Ken Milne
Host and skeptical clinician who leads The Skeptics Guide to Emergency Medicine podcast, guiding discussions on emergency medicine evidence and clinical practice.
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Nov 27, 2025 • 31min
Ep. 157: Special Episode - Prehospital Management of Spinal Cord Injuries
Join Dr. John Gallagher, an EMS physician from Hawaii and co-author of a key literature review, alongside Dr. Ken Milne, a skeptic in emergency medicine and podcaster, as they explore the controversial topic of spinal cord injury management. They discuss the surprising lack of evidence supporting routine spinal immobilization and the potential harms of cervical collars. The conversation emphasizes judicious use of collars, focusing more on patient-centered outcomes and highlighting the importance of clinical judgment in prehospital care.
Jun 29, 2021 • 1h 25min
Journal Jam 18 The Evidence for TXA – Should Tranexamic Acid Be Routine Therapy in the Bleeding Patient?
Dr. Ken Milne, an EBM guru, joins the hosts to examine the evidence for TXA in various indications including epistaxis, postpartum hemorrhage, hyphema, and hemoptysis. They discuss the limitations of the Cochrane review, the uncertain effectiveness of TXA in gastrointestinal bleeds, and the No-Pack trial results for epistaxis. The importance of replication in scientific studies and the pitfalls of subgroup analysis are also explored.
