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Artwork for The Skeptics Guide to Emergency Medicine

The Skeptics Guide to Emergency Medicine

Dr. Ken Milne
Emergency Medicine
Artificial Intelligence
Pain Management
Evidence-Based Medicine
Ketamine
Drug Efficacy
Sepsis
Pediatric Emergency Medicine
Febrile Infants
Emergency Department Crowding
FDA Approval Process
Covid-19
Acute Pain
Acute Aortic Syndrome
Large Language Models
Critical Thinking
Healthcare
Non-Urgent Patients
Cancer Drugs
Mental Health

Meet 'em, greet 'em, treat 'em and street 'em

PublishesDailyEpisodes300Founded14 years ago
Number of ListenersCategories
Health & FitnessMedicineEducation

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Artwork for The Skeptics Guide to Emergency Medicine

Latest Episodes

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 f... more

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Recent Guests

Manrique Umaña McDermott
Attending physician in emergency medicine, speaker, faculty at University of Costa Rica
University of Costa Rica
Episode: SGEM#509: I love the Java Jive & It Loves Me – Preventing Dementia with Coffee and Tea
Margarita Ramos
Pediatric hospitalist, Children's National Hospital; Assistant Professor of Pediatrics, George Washington University
Children's National Hospital; George Washington University
Episode: SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Brett Bernstein
Pediatric Emergency Medicine physician; researcher on febrile infants
Montreal Children's Hospital; McGill University
Episode: SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Nathan Cooperman
Executive VP, Chief Academic Officer, Children's National Hospital; ER medicine physician; epidemiologist
Children's National Hospital; George Washington University
Episode: SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Christina Shenvi
Emergency physician, educator, and geriatric emergency medicine expert
Episode: SGEM#507: Till Everybody Got Delirious – Geriatric Patients in the Emergency Department
Robert Leeper
Trauma surgeon, ATLS instructor
London Health Sciences Centre
Episode: SGEM Xtra: This One Goes to 11 – ATLS 11th Edition
Dr. Stephanie Kubala
Attending physician in the Division of Allergy and Immunology at Children's Hospital of Philadelphia
Children's Hospital of Philadelphia
Episode: SGEM#506: Aww I’m Itchy…and I need a Second Generation Antihistamine
Rory Spiegel
Emergency medicine and critical care physician focused on evidence-based medicine and critical care
Episode: SGEM#505: Close Enough for (ARF) Acute Respiratory Failure (HFNO vs NIV)
Lael Buhafoush
DPhil candidate at Oxford in policy-focused health care
Oxford Centre for Evidence-Based Medicine / Oxford
Episode: SGEM Xtra: It’s My Life – DPhil in Oxford

Hosts

Ken Milne
Skeptical host with a long-standing focus on evidence-based emergency medicine and medical education.
Dennis Wren
Skeptical host contributing clinical perspective and discussion of trial evidence and practical emergency medicine topics.

Reviews

4.6 out of 5 stars from 246 ratings
  • 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?

    Apple Podcasts
    5
    Kiddynurse
    United States3 years ago
  • 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!!

    Apple Podcasts
    5
    pinkrunner87
    United States3 years ago
  • Hard to trust

    Muscle relaxants

    A physician that cannot pronounce drug names and thinks people are statistics. No individualized medicine? A study shows if a drug works for a population, not an individual

    You should check the new literature on ‘the placebo effect’ because it turns out not to be what you believe it is.

    P.S. Methocarbamol does a decent job combined with cannabis, especially since nsaids give me mouth ulcers.

    P.P.S. Osteopaths (competent ones) can release that spasm completely at least 7... more

    Apple Podcasts
    3
    Asciguy
    United States4 years ago
  • Political

    I am here to learn about emergency medicine....not to be preached to about race relaions...ughhh.

    Apple Podcasts
    1
    Gorsh
    Canada5 years ago
  • Top drawer

    SGEM is my new fave EM podcast - wish I’d found it earlier! Great work Ken - keep it up!

    Apple Podcasts
    5
    Tombaul
    United Kingdom5 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Many appreciate the rigorous skepticism and clear explanations of complex studies.
Fans celebrate the consistency and usefulness for staying current in EM.
Some critique pacing or delivery, but the educational value remains high.
Listeners praise the deep dives into papers and practical takeaways.

Talking Points

Recent interactions between the hosts and their guests.

SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Q: What is the role of pro-calcitonin and its substitutes when unavailable?
Pro-calcitonin availability is variable; CRP can be used as a substitute in some settings, but it has limitations in specificity, so clinicians should rely on PCARN methodology while awaiting more robust substitutes.
SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Q: How should clinicians proceed with low-risk infants 22–28 days old given discordant guidelines?
The panel suggested a cautious but flexible approach that emphasizes shared decision making, clinical judgment, and observation in lieu of automatic LPs, depending on local guidelines and resources.
SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Q: Was the search for studies detailed and exhaustive?
Margarita Ramos indicated that the search was not exhaustively comprehensive, noting reliance on previously cited cohorts rather than a fully exhaustive global sweep.
SGEM#509: I love the Java Jive & It Loves Me – Preventing Dementia with Coffee and Tea
Q: What is the practical takeaway for ED physicians?
Use the study to counsel patients who already drink coffee or tea, emphasizing moderation and a healthy lifestyle rather than prescribing caffeine as a dementia preventive measure.
SGEM#509: I love the Java Jive & It Loves Me – Preventing Dementia with Coffee and Tea
Q: What were major limitations discussed?
Residual confounding, reverse causation, and time-varying exposure that could undermine causal interpretations, along with imperfect exposure measurement.

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Frequently Asked Questions About The Skeptics Guide to Emergency Medicine

What is The Skeptics Guide to Emergency Medicine about and what kind of topics does it cover?

A rigorous, evidence-focused show that analyzes emergency medicine literature with a critical eye and a dash of humor. Episodes commonly feature leading clinicians and researchers discussing new studies, clinical decision rules, and the practical implications for patient care, with an emphasis on translating research into real-world practice. Noteworthy is the sustained commitment to transparency in evaluating data, shared decision-making in patient care, and discussions that connect medical science to broader questions about ethics, policy, and how information reaches front-line providers.

Listeners likely include practicing emergency physicians, residents, and healthcare professionals who value evidence-based education, practical takeawa... more

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Which podcasts are similar to The Skeptics Guide to Emergency Medicine?

These podcasts share a similar audience with The Skeptics Guide to Emergency Medicine:

1. EMCrit FOAM Feed
2. Core EM - Emergency Medicine Podcast
3. The Resus Room
4. Emergency Medical Minute
5. EM Clerkship

How many episodes of The Skeptics Guide to Emergency Medicine are there?

The Skeptics Guide to Emergency Medicine launched 14 years ago and published 300 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on The Skeptics Guide to Emergency Medicine?

Recent guests on The Skeptics Guide to Emergency Medicine include:

1. Manrique Umaña McDermott
2. Margarita Ramos
3. Brett Bernstein
4. Nathan Cooperman
5. Christina Shenvi
6. Robert Leeper
7. Dr. Stephanie Kubala
8. Rory Spiegel

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