The Skeptics Guide to Emergency Medicine

Reference:  George S, et al. Effectiveness of nasal high-flow oxygen during apnoea on hypoxaemia and intubation success in paediatric emergency and ICU settings: a randomised, controlled, open-label trial. Lancet Respir Med. March 2025 Date: July 10, 2025 Guest Skeptic: Dr. Spyridon Karageorgos is a Pediatric Chief Resident at Aghia Sophia Children’s Hospital, Athens, Greece and […] The post SGEM#487: Tell Me How I’m Supposed to Breathe with No Air? Nasal High Flow or Standard Care for Pediatric Intubation first appeared on The Skeptics Guide to Emergency Medicine.

Date: September 18, 2025 Guest 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 […] The post SGEM#486: Call Me, on the Line – Telemental Health for Suicide Prevention first appeared on The Skeptics Guide to Emergency Medicine.

Date: Sept 16, 2025 Reference: 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 […] The post SGEM#485: I Want a New Drug – One Not Associated with Neurodevelopmental Disorders first appeared on The Skeptics Guide to Emergency Medicine.

Date: August 12, 2025. This is an SGEM Xtra, and today, we’re putting on our conference lanyards and boarding passes to talk about one of the most exciting events in the global EM calendar, IncrEMentuM 2026. For those who did not attend IncrEMentuM 2025, it set the bar incredibly high. From the moment delegates walked […] The post SGEM Xtra: Incrementum 2026 first appeared on The Skeptics Guide to Emergency Medicine.

Date: August 12, 2025 Article: FDA Approved and Ineffective by Jeanne Lenzer and Shannon Brownlee. June 5, 2025. The Lever. 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 […] The post SGEM Xtra: Tell Me Lies, Sweet Little Lies – FDA Approved & Ineffective first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025 Date: 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 […] The post SGEM#484: The Warrior – Pharmacological Interventions for the Acute Treatment of Hyperkalemia first appeared on The Skeptics Guide to Emergency Medicine.

Date: August 11, 2025 Guest Skeptic: Dr. Gillian Schmitz is a board-certified Emergency Physician practicing at The Naval Medical Center in San Diego. She is also a former President of the American College of Emergency Physicians (ACEP). This SGEM Xtra is inspired by the 1992 film A League of Their Own. Unlike our previous pop culture references like Buffy […] The post SGEM Xtra: Now and Forever – A League of Their Own (Women in EM) first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Otterness et al. The Use of TENS for the Treatment of Back Pain in the Emergency Department: A Randomized Controlled Trial. AEM Aug 2025 Date: August 22, 2025 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School, Baystate. She is the […] The post SGEM#483: Electricity – TENS Units for Treating Back Pain first appeared on The Skeptics Guide to Emergency Medicine.

Reference:  Othman AA, et al. Combined ketamine and midazolam vs. midazolam alone for initial treatment of pediatric generalized convulsive status epilepticus (Ket-Mid study): A randomized controlled trial. Pediatric Neurology. June 2025 Date: May 27, 2025 Guest Skeptic: Dr. James Chamberlain is a pediatric emergency medicine attending physician at Children’s National Hospital in Washington, DC where […] The post SGEM#482: Seize the Day with Ketamine and Midazolam for Pediatric Status Epilepticus first appeared on The Skeptics Guide to Emergency Medicine.

Timothy Caulfield, a Canadian law professor and health policy expert, dives deep into the complexities of science communication and misinformation. He discusses the power of language in vaccine debates, urging clarity over stigmatization. Intellectual humility is highlighted as a vital tool against misinformation. The conversation delves into evolving medical practices, the pitfalls of online opinions, and the cultural allure of UFOs. Caulfield emphasizes the urgent need for effective science communication to navigate today's challenges.