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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
Emergency Department Crowding
FDA Approval Process
Covid-19
Acute Aortic Syndrome
Acute Pain
Large Language Models
Critical Thinking
Healthcare
Non-Urgent Patients
Cancer Drugs
Mental Health
Education

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

PublishesDailyEpisodes300Founded14 years ago
Number of ListenersCategories
EducationMedicineHealth & Fitness

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Artwork for The Skeptics Guide to Emergency Medicine

Latest Episodes

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, 2026 Guest Skeptic: Dr. Margarita Ramos is a pediatric hospitalist... more

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 2026 Guest Skeptic: Dr. Christin... more

Date: March 23, 2026 Guest 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 geriatric emergency medicine, faculty development, and ... more

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Recent Guests

Christina Shenvi
Board certified emergency physician, educator, keynote speaker, coach, and academic leader
Geriatric Emergency Medicine community
Episode: SGEM Xtra: You You You Oughta Know – GED 2.0 Guidelines
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
Taylor Hirschberg
DPhil candidate researching migrant health and LGBTQI communities
Oxford Centre for Evidence-Based Medicine / Oxford
Episode: SGEM Xtra: It’s My Life – DPhil in Oxford
Terry O'Reilly
Host of Under the Influence, acclaimed storyteller and author
Under the Influence (podcast/production)
Episode: SGEM Xtra: You say you want a revolution – well you know – Against the Grain: Defiant Giants Who Changed the World
Ken Milne
Host of The Skeptics Guide to Emergency Medicine
Episode: SGEM Xtra: You say you want a revolution – well you know – Against the Grain: Defiant Giants Who Changed the World
Kammeron Brissett
Pediatric emergency medicine fellow at Children's National Hospital
Children's National Hospital
Episode: SGEM#504: Home Where I Wanted to Go After Anaphylaxis

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.

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Talking Points

Recent interactions between the hosts and their guests.

SGEM#507: Till Everybody Got Delirious – Geriatric Patients in the Emergency Department
Q: What were the three PICO questions the guideline addressed?
The guideline focused on identifying older ED patients at highest delirium risk, selecting appropriate screening tools for delirium identification, and determining whether an acutely confused or delirious elderly patient should undergo a head CT as part of routine delirium evaluation.
SGEM Xtra: You You You Oughta Know – GED 2.0 Guidelines
Q: How can frontline EDs begin implementing these guidelines today?
Begin with a single, well-validated change such as delirium screening using tools like the 4AT, integrate screening into EMR workflows, educate staff, and build a local plan for follow-up actions and outcomes to demonstrate value.
SGEM Xtra: You You You Oughta Know – GED 2.0 Guidelines
Q: What is the core change in the 2.0 guidelines compared to 2014?
2.0 adopts the GRADE framework across all recommendations, involves a broader international, multidisciplinary consortium, and emphasizes actionable implementation, operational feasibility, and patient involvement.
SGEM Xtra: You You You Oughta Know – GED 2.0 Guidelines
Q: Why update the GED guidelines now and not wait longer to refresh them?
The guidelines were updated due to advances in evidence, newer GEER/GEER 2.0 data, and a shift toward higher-quality, more transparent guideline methodology using GRADE, plus a need for clearer implementation pathways.
SGEM#504: Home Where I Wanted to Go After Anaphylaxis
Q: What is the clinical question we are asking today?
Among children treated with epinephrine for anaphylaxis, what is the timing and incidence of repeat epinephrine that could inform safe observation periods?

Audience Metrics

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

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. Christina Shenvi
2. Robert Leeper
3. Dr. Stephanie Kubala
4. Rory Spiegel
5. Lael Buhafoush
6. Taylor Hirschberg
7. Terry O'Reilly
8. Ken Milne

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