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The Skeptics Guide to Emergency Medicine

Dr. Ken Milne
Emergency Medicine
Artificial Intelligence
Evidence-Based Medicine
Pain Management
Ketamine
Pediatric Emergency Medicine
Drug Efficacy
Sepsis
Emergency Department Crowding
Febrile Infants
FDA Approval Process
Covid-19
Acute Aortic Syndrome
Acute Pain
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
EducationHealth & FitnessMedicine

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Artwork for The Skeptics Guide to Emergency Medicine

Latest Episodes

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 more clearly, ... more

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. Date: Augu... more

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Recent Guests

Lauren Westafer
Guest skeptic, associate professor in Emergency Medicine
University of Massachusetts Medical School Bay State
Episode: SGEM#519: Don’t Let Pediatric Pulmonary Embolism Leave You Breathless
Roya Caloia
Emergency physician, former EM Program Director, interim associate medical director
Henry Ford Genesys; US Acute Care Solutions
Episode: SGEM#518: What Have You Done for Me Lately – Oseltamivir for Hospitalized Patients?
Carl Heneghan
Professor of Evidence-Based Medicine at the University of Oxford, director of the Centre for Evidence-Based Medicine
University of Oxford, Centre for Evidence-Based Medicine
Episode: SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine
Megan Terle
Orthopedic surgeon, pediatric trauma specialist
UC Davis Health
Episode: SGEM#517 : I Will Try to Fix You. Surgery or Not for Pediatric Displaced Medial Epicondyle Elbow Fractures
Holly Leshaker
Orthopedic surgeon, pediatric trauma specialist
UC Davis Health
Episode: SGEM#517 : I Will Try to Fix You. Surgery or Not for Pediatric Displaced Medial Epicondyle Elbow Fractures
Howie Mel
Skeptic guest, physician-analyst
Vituity / emergency medicine physician
Episode: SGEM#516: A Whole Lotta Blood – Whole Blood Transfusion in the Prehospital Setting
Zara Ibrahim
Pediatric Emergency Medicine Fellow
Children's National Hospital
Episode: SGEM#515: Now the Azithromycin Don’t Work for Preschool Wheeze
Aaron Skolnik
Assistant Professor of Emergency Medicine, Mayo Clinic; critic and commentator on critical care literature
Mayo Clinic
Episode: SGEM#514: Every Time You Go Away (and survive alive for 90 days) – Is It Due To A Restricted Fluid Strategy with Early Vasopressors?
Ross Fisher
Pediatric surgeon, presentation guru, and long-time friend of SGEM
P Cubed; pediatric surgery
Episode: SGEM#512: When you go your way, and I Go Mine – Surgery or Antibiotics for Acute Appendicitis.

Hosts

Ken Milne
Host of The Skeptics Guide to Emergency Medicine
Dennis Wren
Host of SGEM Xtra and co-host in EM skepticism discussions

Reviews

4.6 out of 5 stars from 249 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.

Some critique pacing or perceived over-enthusiasm, but most impressions are positive on practicality and education.
Listeners appreciate the rigorous, evidence-based lens on EM topics.
Readers note the show as a go-to resource for keeping up with EM research and guidelines.
Fans praise the host for engaging, accessible discussion of complex trials.

Talking Points

Recent interactions between the hosts and their guests.

SGEM#519: Don’t Let Pediatric Pulmonary Embolism Leave You Breathless
Q: So can you tell us, how did you even get into pulmonary embolism research?
Dr. Westafer explains her move into PE research was driven by a convenient grant opportunity from the NIH for cardiopulmonary implementation science, which aligned with her interests in heart, lung, and blood disease. This led to her ongoing focus on pediatric PE and how adult tools might translate to kids.
SGEM#518: What Have You Done for Me Lately – Oseltamivir for Hospitalized Patients?
Q: What was the primary clinical question of the trial discussed?
Whether Oseltamivir improves 90-day survival in hospitalized, critically ill influenza patients who require organ support.
SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine
Q: What do you see as the biggest challenges and opportunities for the next 30 years in EBM?
Carl emphasizes crowd-based, public-facing evidence engagement, AI-assisted analyses with caution about bias and accuracy, and a shift toward improving healthy life expectancy and prudent, research-led decision-making.
SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine
Q: How has the landscape of evidence-based medicine evolved since you began, and what do you think have been the biggest turning points?
He highlights the rise of the Cochrane Library, NICE, and broader data transparency as pivotal shifts, along with the push to move from eminence-based decisions to evidence-guided practice.
SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine
Q: Question number one: what got you interested in evidence-based medicine and was there a moment you thought we should see if there's data on this?
Carl describes starting as a medical student, meeting Dave Sackett, and being introduced to core EBM concepts like the number needed to treat, which shaped his career and the mission to disseminate EBM principles.

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 weekly show that rigorously analyzes emergency medicine literature through case-based discussion, trial critique, and practical bedside takeaways. Episodes span topics from pediatric fracture management and prehospital transfusion to antibiotic stewardship and delirium guidelines, all framed around evidence, real-world applicability, and shared decision making with patients and families. A notable strength is the combination of skeptical appraisal with accessible storytelling and humor, helping clinicians translate trials into everyday ED practice.

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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. FOAMcast - An Emergency Medicine Podcast
2. Emergency Medicine Cases
3. EMCrit FOAM Feed
4. Core EM - Emergency Medicine Podcast
5. Emergency Medicine Board Bombs

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. Lauren Westafer
2. Roya Caloia
3. Carl Heneghan
4. Megan Terle
5. Holly Leshaker
6. Howie Mel
7. Zara Ibrahim
8. Aaron Skolnik

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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