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You gotta have high, high HOPE for recovery when using alteplase between 4.5 and 24 hours. thesgem.com/2026/10/sgem... #EBM #FOAMed #MedSky @casinoshiftmd.bsky.social
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
2.1K followers190 following3.1K posts
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You gotta have high, high HOPE for recovery when using alteplase between 4.5 and 24 hours. thesgem.com/2026/10/sgem... #EBM #FOAMed #MedSky @casinoshiftmd.bsky.social
A mistake that makes you humble is better than an achievement that makes you arrogant. @casinoshiftmd.bsky.social
A new HOPE Trial investing using tPA between 4.5 and 24 hours. thesgem.com/2026/10/sgem... @mdaware.org @jama.com
Stroke thrombolysis from 4.5 to 24 hours. The HOPE Trial #MemeMonday #EBM #MedSky thesgem.com/2026/10/sgem... @jama.com
Consider listening to the SGEM episode. youtu.be/SVWN4faXkME?...
You gotta have high, high HOPE for recovery when using alteplase between 4.5 and 24 hours. thesgem.com/2026/10/sgem... #EBM #FOAMed #MedSky @casinoshiftmd.bsky.social
You gotta have high, high, HOPE for the lytic... www.youtube.com/watch?v=SVWN...
You gotta have high, high HOPE for recovery when using alteplase between 4.5 and 24 hours. thesgem.com/2026/10/sgem... #EBM #FOAMed #MedSky @casinoshiftmd.bsky.social
Theme music by Panic at the Disco - High Hopes www.youtube.com/watch?v=IPXI...
Look what just arrived. A great resource for kids and parents. I ordered multiple copies. It makes a great holiday gift. #Medsky www.amazon.ca/Samanthas-Se...
Next up on the SGEM is Dr. Ryan Stanton, who is the current president of @acepnation.bsky.social. We reviewed the HOPE trial. Is it safe and effective to thrombolyze stroke patients between 4.5 and 24 hours? pubmed.ncbi.nlm.nih.gov/40773205/
What a thrill for a Canadian rural doc to be invited to @stanfordpress.bsky.social to give grand rounds on AI in their EM department. We recorded a podcast on skepticism & critical thinking while visiting. youtu.be/Nyq-WppKhbg?... #MedSky
You can download a copy of my presentation slides ("When Machines Misread Science") using this link. thesgem.com/wp-content/u... #medSky
"One day, the most dangerous actor in the room may not be the machine making a recommendation; it may be the human who insists on overruling it simply because being in the loop still feels like being in charge." ai.nejm.org/doi/pdf/10.1... @casinoshiftmd.bsky.social @first10em.bsky.social
New @AAPNews guidelines on diagnosing & managing faltering weight summarized into a #PaperinaPic by @kirstychallen.bsky.social thesgem.com/2026/10/sgem... #MedSky @dennisrenmd.bsky.social
Ken Milne MD reposted
#PaperinaPic from Dr. @kirstychallen.bsky.social for the latest #SGEMPeds on faltering weight guidelines from the @ameracadpeds.bsky.social. @thesgem.bsky.social thesgem.com/2026/10/sgem...
How can the new AAP faltering weight guideline make a strong recommendation AGAINST routine labs despite very low-certainty evidence? www.youtube.com/watch?v=igW_... @dennisrenmd.bsky.social @guyattgh.bsky.social
Ken Milne MD reposted
Strong recommendation ≠ strong evidence. The new @ameracadpeds.bsky.social faltering weight guideline recommends AGAINST routine labs despite very low-certainty evidence. GRADE explains why. 🎥 Here's a quick example. @thesgem.bsky.social thesgem.com/2026/10/sgem...
Anticipating the unpredictable: A qualitative study on ethics experts’ perspectives on review challenges related to AI www.tandfonline.com/doi/full/10....
RFK Jr’s ‘deities of vaccine research’ raided by police in Guinea-Bissau www.theguardian.com/world/2026/o...
