The Skeptics Guide to Emergency Medicine
Episodes
SGEM Memes #482
20 Aug 2025
Contributed by Lukas
SGEM#482: Seize the Day with Ketamine and Midazolam for Pediatric Status Epilepticus
16 Aug 2025
Contributed by Lukas
Reference: Othman AA, et al. Combined ketamine and midazolam vs. midazolam alone for initial treatment of pediatric generalized convulsive status ep...
SGEM Memes Xtra Illusion
11 Aug 2025
Contributed by Lukas
SGEM Xtra: Illusion – What you Don’t Know and Why it Matters
09 Aug 2025
Contributed by Lukas
Date: July 10, 2025 Guest Skeptics: Professor Timothy Caulfield is a Canadian professor of law at the University of Alberta, the Research Director o...
SGEM Paper in a Pic #481
08 Aug 2025
Contributed by Lukas
SGEM Twitter Poll #481
08 Aug 2025
Contributed by Lukas
SGEM Memes #481
07 Aug 2025
Contributed by Lukas
SGEM#481: Shot Through the Chart And You’re to Blame – But Can We Intervene?
02 Aug 2025
Contributed by Lukas
Reference: Kemal et al. Emergency department utilization by youth before and after firearm injury. AEM July 2025 Date: July 28, 2025 Guest Skeptic: Dr...
SGEM Paper in a Pic #480
31 Jul 2025
Contributed by Lukas
SGEM Twitter Poll #480
31 Jul 2025
Contributed by Lukas
SGEM#480 Memes
29 Jul 2025
Contributed by Lukas
SGEM#480: In the End It Doesn’t Even Matter: Oral Olanzapine or Diazepam for Pediatric Agitation
26 Jul 2025
Contributed by Lukas
Reference: Bourke EM, et al. PEAChY-O: Pharmacological Emergency Management of Agitation in Children and Young People: A Randomized Controlled Trial o...
SGEM Xtra Memes Buffy
15 Jul 2025
Contributed by Lukas
SGEM Xtra: Career Advice from Buffy the Vampire Slayer
12 Jul 2025
Contributed by Lukas
Date: July 9, 2025 Guest Skeptics: Dr. Cindy Bitter is an Associate Professor in the Division of Emergency Medicine at Saint Louis University. She has...
SGEM Paper in a Pic #479
10 Jul 2025
Contributed by Lukas
SGEM Memes #479
08 Jul 2025
Contributed by Lukas
SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma?
05 Jul 2025
Contributed by Lukas
Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injur...
SGEM Twitter Poll #478
03 Jul 2025
Contributed by Lukas
SGEM Paper in a Picture #478
03 Jul 2025
Contributed by Lukas
SGEM Memes #478
03 Jul 2025
Contributed by Lukas
SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs
28 Jun 2025
Contributed by Lukas
Reference: Solnick et al. Sex Disparities in Chlamydia and Gonorrhea Treatment in US Adult Emergency Departments: A Systematic Review and Meta-analysi...
SGEM Memes #477
18 Jun 2025
Contributed by Lukas
SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy
15 Jun 2025
Contributed by Lukas
Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontier...
SGEM Xtra Mission: Impossible Memes
09 Jun 2025
Contributed by Lukas
SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc
07 Jun 2025
Contributed by Lukas
Date: June 2, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is t...
SGEM Xtra: Ten Lessons They Don’t Teach in Medical School (But Should)
01 Jun 2025
Contributed by Lukas
Date: May 14, 2025 Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western Universit...
SGEM Paper in a Pic #476
29 May 2025
Contributed by Lukas
SGEM Twitter Poll #476
28 May 2025
Contributed by Lukas
SGEM Memes #476
26 May 2025
Contributed by Lukas
SGEM#476: Cuts like a Knife or Antibiotics for Pediatric Appendicitis
24 May 2025
Contributed by Lukas
Reference: St Peter, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multic...
SGEM Memes #475
23 May 2025
Contributed by Lukas
SGEM Twitter Poll #475
23 May 2025
Contributed by Lukas
SGEM Paper in a Pic #475
23 May 2025
Contributed by Lukas
SGEM#475: Break on Through to the Other Side – Management of Clinical Scaphoid Fractures
17 May 2025
Contributed by Lukas
Reference: Cohen et al; SUSPECT study group. Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial. J Ortho...
