The Skeptics Guide to Emergency Medicine Dr. Ken Milne
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SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?
Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care. February 2024. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. She […]
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SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures
Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of […]
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SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke
Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. NEJM Feb 2024 Date: April 12, 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency […]
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SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV
Reference: Drysdale SB et al. Nirsevimab for Prevention of Hospitalizations due to RSV in Infants. N Engl J Med. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the […]
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SGEM#434: It’s (Un) Happy Hour Again – Mortality in Younger Patients with Alcohol-Related ED Attendances
Reference: Harrison et al. Mortality in adolescents and young adults following a first presentation to the emergency department for alcohol. AEM March 2024. Date: March 27, 2024 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It’s a Friday evening at the end of the academic year in the Paediatric […]
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SGEM#433: Breathe – Simple Aspiration vs. Drainage for Complete Pneumothorax
Reference: Marx et al. Simple Aspiration versus Drainage for Complete Pneumothorax: A Randomized Noninferiority Trial. Am J Respir Crit Care Med. 2023 Date: March 22, 2024 Guest Skeptic: Dr. Richard Malthaner holds the prestigious position of Chair/Head of the Division of Thoracic Surgery and serves as the Director of the Thoracic Robotic Program at Western […]
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Customer Reviews
Excited Delirium
First time listener to the podcast. Like the in depth analysis. E D seems like a very convenient entity/excuse for police to use that in their report (BTW How can a human exhibit “superhuman” qualities?) If that is really a “thing,” if a person were to be exhibiting that behavior, and the police did not intervene (i.e) put a knee on the person’s neck, would the person still have died?
Excellent topics
Met Dr Milne personally at a conference this week- he is so so personable and intelligent. What a gem and wealth of knowledge!!
The Evidence Behind the Guidelines
As a recently graduated medical student, I’m always looking for materials to explain the “why” behind the guidelines and other clinical decisions that were not very clear before. On top of that, you guys are actually fun to listen to!