PODCAST · education
The Skeptics Guide to Emergency Medicine
by Dr. Ken Milne
Meet 'em, greet 'em, treat 'em and street 'em
Episodes
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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 you drop it. So,...
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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 Guest Skeptic: Dr. Lauren Westafer…
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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 62-year-old woman...
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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 Evidence-Based…
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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 Guest Skeptics…
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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 to the emergency...
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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 Medicine at Mayo...
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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 Review. Ann Emerg Med....
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SGEM Xtra: Welcome to the Jungle of Disaster Medicine
Date: April 21, 2026 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 pediatrics, disaster medicine,...
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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, motivational...
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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 Guest Skeptic: Dr....
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SGEM#509: I love the Java Jive & It Loves Me – Preventing Dementia with Coffee and Tea
Date: April 23, 2026 Guest Skeptic: Dr. Manrique Umaña McDermott is an attending physician specializing in Emergency Medicine based in San José, Costa Rica. He has a passion for medical education, is a renowned international speaker and serves as a faculty member in undergraduate Internal…
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SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants
Reference: Burstein B, et al. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. Published online December 08, 2025. Date: April 3, 2026 Guest Skeptic: Dr. Margarita Ramos is a pediatric hospitalist at Children’s National Hospital in Washington,...
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SGEM#507: Till Everybody Got Delirious – Geriatric Patients in the Emergency Department
Date: April 2, 2026 Reference: Lee et al. GRADE-Based Clinical Practice Guidelines for Emergency Department Delirium Risk Stratification, Screening, and Brain Imaging in Older Patients With Suspected Delirium. AEM Feb 2026 Guest Skeptic: Dr. Christina Shenvi is a board-certified emergency...
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SGEM Xtra: You You You Oughta Know – GED 2.0 Guidelines
Date: March 23, 2026 Guest Skeptic: Dr. Christina Shenvi is a board-certified emergency physician, educator, keynote speaker, coach, and academic leader. She is widely recognized for her work in geriatric emergency medicine, faculty development, and professional identity formation in emergency...
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SGEM Xtra: This One Goes to 11 – ATLS 11th Edition
Date: March 26, 2026 Guest Skeptic: Dr. Robert Leeper is a trauma surgeon at the London Health Sciences Centre and an ATLS instructor who has helped train generations of physicians in trauma care. He has previously joined SGEM for: SGEM #200 – Bloodletting and Alexander Hamilton SGEM #256 – RLQ...
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SGEM#506: Aww I’m Itchy…and I need a Second Generation Antihistamine
Reference: Wong KH, et al. Improving Use of Oral Antihistamines in a Children’s Hospital. Pediatrics. Feb 2026; Date: March 15, 2026 Guest Skeptic: Dr. Stephanie Kubala is an attending physician in the Division of Allergy and Immunology at Children’s Hospital of Philadelphia. She is double...
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SGEM#505: Close Enough for (ARF) Acute Respiratory Failure (HFNO vs NIV)
Date: March 11, 2026 Reference: RENOVATE Investigators and the BRICNet Authors; High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure: The RENOVATE Randomized Clinical Trial. JAMA March 2025 Guest Skeptic: Dr. Rory Spiegel is an emergency medicine and…
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SGEM Xtra: It’s My Life – DPhil in Oxford
Date: March 5, 2026 Today, we’re not in the studio. We’re not in Canada. We’re not even in North America. We are in Oxford. And not just Oxford, we are recording this SGEM Xtra in a pub. This will be the second-ever SGEM PUBcast. We need to travel back in time to 2012 for the […] The post SGEM...
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SGEM Xtra: You say you want a revolution – well you know – Against the Grain: Defiant Giants Who Changed the World
Date: February 26, 2026 Guest Skeptic: Terry O’Reilly is the host of the long-running and popular podcast Under the Influence. He is also an acclaimed storyteller and book writer. However, Terry is not just some radio host talking about marketing; he was an adman on the front lines, working in…
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SGEM#504: Home Where I Wanted to Go After Anaphylaxis
Reference: . Timing of repeat epinephrine to inform paediatric anaphylaxis observation periods: a retrospective cohort study. Lancet Child & Adolescent Health. July 2025 Guest Skeptic: Dr. Kammeron Brissett is a pediatric emergency medicine fellow at Children’s National Hospital in Washington…
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SGEM#503: Waiting is the Hardest Part – Factors Associated with ED LOS
Date: February 13, 2026 Reference: Lang et al. Factors associated with emergency department length of stay in Alberta: a study of patient-, visit-, and facility-level factors using administrative health data. CJEM. 2026 Jan 29. Guest Skeptic: Dr. Paul Parks is an emergency physician from Medicine...
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SGEM#502: Playing with the Queen of Hearts – AI, Is It Very Smart (for ECG Interpretation)?
