The Skeptics Guide to Emergency Medicine

Dr. Ken Milne
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Nov 22, 2025 • 1h 2min

SGEM#493: You Can’t Hold Me Down with Spinal Motion Restrictions

Date: November 8, 2025 Reference: Millin M, et al., Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature, Prehospital Emergency Care, Aug 2025. Guest Skeptic: Clay Odell, BSN, NRP, RN, is a Paramedic Firefighter with Newport (NH) Fire-EMS. He is a past Chief of the […] The post SGEM#493: You Can’t Hold Me Down with Spinal Motion Restrictions first appeared on The Skeptics Guide to Emergency Medicine.
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Nov 16, 2025 • 18min

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

Dr. Alex Weiler, an Emergency Department physician and associate professor, dives into the TRAIN transfusion trial, exploring its significant findings for anemic patients with acute brain injuries. He discusses the trial's impact on transfusion thresholds and the effects on cerebral oxygenation. With a focus on how a liberal transfusion strategy can improve neurological outcomes, Alex evaluates biases in the study design. He also provides practical guidance for clinicians in managing these critical patients, emphasizing communication with families about treatment benefits.
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Nov 8, 2025 • 32min

SGEM Xtra: Talkin’ Bout a Revolution…Training Health Communicators

Date: October 17, 2025 Guest Skeptic: Dr. Kristen Panthagani is an emergency medicine resident and Yale Emergency Scholar at Yale New Haven Hospital. She’s a physician-scientist, having completed her MD/PhD at Baylor College of Medicine. She’s also well known as a science communicator, creator of You Can Know Things which helps explain science in a […] The post SGEM Xtra: Talkin’ Bout a Revolution…Training Health Communicators first appeared on The Skeptics Guide to Emergency Medicine.
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Nov 1, 2025 • 43min

SGEM#491: Prevalence of violence against health care workers among agitated patients in an urban emergency department

Date: October 30, 2025 Reference: Boes et al. Prevalence of violence against health care workers among agitated patients in an urban emergency department. October 2025 AEM 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: […] The post SGEM#491: Prevalence of violence against health care workers among agitated patients in an urban emergency department first appeared on The Skeptics Guide to Emergency Medicine.
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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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7 snips
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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