! We are a Singapore-based podcast, and we aim to provide a platform for emergency medicine updates and education as well as inter-hospital sharing of medical knowledge and experiences. Episodes will be published once or twice a month, tune in and follow us to be notified of new episodes! 

Information

  • Creator
    SEMS
  • Years Active
    2024 - 2026
  • Episodes
    18
  • Rating
    Clean
  • Copyright
    © 2026 SEMS Podcast
  • Show Website
    SEMS Podcast