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Skeptics’ Guide to EM

  • Naproxen, Diazepam Evaluated for Treating Acute, Nontraumatic Low Back Pain

    The Case A 49-year-old man presents to the emergency department with an acute onset of back pain. He...
  • Should Prevention Methods for Sepsis Include IV Hydrocortisone?

    The Case A 70-year-old man with a history of hypertension and type 2 diabetes presents to the...
  • Procedural Sedation Delays and NPO Status for Pediatric Patients in the Emergency Department

    The Case An 8-year-old boy falls while playing ice hockey. He has an isolated distal radius fracture...

Naproxen, Diazepam Evaluated for Treating Acute, Nontraumatic Low Back Pain

May 5, 2017 - Ken Milne, MD, MSC, CCFP-EM, FCFP, FRRMS - 1 Comment

The Case A 49-year-old man presents to the emergency department with an acute onset of back pain. He…

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Should Prevention Methods for Sepsis Include IV Hydrocortisone?

March 14, 2017 - Ken Milne, MD - 0 Comment

The Case A 70-year-old man with a history of hypertension and type 2 diabetes presents to the…

Read More

Procedural Sedation Delays and NPO Status for Pediatric Patients in the Emergency Department

January 22, 2017 - Ken Milne, MD - 0 Comment

The Case An 8-year-old boy falls while playing ice hockey. He has an isolated distal radius fracture…

Read More

Amiodarone, Lidocaine, Placebo Treatments Compared for Patients with Out-of-Hospital Cardiac Arrest

November 14, 2016 - Ken Milne, MD - 0 Comment

CASE: A 63-year-old man has an unwitnessed cardiac arrest. EMS arrives to find him in ventricular fibrillation….

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Is Dilute Apple Juice a Viable Substitute for Rehydration?

September 16, 2016 - Ken Milne, MD - 0 Comment

Case: A 28-month-old boy presents with a three-day history of vomiting and diarrhea. After performing an appropriate…

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Surviving an Out-of-Hospital Cardiac Arrest Associated with Patients’ Floor in High-Rise Buildings

July 12, 2016 - Ken Milne, MD - 0 Comment

Case: A 49-year-old man calls 911 complaining of chest pain and then collapses while on the phone….

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Modified Valsalva Maneuver Better Way to Manage Supraventricular Tachycardia

May 17, 2016 - Ken Milne, MD - 2 Comments

Case: A 19-year-old male arrives at the ED complaining of palpitations. He is known to have supraventricular…

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Diltiazem Achieves More Rapid Rate Control in Atrial Fibrillation than Metoprolol

January 15, 2016 - Ken Milne, MD - 2 Comments

Case: A 49-year-old man with no past medical history presents to the ED with palpitations for five…

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One-hour Acute Myocardial Infarction Rule-Out Not Ready for Prime Time

October 13, 2015 - Ken Milne, MD - 0 Comment

Case: A 57-year-old woman presents with left-sided chest pain that started 90 minutes ago. The pain radiates…

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When to Use Point-of-Care Ultrasound for Skull Fractures

September 13, 2015 - Ken Milne, MD - 2 Comments

Case: A 21-month-old girl presents after a witnessed fall off a chair onto a tile floor. She…

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