The Skeptics Guide to Emergency Medicine

Dr. Ken Milne
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Oct 25, 2025 • 23min

SGEM#490: These (Removable) Boots are Made for Walking

Reference:  Boutin A, et al. Removable Boot vs Casting of Toddler’s Fractures: A Randomized Clinical Trial. JAMA Pediatr. Published April 2025. Date: July 23, 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 […] The post SGEM#490: These (Removable) Boots are Made for Walking first appeared on The Skeptics Guide to Emergency Medicine.
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Oct 18, 2025 • 46min

SGEM#489: Smooth Muscle Relaxator – But does Magnesium Work for Renal Colic?

Date: October 10, 2025 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department.  Case: A 37-year-old man presents to the emergency department (ED) with severe right-sided flank pain.  […] The post SGEM#489: Smooth Muscle Relaxator – But does Magnesium Work for Renal Colic? first appeared on The Skeptics Guide to Emergency Medicine.
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Oct 11, 2025 • 0sec

SGEM#488: It’s Just a Minor Stroke – Should We Still Lyse?

Date: October 3, 2025 Reference: Doheim et al. Meta-Analysis of Randomized Controlled Trials on IV Thrombolysis in Patients With Minor Acute Ischemic Stroke. Neurology 2025 Guest Skeptic: Dr. Casey Parker is a Rural Generalist, Evidence-based medicine enthusiast and Ultrasound Nerd. This episode was recorded live, in beautiful Broome, Australia, at the Spring Seminar on Emergency […] The post SGEM#488: It’s Just a Minor Stroke – Should We Still Lyse? first appeared on The Skeptics Guide to Emergency Medicine.
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Oct 4, 2025 • 36min

SGEM#487: Tell Me How I’m Supposed to Breathe with No Air? Nasal High Flow or Standard Care for Pediatric Intubation

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.
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Sep 27, 2025 • 42min

SGEM#486: Call Me, on the Line – Telemental Health for Suicide Prevention

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.
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Sep 23, 2025 • 38min

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

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.
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Sep 20, 2025 • 22min

SGEM Xtra: Incrementum 2026

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.
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Sep 14, 2025 • 52min

SGEM Xtra: Tell Me Lies, Sweet Little Lies – FDA Approved & Ineffective

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.
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Sep 6, 2025 • 22min

SGEM#484: The Warrior – Pharmacological Interventions for the Acute Treatment of Hyperkalemia

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.
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Aug 30, 2025 • 34min

SGEM Xtra: Now and Forever – A League of Their Own (Women in EM)

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.

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