SGEM Xtra: Doctor, Doctor – Paging Dr. Robby
10 May 2025
Contributed by Lukas
Date: May 6, 2025 Guest Skeptic: Actor, producer and director Noah Wyle. Many of us know him as Dr. John Carter from ER, the show that arguably influ...
SGEM Paper in a Pic #474
08 May 2025
Contributed by Lukas
SGEM Memes #474
08 May 2025
Contributed by Lukas
SGEM#474: Help! Which Clinical Decision Aid should I use to Risk Stratify Febrile Infants?
03 May 2025
Contributed by Lukas
Reference: Umana E, et al. Performance of clinical decision aids for the care of young febrile infants: A multicenter prospective cohort study. eClin...
SGEM Twitter Poll #473
30 Apr 2025
Contributed by Lukas
SGEM Memes #473
30 Apr 2025
Contributed by Lukas
SGEM#473: Did You Ever Have To Make Up Your Mind – Midazolam or Ketamine for Acute Agitation in the Pre-Hospital Setting
26 Apr 2025
Contributed by Lukas
Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. A...
SGEM Paper in a Pic #472
25 Apr 2025
Contributed by Lukas
SGEM Twitter Poll #472
25 Apr 2025
Contributed by Lukas
SGEM Memes #472
22 Apr 2025
Contributed by Lukas
SGEM#472: Together In Electric Dreams – Or Is It Reality?
19 Apr 2025
Contributed by Lukas
Reference: Kareemi et al Artificial intelligence-based clinical decision support in the emergency department: a scoping review. AEM April 2025. Date:...
SGEM Paper in a Pic #471
10 Apr 2025
Contributed by Lukas
SGEM Memes #471
10 Apr 2025
Contributed by Lukas
SGEM#471: Are ESI Levels Accurate for Triage of Pediatric Patients?
05 Apr 2025
Contributed by Lukas
Reference: Sax DR, et al. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. JAMA Pediatrics, October 2024 Date...
SGEM Xtra Zombie Idea: ED Crowding is Due to Non-Urgent Patients
01 Apr 2025
Contributed by Lukas
Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health. The topic wa...
SGEM Xtra: 5 Papers in 15 Minutes (Incrementum 2025)
23 Mar 2025
Contributed by Lukas
Date: March 23, 2025 I was honoured to be invited to speak at Incrementum 2025 in Mercia, Spain. Thank you to Paco, Carmen, and the Incrementum team f...
SGEM Xtra: On the Boulevard of Broken Dreams – Citation Errors in the Biomedical Literature
15 Mar 2025
Contributed by Lukas
Date: February 22, 2025 Guest Skeptic: Nicholas Peoples, who is a medical student at Baylor College of Medicine in Houston, Texas. Nick’s career has...
SGEM Paper in a Pic #470
13 Mar 2025
Contributed by Lukas
SGEM Twitter Poll #470
12 Mar 2025
Contributed by Lukas
SGEM Memes #470
12 Mar 2025
Contributed by Lukas
SGEM #470: Here We Go Up Up Up or Lateral for Infant Lumbar Punctures
08 Mar 2025
Contributed by Lukas
Reference: Pessano S, et al. Positioning for lumbar puncture in newborn infants. Cochrane Database Syst Rev. December 2023 Date: February 7, 2025 Gues...
SGEM Paper in a Pic #468
04 Mar 2025
Contributed by Lukas
SGEM Twitter Poll #468
04 Mar 2025
Contributed by Lukas
SGEM Memes #469
04 Mar 2025
Contributed by Lukas
SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients
01 Mar 2025
Contributed by Lukas
Reference: Bannelier et al. Failure rate of D-dimer testing in patients with high clinical probability of pulmonary embolism: Ancillary analysis of th...
SGEM#468: Wide Open Monocytes – Using MDW to Diagnose Sepsis
22 Feb 2025
Contributed by Lukas
Reference: Agnello et al. Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Cli...
SGEM Memes AI for Clinical Research
18 Feb 2025
Contributed by Lukas
SGEM Xtra: Rock, Robot Rock – AI for Clinical Research
15 Feb 2025
Contributed by Lukas
Date: February 11, 2025 Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western Univ...
SGEM Twitter Poll #467
06 Feb 2025
Contributed by Lukas
SGEM Memes #467
06 Feb 2025
Contributed by Lukas
SGEM Paper in a Pic #467
06 Feb 2025
Contributed by Lukas
SGEM #467: Send me on my way…without Cervical Spine Imaging
01 Feb 2025
Contributed by Lukas
Reference: Leonard JC et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a...
