The Skeptics Guide to Emergency Medicine
Meet ’em, greet ’em, treat ’em and street ’em
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Latest posts
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SGEM Xtra: Dr. Gordon Guyatt – Legend of Evidence-Based Medicine
Date: September 22, 2026 Dr. Gordon Guyatt Guest Skeptic: Professor Gordon Guyatt is a physician and Professor of Health Research Methods, Evidence, and Impact at McMaster University, with a joint appointment in Medicine. He coined the term “evidence-based medicine” in 1990,…
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SGEM#524: High, High HOPE for Recovery – Alteplase between 4.5 and 24 hours
Date: October 6, 2026 Guest Skeptic: Dr. Ryan Stanton, creator of the EM podcast Front Line and the new President of the American College of Emergency Physicians (ACEP). Reference: Zhou et al. HOPE investigators. Alteplase for Acute Ischemic Stroke at 4.5 to 24 Hours: The HOPE…
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SGEM#523: Everything Grows and Grows…Until it Doesn’t. Clinical Practice Guidelines for Faltering Weight
Reference: Kersten HB, et al; American Academy of Pediatrics and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Clinical Practice Guideline for Diagnosis and Management of Faltering Weight. Pediatrics. 2026. Date: September 15, 2026 Dr. Salina…
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SGEM#522: Va-so-Pressors – Can You Run Them Peripherally?
Date: September 30, 2026 Dr. Aaron Skolnik Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary…
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SGEM#521: Hit Me with Your Best Shot – IM Ketorolac for Back Pain?
Date: September 22, 2026 Dr. Sergey Motov Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency…
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SGEM#520: It takes my pain away – Morphine, but do I need to add acetaminophen?
Date: Sept 13, 2026 Caitlin Jones PhD Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s Institute for Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal conditions with a particular…
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SGEM Xtra: If I Could Turn Back Time – 14 Seasons of Skepticism, Kindness & Evidence-Based EM
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, and it can also shatter if…
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SGEM#519: Don’t Let Pediatric Pulmonary Embolism Leave You Breathless
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: August 13, 2026 Dr. Lauren…
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SGEM#518: What Have You Done for Me Lately – Oseltamivir for Hospitalized Patients?
Date: August 23, 2026 Guest Skeptic: Dr. Roya Caloia is a former EM program director, longtime faculty at Henry Ford Genesys and current interim Associate Medical Director. She is also the Chairperson of the National Clinical Governance Board for US Acute Care Solutions Case: A…
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SGEM Xtra: Carl Heneghan – Legend of Evidence-Based Medicine
Date: March 4, 2026 Guest Skeptic: Prof Carl Heneghan is a General Practitioner, Professor of Evidence-Based Medicine at the University of Oxford and current Director of the Centre for Evidence-Based Medicine (CEBM). Today, we’re launching a brand-new SGEM series: Legends of…
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SGEM#517 : I Will Try to Fix You. Surgery or Not for Pediatric Displaced Medial Epicondyle Elbow Fractures
Reference: Perry DC, et al. Surgical fixation versus non-surgical care for children with a displaced medial epicondyle fracture of the elbow (the SCIENCE study): a multicentre, randomised controlled, superiority trial and economic evaluation. The Lancet 2026 Date: July 14, 2026…
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SGEM#516: A Whole Lotta Blood – Whole Blood Transfusion in the Prehospital Setting
Date: July 27, 2026 2026 Guest Skeptic: Dr. Howard (Howie) Mel is an emergency physician and FACEP. Reference: Smith JE et al. SWiFT Trial Group. Prehospital Whole Blood in Traumatic Hemorrhage - a Randomized Controlled Trial. NEJM 2026 March Case: A 36-year-old man is brought…
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SGEM Xtra: Ferraris, Friends, and First Responders – Lessons Learned from Watching Magnum, P.I.
Date: July 9, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary intensivist and is the medical…
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SGEM#515: Now the Azithromycin Don’t Work for Preschool Wheeze
Reference: Denninghoff KR et al. Azithromycin for Preschoolers with Wheezing in the Emergency Department. New England Journal of Medicine. May 2026 Date: July 14, 2026 Dr. Zara Ibrahim Guest Skeptic: Dr. Zara Ibrahim is a pediatric emergency medicine fellow at Children’s…
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SGEM#514: Every Time You Go Away (and survive alive for 90 days) – Is It Due To A Restricted Fluid Strategy with Early Vasopressors?
Date: July 9, 2026 Reference: The ARISE FLUIDS Investigators. Vasopressors or Fluids in Early Septic Shock. NEJM June 2026. Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care…
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SGEM#513: Everything is Awesome – Unless You Swallow A LEGO Head
Date: June 23, 2026 Reference: Tagg A, et al. Everything is awesome: Don’t forget the Lego. J Paediatr Child Health. 2019 We recorded this SGEM episode live at the Don't Forget the Bubbles conference in Glasgow, Scotland. Dennis and I had just given an hour presentation on how…
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SGEM#512: When you go your way, and I Go Mine – Surgery or Antibiotics for Acute Appendicitis.
Date: June 12, 2026 Guest Skeptic: Mr. Ross Fisher. Ross is a paediatric surgeon, presentation guru (P-Cubed), and long-time friend of the SGEM. Reference: Talan et al. Nonoperative Treatment of Appendicitis and Implications for Emergency Department Management: A Narrative…
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SGEM Xtra: Welcome to the Jungle of Disaster Medicine
Date: April 21, 2026 Lauren Openshaw Guest Skeptic: Lauren Openshaw is a medical student at the George Washington University School of Medicine & Health Sciences, Class of 2027, where she is a part of the Disaster Medicine Scholarly Concentration. Her clinical interests include…
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SGEM#511: I’d Like To Treat, DKA with the SQuID Protocol
Date: May 20, 2026 Guest Skeptic: Dr. Matt McArthur is an ED Physician working primarily in Guelph and Kitchener with occasional rural locums in the small town of Walkerton, where he grew up. His clinical interests include POCUS, emergency cardiology, QI, knowledge translation,…
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SGEM#510: Take this Broken Radius and just Cast It.
Reference: Perry DC, et al. Non-surgical casting versus surgical reduction for children with severely displaced distal radial fractures (the CRAFFT Study): a multicentre, randomised, controlled non-inferiority trial and economic evaluation. Lancet April 2026. Date: May 8, 2026…