Ken Milne MD
@thesgem.bsky.social
Trying to cut the knowledge translation window down from over 10 years to less than 1 year with the power of social media. Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine. www.TheSGEM.com
Interesting new article www.jem-journal.com/article/S073...
Minor Stroke, Major Uncertainty
Four randomized trials found no benefit to intravenous thrombolytics (IVT) in minor stroke patients. However, most patients considered to have disabling deficits were excluded from these trials. Some ...
jem-journal.com
RFK Jr is Asking to Be Proven Wrong Again So Here Are 40 Examples From Just One CNN Interview rasmussenretorts.substack.com/p/rfk-jr-is-... @casinoshiftmd.bsky.social @caulfieldtim.bsky.social
RFK Jr is Asking to Be Proven Wrong Again So Here Are 40 Examples From Just One CNN Interview
He's just creating work for us at this point
rasmussenretorts.substack.com
Excited to see our efforts in dispelling EM myths & misconceptions in hardcover. pubmed.ncbi.nlm.nih.gov/42342313/ #MedSky
This week on the SGEM, we have a guest skeptic, @drhowiemell.bsky.social, talking about a whole lotta blood in the pre-hospital setting. podcasts.apple.com/ca/podcast/t... #MedSky Consider listening to the podcast and sharing. @mdaware.org @aineyoremd.bsky.social
Should we use whole blood or component therapy in the pre-hospital setting? thesgem.com/2026/08/sgem... #MedSky @casinoshiftmd.bsky.social
hippemcrates.com/hippemcrates... @dennisrenmd.bsky.social you made the roundup for SGEM#515
HipPEMcrates FOAM Roundup | July 2026
A monthly guide to the best new Pediatric Emergency Medicine FOAM Welcome to the first HipPEMcrates FOAM Roundup! One of the greatest strengths of Pediatric Emergency Medicine is the community of educ...
hippemcrates.com
www.sciencedirect.com/science/arti...
Paper mills in evidence synthesis: reported involvement among retracted systematic reviews and meta-analyses
To investigate reported paper mill involvement among retracted systematic reviews and meta-analyses (SR/MAs), and to compare retracted SR/MAs with and…
sciencedirect.com
What is a p‑value? Expert explains the most misunderstood number in science flip.it/-fq188
What is a p‑value? Expert explains the most misunderstood number in science
If you've ever tried to read a scientific paper, you've almost certainly run into a p-value. And if you found it confusing, you're in good company: Plenty of working scientists misunderstand it too.
flip.it
retractionwatch.com/2026/07/29/k...
Kaggle removes problematic stroke dataset for copyright infringement
Images from the now-deleted dataset on Kaggle purportedly showed images of people who had a stroke, but the folder included stock images, politicians and celebrities, as seen in this screenshot. Th…
retractionwatch.com
Report warns of ER doctor exodus. It's not just about recruitment but retaining the EM physicians who already have one foot out the door. @casinoshiftmd.bsky.social @picardonhealth.bsky.social @ontariomedical.bsky.social
Are you interested in AI and POCUS? Please consider completing this short survey. uwo.eu.qualtrics.com/jfe/form/SV_... #MedSky
Qualtrics Survey | Qualtrics Experience Management
The most powerful, simple and trusted way to gather experience data. Start your journey to experience management and try a free account today.
uwo.eu.qualtrics.com
Some evidence refuting the claim that low-acuity (unnecessary) ED visits are a major part of crowding. @mdaware.org mdaware.blogspot.com/2017/11/unne...
On "unnecessary" ED visits: background reading
Here are a bunch of very informative pieces on why trying to blame excessive costs or busy-ness on low acuity patients in the ED is, at be...
mdaware.blogspot.com
A Study of EM docs found that 10% of respondents had left EM, almost half had reduced their clinical hours & 1 in 5 had taken time away from the specialty. Nearly 2/3 reported high burnout. comitatusadmitto734627.substack.com/p/the-emerge... @casinoshiftmd.bsky.social
The Emergency Department Is the Front Door Because Others are Closed
Canada’s emergency medicine crisis is not simply an emergency-department problem. It reflects a health system in which the hospital has become the default when other services cannot respond.
comitatusadmitto734627.substack.com
How to stop Canada’s emergency physicians from leaving their profession. www.cmaj.ca/content/198/... @kaymd.bsky.social @casinoshiftmd.bsky.social
How to stop Canada’s emergency physicians from leaving their profession
cmaj.ca
SGEM Xtra: Ferraris, Friends, and First Responders – Lessons Learned from Watching Magnum, P.I. thesgem.com/2026/07/sgem...
5 lessons we learned from watching Magnum PI: - Teamwork is greater than individual heroics - Mental health matters - Technology is a tool, not a crutch - Systems navigation is part of the job - Comfort with uncertainty is a core EM skill thesgem.com/2026/07/sgem...
SGEM Xtra: Ferraris, Friends, and First Responders – Lessons Learned from Watching Magnum, P.I. thesgem.com/2026/07/sgem... #MedSky @casinoshiftmd.bsky.social @aineyoremd.bsky.social
Here is a fun summer SGEM Xtra Episode: Lessons Learned from Watching Magnum, P.I. thesgem.com/2026/07/sgem... #MedSky
Jimothy Meets Rural Medicine. @DGlaucomflecken www.youtube.com/shorts/iRZWA...
Jimothy Meets Rural Medicine
YouTube video by Dr. Glaucomflecken
youtube.com
Science doesn't prove claims true or false the way many people think. This thread uses a legal analogy (presumption of innocence) to explain null hypotheses, the burden of proof, and why failing to reject the null ≠ prove the opposite. I used vaccines & autism as the example. #MedSky
Emergency departments are not failing: they are absorbing whole system failure @casinoshiftmd.bsky.social www.bmj.com/content/394/...
Emergency departments are not failing: they are absorbing whole system failure
The BMJ ’s report that 13 386 patients waited over three days in England’s emergency departments in 2025 should not be framed as simply an “A&E crisis.”1 Emergency departments are where the failure be...
bmj.com
In honor of the World Cup, here's #MemeMonday for #SGEMPeds . Azithromycin for preschool wheeze? No thanks. buff.ly/jcB7Jor @thesgem.bsky.social @pecarn.bsky.social @nejm.org
www.science.org/doi/10.1126/...
AI in scientific publishing: Slower, worse, and more expensive
There’s a saying in the management world, popularized by NASA administrator Daniel Goldin in the 1990s, that the goal of technological improvements is to make products faster, better, and cheaper. Alt...
science.org