Date: January 3, 2026 Reference: Shroyer et al. Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio). Am J Emerg Med. 2025 Nov. Guest Skeptic: Dr. Amal Mattu has been on the faculty at the University of Maryland since 1996....
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SGEM Xtra: Machines – Or Back to Human
Date: January 6, 2026 Guest Skeptic: Darren McKee is an author and speaker. He has served as a senior policy advisor and policy analyst for over 17 years. Darren hosts the international award-winning podcast, The Reality Check. He is also the author of an excellent, thought-provoking book called...
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SGEM#501: Here it Goes Again – Another Clinical Decision Rule for Febrile Infants 61-90 Days
Reference: Aronson PL, et al. Prediction Rule to Identify Febrile Infants 61–90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. September 2025 Date: January 6, 2026 Guest Skeptic: Dr. Jillian Nickerson is a pediatric emergency medicine attending at Children’s National Hospital and...
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SGEM#500: Don’t You Want Me – Etomidate or Ketamine for Induction of Critically Ill Patients
Date: January 17, 2026 Reference: Casey et al. RSI Investigators and the Pragmatic Critical Care Research Group. Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. NEJM. 2025 Dec Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in…
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SGEM Xtra: Hit Me with Your Best Block – 2025 AHS ED Migraine Guidelines
Date: January 5, 2026 Reference: Robblee et al. 2025 guideline update to acute treatment of migraine for adults in the emergency department: The American Headache Society evidence assessment of parenteral pharmacotherapies. Headache 2025 Dec Happy New Year, SGEMers! What better way to start 2026...
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SGEM#499: Under Pressure – To Start Antihypertensives in Hypertensive ED Patients at Discharge
Date: December 23, 2025 Reference: Todd et al. Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients. J Am Coll Emerg Physicians Open. 2024 Guest Skeptic: Dr. Mike Pallaci is a Professor of Emergency Medicine at…
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SGEM#498: Andromeda – Cap Refill Time for Personalized Sepsis Treatment
Date: November 27, 2025 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are looking after a 65-year-old man who appears to be in septic shock. He presented after five days of fever and cough, and is now...
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SGEM#497: We Could be Heroes – Just with a Little Help from Batman
Date: Dec 17, 2025 Reference: Pagnini F, et al. Unexpected events and prosocial behavior: the Batman effect. npj Mental Health Research. November 2025 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National in Washington, DC. You may also know him as the...
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SGEM#496: Hangin’ Tough after a Nerve Block for Pediatric Femur Fractures
Reference: Binder ZW et al. “Ultrasound-Guided Nerve Block for Pediatric Femur Fractures in the Emergency Department: A Prospective Multi-Center Study.” Academic Emergency Medicine, 2025. Date: November 24, 2025 Guest Skeptic: Dr. Lauren Westafer is an Associate Professor in the Department of...
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SGEM#495: Tell Me Lies, Tell Me Sweet Little Lies – Reporting of Noninferiority Margins on ClinicalTrials.gov.
Date: December 4, 2025 Guest Skeptic: Dr. Jestin Carlson – Long-time listener, second-time guest. Reference: Reinaud et al. Reporting of Noninferiority Margins on ClinicalTrials.gov: A Systematic Review. JAMA Netw Open. 2025 Case: You are working with a resident who asks you about a new...
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SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits
Date: November 26, 2025 Reference: Ray et al. Emergency Department Visit Frequency Among Adults with Chronic Abdominal Pain: Findings From the 2023 US National Health Interview Survey. AEM November 2025. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an...
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SGEM#493: You Can’t Hold Me Down with Spinal Motion Restrictions
Date: November 8, 2025 Reference: Millin M, et al., Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature, Prehospital Emergency Care, Aug 2025. Guest Skeptic: Clay Odell, BSN, NRP, RN, is a Paramedic…
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SGEM#492: Give Blood – To Anemic Patients with Acute Brain Injuries
Date: November 12, 2025 Reference: Taccone et al. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury The TRAIN Randomized Clinical Trial. JAMA 2024 Guest Skeptic: Dr. Alex Weiler is an Emergency Department staff physician in the Peterborough Regional Health Centre and...
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SGEM Xtra: Talkin’ Bout a Revolution…Training Health Communicators
Date: October 17, 2025 Guest Skeptic: Dr. Kristen Panthagani is an emergency medicine resident and Yale Emergency Scholar at Yale New Haven Hospital. She’s a physician-scientist, having completed her MD/PhD at Baylor College of Medicine. She’s also well known as a science communicator, creator of...
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SGEM#491: Prevalence of violence against health care workers among agitated patients in an urban emergency department
Date: October 30, 2025 Reference: Boes et al. Prevalence of violence against health care workers among agitated patients in an urban emergency department. October 2025 AEM Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency...
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SGEM#490: These (Removable) Boots are Made for Walking
Reference: Boutin A, et al. Removable Boot vs Casting of Toddler’s Fractures: A Randomized Clinical Trial. JAMA Pediatr. Published April 2025. Date: July 23, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the...