SGEM Memes #466
29 Jan 2025
Contributed by Lukas
SGEM#466: I Love ROC-n-Roll…But Not When It’s Hacked
25 Jan 2025
Contributed by Lukas
Date: January 9, 2025 Reference: White et al. Evidence of questionable research practices in clinical prediction models. BMC Med 2023 Guest Skeptic: D...
SGEM Xtra: This is My Fight Song – FeminEM 2.0
18 Jan 2025
Contributed by Lukas
Date: January 7, 2025 Guest Skeptics: Dr. Dara Kass is an emergency medicine physician, public health leader, and advocate passionate about equity and...
SGEM Twitter Poll #465
15 Jan 2025
Contributed by Lukas
SGEM Paper in a Pic #465
15 Jan 2025
Contributed by Lukas
SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs
11 Jan 2025
Contributed by Lukas
Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically i...
SGEM Xtra: Think, About It – Ten Commandments for Teachers
04 Jan 2025
Contributed by Lukas
Date: December 6, 2024 Guest Skeptic: Akil Dasan is a multifaceted artist renowned for his talents as a rapper, singer, guitarist, and beatboxer. He ...
SGEM Paper in a Pic #464
02 Jan 2025
Contributed by Lukas
SGEM Memes #464
31 Dec 2024
Contributed by Lukas
SGEM#464: I Can Do It with A Broken Heart – Compassion for Patients with OUD
28 Dec 2024
Contributed by Lukas
Date: December 26, 2024 Reference: Steinhauser S et al. Emergency department staff compassion is associated with lower fear of enacted stigma among pa...
SGEM Xtra: The 12 Days of Christmas the SGEM Gave to Me
21 Dec 2024
Contributed by Lukas
Date: December 15, 2024 Guest Skeptics: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Today, we’re sleighing through the hol...
SGEM Paper in a Pic #463
19 Dec 2024
Contributed by Lukas
SGEM Twitter Poll #463
18 Dec 2024
Contributed by Lukas
SGEM Memes #463
17 Dec 2024
Contributed by Lukas
SGEM #463: Like the Legend of the Phoenix… Criteria for Sepsis
14 Dec 2024
Contributed by Lukas
Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024. Gues...
SGEM Memes Xtra: If I Had A Million Dollars
10 Dec 2024
Contributed by Lukas
SGEM Twitter Poll #462
07 Dec 2024
Contributed by Lukas
SGEM Paper in a Pic #462
07 Dec 2024
Contributed by Lukas
SGEM Xtra: If I Had A Million Dollars
07 Dec 2024
Contributed by Lukas
Date: November 7, 2024 Guest Skeptics: Shirley Ngo is a Digital Product Director at RBC. She has extensive experience working with top financial organ...
SGEM Memes #462
04 Dec 2024
Contributed by Lukas
SGEM#462: Spooky Scary Access – IV or IO for OHCA
30 Nov 2024
Contributed by Lukas
Date: November 10, 2024 Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. O...
SGEM Twitter Poll #461
29 Nov 2024
Contributed by Lukas
SGEM Memes #461
29 Nov 2024
Contributed by Lukas
SGEM Paper in a Pic #461
29 Nov 2024
Contributed by Lukas
SGEM#461: If You’re Appy and You Know It…Do You Need a Clinical Prediction Score?
23 Nov 2024
Contributed by Lukas
Date: November 13, 2024 Reference: Lee WH, et al. Study of Pediatric Appendicitis Scores and Management Strategies: A Prospective Observational Feasib...
SGEM Twitter Poll #460
21 Nov 2024
Contributed by Lukas
SGEM Paper in a Pic #460
21 Nov 2024
Contributed by Lukas
SGEM Memes #460
18 Nov 2024
Contributed by Lukas
SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration
16 Nov 2024
Contributed by Lukas
Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ ...
SGEM Twitter Poll #459
14 Nov 2024
Contributed by Lukas
SGEM Paper in a Pic #459
14 Nov 2024
Contributed by Lukas
SGEM Memes #459
12 Nov 2024
Contributed by Lukas
SGEM#459: Domo Arigato Misuta Roboto – Using AI to Assess the Quality of the Medical Literature
09 Nov 2024
Contributed by Lukas
Date: October 28, 2024 Reference: Woelfle T et al. Benchmarking Human–AI collaboration for common evidence appraisal tools. J Clin Epi Sept 2024. Gu...
SGEM Paper in a Pic #458
07 Nov 2024
Contributed by Lukas