PODCAST

The Skeptics Guide to Emergency Medicine

Dr. Ken Milne

Meet ’em, greet ’em, treat ’em and street ’em

education medicine

All Episodes

17:55

SGEM#492: Give Blood – To Anemic Patients with Acute...

The Skeptics Guide to Emergency Medicine ·

2025/11/16

Date: November 12, 2025Reference: Taccone et al. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury The TRAIN Randomized Clinical Trial. JAMA 2024 Guest Skeptic: Dr. Alex Weiler is an Emergency Department staff physician in the Peterborough Regional Health Centre and is an associate professor with Queen's University Department of Family Medicine. This podcast was recorded live at the Kawartha EM Conference in beautiful Peterborough, Ontario. Case: A 48-year-old woman

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41:48

SGEM#486: Call Me, on the Line – Telemental Health...

The Skeptics Guide to Emergency Medicine ·

2025/09/27

Date: September 18, 2025Guest Skeptic: Dr. Neil Dasgupta is an Emergency Medicine (EM) physician and emergency department (ED) intensivist from Long Island, NY. He is the Vice Chair of the ED and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY. Reference: Doupnik et al. Impact of telemental health on suicide prevention care in U.S. emergency departments. AEM Sept 2025 Trigger Warning: The following case scenario discusses suicide and

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37:45

SGEM#485: I Want a New Drug – One Not Associated with...

The Skeptics Guide to Emergency Medicine ·

2025/09/23

Date: Sept 16, 2025Reference: Prada et al. Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology. Environ Health. August 2025 Guest Skeptic: Dr. Andrew Martin is an emergency physician practicing in Jacksonville, Florida. Case: A 27-year-old at 24 weeks’ gestation presents to the emergency department (ED) with fever (38.6 °C), myalgias, and sore throat. She took 650 mg of acetaminophen (Tylenol) six hours ago with partial relief

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52:11

SGEM Xtra: Tell Me Lies, Sweet Little Lies – FDA...

The Skeptics Guide to Emergency Medicine ·

2025/09/14

Date: August 12, 2025Article: FDA Approved and Ineffective by Jeanne Lenzer and Shannon Brownlee. June 5, 2025. The Lever. Jeanne Lenzer Guest Skeptic: Jeanne Lenzer is a long-time medical investigative journalist and returning SGEM guest. Her previous work, including the book The Danger Within Us, explored how conflicts of interest and weak evidence can endanger patient care. In this new project with The Lever, Jeanne analyzes how the FDA approves drugs that often don’t meet basic efficacy

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22:21

SGEM#484: The Warrior – Pharmacological Interventions...

The Skeptics Guide to Emergency Medicine ·

2025/09/06

Reference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025Date: August 6, 2025 Guest Skeptic: William Toon is a paramedic who, this past May achieved over 50 years of continuous EMS certification. His professional path has taken him from front-line paramedic to national presenter, expert witness, flight medic, EMS program director, and senior training executive with a doctorate in Higher

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36:05

SGEM#481: Shot Through the Chart And You’re to Blame...

The Skeptics Guide to Emergency Medicine ·

2025/08/02

Reference: Kemal et al. Emergency department utilization by youth before and after firearm injury. AEM July 2025Date: July 28, 2025 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She's a seasoned knowledge translator with her wonderful PaperinaPic infographics. Case: Your non-US emergency department (ED) has recently been shaken by the attendance of a teenager with a gunshot injury. Subsequent investigation has found he

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26:16

SGEM Xtra: Career Advice from Buffy the Vampire Slayer

The Skeptics Guide to Emergency Medicine ·

2025/07/12

Date: July 9, 2025Guest Skeptics: Dr. Cindy Bitter is an Associate Professor in the Division of Emergency Medicine at Saint Louis University. She has a Master’s in Bioethics, and she is passionate about EM capacity building and physician resilience, especially improving wellness through time in nature. Dr. Amy Bi is a graduate from the SSM Health Saint Louis University Emergency Medicine residency and the University of Missouri School of Medicine. She is interested in continuing medical

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24:12

SGEM #479: Light Em Up Up Up (CT) or Not for...

The Skeptics Guide to Emergency Medicine ·

2025/07/05

Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025Date: May 7, 2025 Dr. Sandi Angus Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust. She is passionate about paediatric EM, wellbeing and medical education. Case: A ten-year-old boy presents to your emergency department

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38:50

SGEM#478: If I Were a Man: Sex-Based Disparities in...

The Skeptics Guide to Emergency Medicine ·

2025/06/28

Reference: Solnick et al. Sex Disparities in Chlamydia and Gonorrhea Treatment in US Adult Emergency Departments: A Systematic Review and Meta-analysis. AEM June 2025Date: June 24, 2025 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Case: A 24-year-old woman presents to the emergency department (ED) with a two-day history of dysuria, lower abdominal discomfort, and

en-US

32:36

SGEM#477: I Can Feel It Coming In the Air Tonight…But...