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SGEM#489: Smooth Muscle Relaxator – But does Magnesium Work for Renal Colic?
Date: October 10, 2025 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 department. Case: A 37-year-old man presents…
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SGEM#487: Tell Me How I’m Supposed to Breathe with No Air? Nasal High Flow or Standard Care for Pediatric Intubation
Reference: George S, et al. Effectiveness of nasal high-flow oxygen during apnoea on hypoxaemia and intubation success in paediatric emergency and ICU settings: a randomised, controlled, open-label trial. Lancet Respir Med. March 2025 Date: July 10, 2025 Guest Skeptic: Dr. Spyridon Karageorgos is…
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SGEM#486: Call Me, on the Line – Telemental Health for Suicide Prevention
Date: September 18, 2025 Guest Skeptic: Dr. Neil Dasgupta is an Emergency Medicine (EM) physician and emergency department (ED) intensivist from Long Island, NY. He is the Vice Chair of the ED and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY....
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SGEM#485: I Want a New Drug – One Not Associated with Neurodevelopmental Disorders
Date: Sept 16, 2025 Reference: Prada et al. Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology. Environ Health. August 2025 Guest Skeptic: Dr. Andrew Martin is an emergency physician practicing in Jacksonville, Florida. Case: A...
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SGEM Xtra: Incrementum 2026
Date: August 12, 2025. This is an SGEM Xtra, and today, we’re putting on our conference lanyards and boarding passes to talk about one of the most exciting events in the global EM calendar, IncrEMentuM 2026. For those who did not attend IncrEMentuM 2025, it set the bar incredibly high. From the...
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SGEM Xtra: Tell Me Lies, Sweet Little Lies – FDA Approved & Ineffective
Date: August 12, 2025 Article: FDA Approved and Ineffective by Jeanne Lenzer and Shannon Brownlee. June 5, 2025. The Lever. Guest Skeptic: Jeanne Lenzer is a long-time medical investigative journalist and returning SGEM guest. Her previous work, including the book The Danger Within Us, explored…
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SGEM#484: The Warrior – Pharmacological Interventions for the Acute Treatment of Hyperkalemia
Reference: Jessen et al. Pharmacological interventions for the acute treatment of hyperkalaemia: A systematic review and meta-analysis. Resuscitation 2025 Date: August 6, 2025 Guest Skeptic: William Toon is a paramedic who, this past May achieved over 50 years of continuous EMS certification. His...
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SGEM Xtra: Now and Forever – A League of Their Own (Women in EM)
Date: August 11, 2025 Guest Skeptic: Dr. Gillian Schmitz is a board-certified Emergency Physician practicing at The Naval Medical Center in San Diego. She is also a former President of the American College of Emergency Physicians (ACEP). This SGEM Xtra is inspired by the 1992 film A League of…
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SGEM#483: Electricity – TENS Units for Treating Back Pain
Reference: Otterness et al. The Use of TENS for the Treatment of Back Pain in the Emergency Department: A Randomized Controlled Trial. AEM Aug 2025 Date: August 22, 2025 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of...
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SGEM#482: Seize the Day with Ketamine and Midazolam for Pediatric Status Epilepticus
Reference: Othman AA, et al. Combined ketamine and midazolam vs. midazolam alone for initial treatment of pediatric generalized convulsive status epilepticus (Ket-Mid study): A randomized controlled trial. Pediatric Neurology. June 2025 Date: May 27, 2025 Guest Skeptic: Dr. James Chamberlain is a...
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SGEM Xtra: Illusion – What you Don’t Know and Why it Matters
Date: July 10, 2025 Guest Skeptics: Professor Timothy Caulfield is a Canadian professor of law at the University of Alberta, the Research Director of its Health Law Institute. His area of expertise is in legal, policy and ethical issues in medical research and its commercialization. This is…
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SGEM#481: Shot Through the Chart And You’re to Blame – But Can We Intervene?
Reference: Kemal et al. Emergency department utilization by youth before and after firearm injury. AEM July 2025 Date: July 28, 2025 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She’s a seasoned knowledge translator…
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Frequently Asked Questions
How many episodes does The Skeptics Guide to Emergency Medicine have?
The Skeptics Guide to Emergency Medicine currently has 300 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is The Skeptics Guide to Emergency Medicine about?
Meet 'em, greet 'em, treat 'em and street 'em
How often does The Skeptics Guide to Emergency Medicine release new episodes?
The Skeptics Guide to Emergency Medicine publishes regularly with 300 episodes available. Check the episode list for the typical release schedule.
Where can I listen to The Skeptics Guide to Emergency Medicine?
You can listen to The Skeptics Guide to Emergency Medicine on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts The Skeptics Guide to Emergency Medicine?
The Skeptics Guide to Emergency Medicine is created and hosted by Dr. Ken Milne.
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