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Skeptics’ Guide to EM

  • Is High-Flow Nasal Oxygen Really Non-Inferior?

    Is HFNO noninferior to NIV for respiratory failure? The RENOVATE trial shows it is a viable alternative in the ED.
  • C-U Later C-Collar?

    Case: A 71-year-old man is the restrained driver in a 25-mph front-end motor-vehicle crash (MVC). He self-extricates...
  • Can AI Critically Appraise Medical Research?

    I am preparing to review another systematic review and meta-analysis (SRMA). Although it is enjoyable to critically...

Is High-Flow Nasal Oxygen Really Non-Inferior?

April 17, 2026 - Ken Milne, MD - 0 Comment

Is HFNO noninferior to NIV for respiratory failure? The RENOVATE trial shows it is a viable alternative in the ED.

Read More

C-U Later C-Collar?

February 6, 2026 - Ken Milne, MD - 1 Comment

Case: A 71-year-old man is the restrained driver in a 25-mph front-end motor-vehicle crash (MVC). He self-extricates…

Read More

Can AI Critically Appraise Medical Research?

December 31, 2024 - Ken Milne, MD - 0 Comment

I am preparing to review another systematic review and meta-analysis (SRMA). Although it is enjoyable to critically…

Read More

The SPEED Protocol: Using Ultrasound To Detect Acute Aortic Dissection

May 10, 2024 - Ken Milne, MD - 0 Comment

A 59-year-old man presents to your community emergency department (ED) with chest pain that is radiating to…

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Revisiting Nitroglycerin in MI with Right-Side Ventricular Involvement

March 5, 2024 - Ken Milne, MD - 3 Comments

A 64-year-old male collapses after shovelling snow. Paramedics find a patient with eight out of 10 chest…

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Goal-Oriented, Bundled Care For Intracerebral Hemorrhage Improves Outcomes

October 10, 2023 - Ken Milne, MD - 0 Comment

A 76-year-old female presents to the emergency department obtunded with left hemiplegia. Symptoms began just prior to…

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Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain

August 25, 2023 - Ken Milne, MD - 0 Comment

Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain Case A 15-year-old female with sickle cell disease (SCD) presents…

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Should You Etomidate Me?

August 25, 2023 - Ken Milne, MD - 0 Comment

Case A critically ill patient presents to the emergency department (ED) requiring an emergent, definitive airway. While…

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Using Ultrasound to Make Surgical Decisions in Suspected Biliary Colic

July 7, 2023 - Ken Milne, MD - 0 Comment

Case A 50-year-old woman presents to the emergency department (ED) complaining of epigastric pain and nausea for…

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Deaf and Hard of Hearing Patients in the Emergency Department

June 7, 2023 - Ken Milne, MD - 1 Comment

Case You enter the room to see the next case and find two people. One is the…

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