Ken Milne MD reposted
#MemeMonday for #SGEMPeds on the latest faltering weight guidelines. Is there a meme more appropriate than this? thesgem.com/2026/10/sgem... @thesgem.bsky.social
An apple a day didn’t keep this rural doctor away. youtube.com/shorts/ujc3O... @kaymd.bsky.social @srpcanada.bsky.social
Clinical Practice Guidelines for Faltering Weight thesgem.com/2026/10/sgem... @dennisrenmd.bsky.social #MedSky
I suspect that this will have little impact on the people who believe (without good evidence) that routine childhood vaccination is causing serious harm in a larger number of children (ex autism spectrum disorder). www.newsweek.com/us-measles-c... @dennisrenmd.bsky.social @aineyoremd.bsky.social
Friendly amendment: "Routinely" critically evaluate studies before you accept or reject them. Sometimes I don't need to follow a formal process to evaluate a study (wrong question, topic, population, intervention, comparison, outcome, etc.). @kaymd.bsky.social @caulfieldtim.bsky.social
Ken Milne MD reposted
Out with the old, and in with the new! #SGEMPeds returns this week with @ameracadpeds.bsky.social clinical practice guidelines for faltering weight (formerly failure to thrive). Thanks @drmaneeshaagarwal.bsky.social for suggesting the paper! #FOAMed buff.ly/sERDmow @thesgem.bsky.social
A Beginner’s Guide to Vasoactive Drugs for Children with Septic Shock dontforgetthebubbles.com/a-beginners-... @dennisrenmd.bsky.social
Emergency department overcrowding: A @CAEP_Docs position statement link.springer.com/article/10.1... #MedSky @kaymd.bsky.social @casinoshiftmd.bsky.social
Narratives of Rural Healthcare Recruitment & Retention This webinar will explore themes emerging from the stories of 2 early-career healthcare professionals who chose to provide care in rural regions. 📅 Tues, Nov 3rd, 2026 ⏰️ 12 – 1 PM ET us02web.zoom.us/webinar/regi...
Dr. Matt McArthur has appeared as a guest on The Skeptics' Guide to Emergency Medicine. thesgem.com/2026/05/sgem... #MedSky
Narratives of Rural Healthcare Recruitment & Retention This webinar will explore themes emerging from the stories of 2 early-career healthcare professionals who chose to provide care in rural regions. 📅 Tues, Nov 3rd, 2026 ⏰️ 12 – 1 PM ET us02web.zoom.us/webinar/regi...
Register to attend this open lecture. us02web.zoom.us/webinar/regi...
Ken Milne MD reposted
Port Hardy Hospital ER closes for second straight day due to staffing shortage cheknews.ca/port-hardy-h...
Working on turning Season#11 of The Skeptics' Guide to Emergency Medicine into a PDF book to share. It will have a theme from This Is Spinal Tap. www.TheSGEM.com #MedSky
Controversial vaccine trial touted by RFK Jr gets go-ahead in Guinea-Bissau www.theguardian.com/society/2026...
SGEM522: Can you safely run vasopressors through a peripheral IV? www.youtube.com/watch?v=MN9o... #EBM #FOAMed #MedSky
Peripheral vasopressors: Paper in a Pic by @KirstyChallen thesgem.com/2026/10/sgem... #MedSky @kirstychallen.bsky.social
It looks like everyone who voted is comfortable starting vasopressors through a peripheral IV line. thesgem.com/2026/10/sgem... #EBM #MedSky
This morning, I'll be giving a talk at #ACEP26 called: Dr. Milne & the Terrible, Horrible, No Good, Very Bad ER Shift Think of it as a season of The Pitt set in a rural critical access hospital. @dennisrenmd.bsky.social
This morning, I'll be giving a talk at #ACEP26 called: Dr. Milne & the Terrible, Horrible, No Good, Very Bad ER Shift Think of it as a season of The Pitt set in a rural critical access hospital. @dennisrenmd.bsky.social
This morning, I'll be giving a talk at #ACEP26 called: Dr. Milne & the Terrible, Horrible, No Good, Very Bad ER Shift Think of it as a season of The Pitt set in a rural critical access hospital. @dennisrenmd.bsky.social
Last year, Noah Wyle was the guest skeptic on the SGEM. thesgem.com/2025/05/sgem...
Thank you to all those who attended my Clinical Pearls talk today at #ACEP26 You can download my slides here. thesgem.com/wp-content/u... #MedSky