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Skeptics’ Guide to EM

  • Do Antacid Monotherapy or GI Cocktails Work Better for Epigastric Pain?

    The Case A 43-year-old woman arrives at the emergency department complaining of epigastric pain after eating a...
  • After Re-Analysis, No Trials Show Efficacy of tPA in Acute Ischemic Stroke

    The Case A 71-year-old woman arrives to the ED by EMS with right-sided weakness beginning 3 hours...
  • Endovascular Therapy With or Without tPA—What Do the Studies Say?

    The Case A 61-year-old healthy female presents with two hours of right-side weakness as well as slurred...

Do Antacid Monotherapy or GI Cocktails Work Better for Epigastric Pain?

November 18, 2020 - Ken Milne, MD - 0 Comment

The Case A 43-year-old woman arrives at the emergency department complaining of epigastric pain after eating a…

Read More

After Re-Analysis, No Trials Show Efficacy of tPA in Acute Ischemic Stroke

September 25, 2020 - Ken Milne, MD - 3 Comments

The Case A 71-year-old woman arrives to the ED by EMS with right-sided weakness beginning 3 hours…

Read More

Endovascular Therapy With or Without tPA—What Do the Studies Say?

July 15, 2020 - Ken Milne, MD - 0 Comment

The Case A 61-year-old healthy female presents with two hours of right-side weakness as well as slurred…

Read More

New Study Compares POCUS with X-Ray for Shoulder Dislocations

May 21, 2020 - Ken Milne, MD - 0 Comment

The Case A 52-year-old male with a history of dyslipidemia presents to the emergency department after sustaining…

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“Can We Pay You $100 to Not Get a CT?

January 21, 2020 - Ken Milne, MD - 0 Comment

The Case A 24-year-old female enters the emergency department after experiencing a brief loss of consciousness after…

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In Uncomplicated AFib, Is Electrical or Chemical Rhythm Control Best?

December 10, 2019 - Ken Milne, MD - 0 Comment

The Case A 52-year-old woman presents to the emergency department with sudden onset of palpitations and presyncope…

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What’s the Best Option for Queasiness During Pregnancy?

September 24, 2019 - Ken Milne, MD - 1 Comment

The Case A 28-year-old woman presents with nausea and vomiting during pregnancy. She is at eight weeks’…

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Does Adding Scribes Improve Emergency Department Efficiency?

July 21, 2019 - Ken Milne, MD - 2 Comments

The Case Your democratic ED group has embraced electronic medical records (EMRs). You have been doing computer…

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Using Point-of-Care Ultrasound to Confirm Endotracheal Tube Placement

May 17, 2019 - Ken Milne, MD - 0 Comment

The Case A 52-year-old patient is in cardiac arrest and needs endotracheal intubation. You’ve read some studies…

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Fentanyl Versus Ketamine for Intranasal Pain Relief

March 12, 2019 - Ken Milne, MD - 0 Comment

The Case An 8-year-old boy presents to the emergency department with a painful wrist injury after falling…

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