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Dr. Ken Milne
The Skeptics Guide to Emergency Medicine
Education
Medicine
Health & Fitness
English
Meet ’em, greet ’em, treat ’em and street ’em
Website
Episodes
Episodes
300
18 July 2026
SGEM#515: Now the Azithromycin Don’t Work for Preschool Wheeze
Reference: Denninghoff KR et al. Azithromycin for Preschoolers with Wheezing in the Emergency Department. New England Journal of Medicine. May 2026Date: July 14, 2026Dr. Zara IbrahimGuest Skeptic: Dr. Zara Ibrahim is a pediatric emergency medicine fellow at Children’s National Hospital in Washington DC where she also completed medical school, pediatric residency. Her research interests include AI...
24 min
11 July 2026
SGEM#514: Every Time You Go Away (and survive alive for 90 days) – Is It Due To A Restricted Fluid Strategy with Early Vasopressors?
Date: July 9, 2026Reference: The ARISE FLUIDS Investigators. Vasopressors or Fluids in Early Septic Shock. NEJM June 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. He is board-certified in Emergency Medicine, Medical Toxicology, Addiction Medicine,...
31 min
27 June 2026
SGEM#513: Everything is Awesome – Unless You Swallow A LEGO Head
Date: June 23, 2026Reference: Tagg A, et al. Everything is awesome: Don’t forget the Lego. J Paediatr Child Health. 2019We recorded this SGEM episode live at the Don't Forget the Bubbles conference in Glasgow, Scotland. Dennis and I had just given an hour presentation on how to build better critical appraisal skills. It was a wonderful experience, and we would like to thank Dr. Tessa Davis, Dr....
24 min
13 June 2026
SGEM#512: When you go your way, and I Go Mine – Surgery or Antibiotics for Acute Appendicitis.
Date: June 12, 2026Guest Skeptic: Mr. Ross Fisher. Ross is a paediatric surgeon, presentation guru (P-Cubed), and long-time friend of the SGEM. Reference: Talan et al. Nonoperative Treatment of Appendicitis and Implications for Emergency Department Management: A Narrative Review. Ann Emerg Med. June 2026Case: A 29-year-old healthy man presents to the emergency department (ED) with 18 hours of...
40 min
30 May 2026
SGEM Xtra: Welcome to the Jungle of Disaster Medicine
Date: April 21, 2026Lauren OpenshawGuest Skeptic: Lauren Openshaw is a medical student at the George Washington University School of Medicine & Health Sciences, Class of 2027, where she is a part of the Disaster Medicine Scholarly Concentration. Her clinical interests include pediatrics, disaster medicine, critical care, and emergency preparedness, particularly as they relate to protecting...
17 min
23 May 2026
SGEM#511: I’d Like To Treat, DKA with the SQuID Protocol
Date: May 20, 2026Guest Skeptic: Dr. Matt McArthur is an ED Physician working primarily in Guelph and Kitchener with occasional rural locums in the small town of Walkerton, where he grew up. His clinical interests include POCUS, emergency cardiology, QI, knowledge translation, motivational interviewing, and vertigo. He is very active in medical education, including as a clinical skills and POCUS...
59 min
16 May 2026
SGEM#510: Take this Broken Radius and just Cast It.
Reference: Perry DC, et al. Non-surgical casting versus surgical reduction for children with severely displaced distal radial fractures (the CRAFFT Study): a multicentre, randomised, controlled non-inferiority trial and economic evaluation. Lancet April 2026.Date: May 8, 2026Dr. Andrew TaggGuest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and...
23 min
25 April 2026
SGEM#509: I love the Java Jive & It Loves Me – Preventing Dementia with Coffee and Tea
Date: April 23, 2026 Guest Skeptic: Dr. Manrique Umaña McDermott is an attending physician specializing in Emergency Medicine based in San José, Costa Rica. He has a passion for medical education, is a renowned international speaker and serves as a faculty member in undergraduate Internal Medicine at UCIMED and postgraduate training programs in Emergency Medicine and Family and Community Medicine...
24 min
18 April 2026
SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Reference: Burstein B, et al. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. Published online December 08, 2025.Date: April 3, 2026Dr. Margarita RamosGuest Skeptic: Dr. Margarita Ramos is a pediatric hospitalist at Children’s National Hospital in Washington, D.C., and Assistant Professor of Pediatrics at the George Washington University...
51 min
11 April 2026
SGEM#507: Till Everybody Got Delirious – Geriatric Patients in the Emergency Department
Date: April 2, 2026 Reference: Lee et al. GRADE-Based Clinical Practice Guidelines for Emergency Department Delirium Risk Stratification, Screening, and Brain Imaging in Older Patients With Suspected Delirium. AEM Feb 2026Guest Skeptic: Dr. Christina Shenvi is a board-certified emergency physician, educator, keynote speaker, coach, and academic leader. She is widely recognized for her work in...
39 min