The Skeptics Guide to Emergency Medicine

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

SGEM Twitter Poll

07 Nov 2024

Contributed by Lukas

SGEM Memes #458

07 Nov 2024

Contributed by Lukas

SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department

02 Nov 2024

Contributed by Lukas

Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and wit...

SGEM Paper in a Pic #457

29 Oct 2024

Contributed by Lukas

SGEM Twitter Poll #457

23 Oct 2024

Contributed by Lukas

SGEM Memes #457

22 Oct 2024

Contributed by Lukas

SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain?

19 Oct 2024

Contributed by Lukas

Date: October 7, 2024 Reference: Nguyen et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painfu...

SGEM Twitter Poll #456

17 Oct 2024

Contributed by Lukas

SGEM Paper in a Pic #456

17 Oct 2024

Contributed by Lukas

SGEM Memes #456

15 Oct 2024

Contributed by Lukas

SGEM #456: We are Young…but we can still Understand

12 Oct 2024

Contributed by Lukas

Reference: Ma K et al. A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments. PLoS One. June...

SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes

05 Oct 2024

Contributed by Lukas

Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stro...

SGEM Twitter Poll #454

04 Oct 2024

Contributed by Lukas

SGEM Paper in a Pic #454

04 Oct 2024

Contributed by Lukas

SGEM Memes #454

30 Sep 2024

Contributed by Lukas