The Skeptics Guide to Emergency Medicine

Dr. Ken Milne
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Jul 12, 2025 • 26min

SGEM Xtra: Career Advice from Buffy the Vampire Slayer

Date: July 9, 2025 Guest 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 post SGEM Xtra: Career Advice from Buffy the Vampire Slayer first appeared on The Skeptics Guide to Emergency Medicine.
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Jul 5, 2025 • 24min

SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma?

In this discussion, Dr. Sandi Angus, a passionate Paediatric and Adult Emergency Medicine Registrar, dives into the complexities of evaluating blunt abdominal trauma in children. They explore the critical balance between the risks of radiation from CT scans and the benefits of accurate diagnosis. The conversation highlights the PECARN rule for identifying low-risk patients and the challenges in interpreting injury risks from various symptoms. Join in as they uncover the intricacies of clinical decision-making in pediatric emergency care!
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Jun 28, 2025 • 39min

SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs

Reference: Solnick et al. Sex Disparities in Chlamydia and Gonorrhea Treatment in US Adult Emergency Departments: A Systematic Review and Meta-analysis. AEM June 2025 Date: 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 […] The post SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs first appeared on The Skeptics Guide to Emergency Medicine.
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Jun 15, 2025 • 33min

SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy

Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontiers in Medicine. 2025 Feb Date: 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 […] The post SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy first appeared on The Skeptics Guide to Emergency Medicine.
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Jun 7, 2025 • 24min

SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc

Date: June 2, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don’t Forget the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV […] The post SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc first appeared on The Skeptics Guide to Emergency Medicine.
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Jun 1, 2025 • 37min

SGEM Xtra: Ten Lessons They Don’t Teach in Medical School (But Should)

Date: May 14, 2025 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 an SGEM Xtra episode. The inspiration was a […] The post SGEM Xtra: Ten Lessons They Don’t Teach in Medical School (But Should) first appeared on The Skeptics Guide to Emergency Medicine.
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May 24, 2025 • 45min

SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis

Dr. Camille Wu, a leading pediatric surgeon at Sydney Children’s Hospital, delves into the contentious debate over treating pediatric appendicitis. She discusses the growing role of antibiotics versus traditional surgeries, citing recent studies on treatment efficacy. The dialogue touches on the complexities of diagnosis and management, including cultural differences in practices between Australia and the US. Additionally, the conversation highlights patient perspectives and the emotional considerations impacting treatment choices, urging a more personalized approach.
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May 17, 2025 • 26min

SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures

Dr. Matt Schmitz, an orthopedic surgeon specializing in adolescent sports medicine, shares insights on the management of scaphoid fractures. He discusses a clinical study showing that short-term bandaging can match traditional casting in effectiveness, challenging long-held practices. The conversation delves into biases in clinical trials and the importance of proper masking. Schmitz advocates for a more patient-centered approach, emphasizing selective immobilization for low-risk cases and the complexities of follow-up in treatment outcomes.
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May 10, 2025 • 29min

SGEM Xtra: Doctor, Doctor – Paging Dr. Robby

Date: May 6, 2025 Guest Skeptic: Actor, producer and director Noah Wyle. Many of us know him as Dr. John Carter from ER, the show that arguably influenced an entire generation of EM physicians. Since that groundbreaking show, he has been busy with multiple movie roles (Pirates of Silicon Valley, Donnie Darko, White Oleander, Shot, and […] The post SGEM Xtra: Doctor, Doctor – Paging Dr. Robby first appeared on The Skeptics Guide to Emergency Medicine.
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May 3, 2025 • 31min

SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants?

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 2024 Date: March 6, 2025 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: […] The post SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants? first appeared on The Skeptics Guide to Emergency Medicine.

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