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 Clinic Arizona.  He is board-certified in Emergency […]

The post SGEM#514: Every Time You Go Away (and survive alive for 90 days) – Is It Due To A Restricted Fluid Strategy with Early Vasopressors? first appeared on The Skeptics Guide to Emergency Medicine.

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 to build better critical appraisal skills. It […]

The post SGEM#513: Everything is Awesome – Unless You Swallow A LEGO Head first appeared on The Skeptics Guide to Emergency Medicine.

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. June 2026 Case: A 29-year-old healthy man presents to the emergency department […]

The post SGEM#512: When you go your way, and I Go Mine – Surgery or Antibiotics for Acute Appendicitis. first appeared on The Skeptics Guide to Emergency 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, critical care, and emergency preparedness, particularly as they relate to protecting vulnerable […]

The post SGEM Xtra: Welcome to the Jungle of Disaster Medicine first appeared on The Skeptics Guide to Emergency Medicine.

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 interviewing, and vertigo. He is very active in medical education, including […]

The post SGEM#511: I’d Like To Treat, DKA with the SQuID Protocol first appeared on The Skeptics Guide to Emergency Medicine.

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. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. […]

The post SGEM#510: Take this Broken Radius and just Cast It. first appeared on The Skeptics Guide to Emergency Medicine.

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 Medicine at UCIMED and postgraduate training programs in Emergency Medicine […]

The post SGEM#509: I love the Java Jive & It Loves Me – Preventing Dementia with Coffee and Tea first appeared on The Skeptics Guide to Emergency Medicine.

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, D.C., and Assistant Professor of Pediatrics at the George Washington University […]

The post SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants first appeared on The Skeptics Guide to Emergency Medicine.

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 physician, educator, keynote speaker, coach, and academic leader. She is widely recognized for her work […]

The post SGEM#507: Till Everybody Got Delirious – Geriatric Patients in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine.

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 medicine (EM). She brings deep clinical expertise along with thoughtful perspectives on systems-level change and […]

The post SGEM Xtra: You You You Oughta Know – GED 2.0 Guidelines first appeared on The Skeptics Guide to Emergency Medicine.