The Skeptics Guide to Emergency Medicine ·

2025/06/15

Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontiers in Medicine. 2025 FebDate: June 12, 2025 Guest Skeptic: Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. She is the former president of the Washington chapter of ACEP, and her career focus outside of clinical practice has been largely devoted to health care policy. Case: A 68-year-old

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31:15

SGEM#474: Help! Which Clinical Decision Aid should I...

The Skeptics Guide to Emergency Medicine ·

2025/05/03

Reference: Umana E, et al. Performance of clinical decision aids for the care of young febrile infants: A multicenter prospective cohort study. eClinicalMedicine Lancet December 2024Date: March 6, 2025 Dr. Demetris Athanasiou Guest Skeptic: Dr. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University in London. Case: A 6-week-old boy is brought by his parents to your emergency department (ED) for fever. His older sister has

en-US

26:19

SGEM#471: Are ESI Levels Accurate for Triage of...

The Skeptics Guide to Emergency Medicine ·

2025/04/05

Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024Date: February 12, 2025 Dr. Brandon Ho Guest Skeptic: Dr. Brandon Ho is a graduating pediatric emergency medicine fellow at Children’s National Hospital in Washington DC and soon to be attending physician at Seattle Children's. His research interests include AI in healthcare, medical education, and social determinants of health. Case: You are

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27:15

SGEM Xtra Zombie Idea: ED Crowding is Due to...

The Skeptics Guide to Emergency Medicine ·

2025/04/01

Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic was the zombie idea that emergency department crowding is due to non-urgent patients. You can click on this LINK and get a PDF copy of my slides. The YouTube video of the presentation with the Q&A session featuring rural physician Dr. Kay Dingwell is available at this LINK. I also created a song to summarize some of the important parts of this issue

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21:04

SGEM Xtra: 5 Papers in 15 Minutes (Incrementum 2025)

The Skeptics Guide to Emergency Medicine ·

2025/03/23

Date: March 23, 2025I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team for putting on one of the best conferences ever. They asked me to talk about five important recent papers in 15 minutes. Usually, I do ten papers in ten minutes. However, This was an international audience, with many of the close to 600 attendees having English as their second language. Therefore, I slowed down and covered five papers in 15

en-US

45:37

SGEM Xtra: On the Boulevard of Broken Dreams –...

The Skeptics Guide to Emergency Medicine ·

2025/03/15

Date: February 22, 2025Guest Skeptic: Nicholas Peoples, who is a medical student at Baylor College of Medicine in Houston, Texas. Nick’s career has been an exciting blend of global health and emergency medicine. In 2015, Nick was part of the first-ever class to study at Duke University’s new campus in China, where he earned a master’s degree in global health. He went on to spend a couple of years working for medical NGOs in Nepal and Malawi before deciding he wanted to become an emergency medicine

en-US

22:14

SGEM#468: Wide Open Monocytes – Using MDW to Diagnose...

The Skeptics Guide to Emergency Medicine ·

2025/02/22

Reference: Agnello et al. Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. He is board-certified in Emergency Medicine, Medical

en-US

SGEM Xtra: Rock, Robot Rock – AI for Clinical Research

The Skeptics Guide to Emergency Medicine ·

2025/02/15

Date: February 11, 2025Dr. Ross Prager Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is another SGEM Xtra. On today’s episode, we’re diving into a fascinating and evolving topic—how artificial intelligence (AI) shapes clinical research. AI has the

en-US

25:12

SGEM#466: I Love ROC-n-Roll…But Not When It’s Hacked

The Skeptics Guide to Emergency Medicine ·

2025/01/25

Date: January 9, 2025Reference: White et al. Evidence of questionable research practices in clinical prediction models. BMC Med 2023 Guest Skeptic: Dr. Jestin Carlson is the Program Director for the AHN-Saint Vincent EM Residency in Erie Pennsylvania. He is the former National Director of Clinical Education for US Acute Care Solutions and an American Red Cross Scientific Advisory Council member. Dr. Richard Bukata We have had the pleasure of both working for the Legend of EM, Dr. Richard

en-US

SGEM Xtra: Think, About It – Ten Commandments for...

The Skeptics Guide to Emergency Medicine ·

2025/01/04

Date: December 6, 2024Guest Skeptic: Akil Dasan is a multifaceted artist renowned for his talents as a rapper, singer, guitarist, and beatboxer. He gained prominence as a member of the British jazz-rap group Us3, contributing to their 2006 album "Schizophonic". This is an SGEM Xtra. We have done a top ten list before on the SGEM. That episode was the Ten Commandments of EBM. This time we are looking at a 1951 article written by Bertrand Russell and published in The New York Times Magazine. The

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40:48

SGEM Xtra: If I Had A Million Dollars

The Skeptics Guide to Emergency Medicine ·

2024/12/07

Date: November 7, 2024Guest Skeptics: Shirley Ngo is a Digital Product Director at RBC. She has extensive experience working with top financial organizations such as General Electric, Citibank, and CIBC in both Canada and Singapore. Additionally, she is co-host and producer of the "Make It Shine Money” podcast, which offers a unique perspective that blends financial expertise and creative vision. This is an SGEM Xtra. We have previously discussed physician mental health and burnout on the SGEM

en-US

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The Skeptics Guide to Emergency Medicine

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