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The Skeptics Guide to Emergency Medicine

by Dr. Ken Milne

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Latest episodes

SGEM#523: Everything Grows and Grows…Until it Doesn’t. Clinical Practice Guidelines for Faltering Weight

October 17, 2026 · 34 min

Reference: Kersten HB, et al; American Academy of Pediatrics and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Clinical Practice Guideline for Diagnosis and Management of Faltering Weight. Pediatrics…
SGEM#522: Va-so-Pressors – Can You Run Them Peripherally?

October 3, 2026 · 26 min

Date: September 30, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time…
SGEM#521: Hit Me with Your Best Shot – IM Ketorolac for Back Pain?

September 26, 2026 · 32 min

Date: September 22, 2026 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…
SGEM#520: It takes my pain away – Morphine, but do I need to add acetaminophen?

September 19, 2026 · 42 min

Date: Sept 13, 2026 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s Institute for Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal…
SGEM Xtra: If I Could Turn Back Time – 14 Seasons of Skepticism, Kindness & Evidence-Based EM

September 5, 2026 · 29 min

Date: September 4, 2026 This is an SGEM Xtra looking in the rearview mirror at 14 years of The SGEM and looking forward to Season#15. Season 15 is traditionally the crystal anniversary. Crystal is transparent; it can help us see things…

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SGEM#519: Don’t Let Pediatric Pulmonary Embolism Leave You Breathless

August 29, 2026 · 30 min

Reference: Ellison AM, et al. PERC-Peds rule for bedside exclusion of pulmonary embolism without radiation in children in the USA (BEEPER): a multicentre, prospective, observational, diagnostic accuracy study. Lancet Respir Med. July 2026…
SGEM#518: What Have You Done for Me Lately – Oseltamivir for Hospitalized Patients?

August 22, 2026 · 57 min

Date: August 23, 2026 Guest Skeptic: Dr. Roya Caloia is a former EM program director, longtime faculty at Henry Ford Genesys and current interim Associate Medical Director. She is also the Chairperson of the National Clinical Governance…
SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine

August 15, 2026 · 1 hr 13 min

Date: March 4, 2026 Guest Skeptic: Prof Carl Heneghan is a General Practitioner, Professor of Evidence-Based Medicine at the University of Oxford and current Director of the Centre for Evidence-Based Medicine (CEBM). Today, we’re launching…
SGEM#517 : I Will Try to Fix You. Surgery or Not for Pediatric Displaced Medial Epicondyle Elbow Fractures

August 8, 2026 · 49 min

Reference: Perry DC, et al. Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic…
SGEM#516: A Whole Lotta Blood – Whole Blood Transfusion in the Prehospital Setting

August 1, 2026 · 40 min

Date: July 27, 2026 2026 Guest Skeptic: Dr. Howard (Howie) Mel is an emergency physician and FACEP. Reference: Smith JE et al. SWiFT Trial Group. Prehospital Whole Blood in Traumatic Hemorrhage – a Randomized Controlled Trial. NEJM 2026…
SGEM Xtra: Ferraris, Friends, and First Responders – Lessons Learned from Watching Magnum, P.I.

July 25, 2026 · 23 min

Date: July 9, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time…
SGEM#515: Now the Azithromycin Don’t Work for Preschool Wheeze

July 18, 2026 · 25 min

Reference: Denninghoff KR et al. Azithromycin for Preschoolers with Wheezing in the Emergency Department. New England Journal of Medicine. May 2026 Date: July 14, 2026 Guest Skeptic: Dr. Zara Ibrahim is a pediatric emergency medicine…