iiinova — where your digital self keeps evolving

Ken Milne MD

@thesgem.bsky.social

2.1K followers 191 following 3.1K posts

Trying to cut the knowledge translation window down from over 10 years to less than 1 year with the power of social media. Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine. www.TheSGEM.com

Posts Replies Media

Ken Milne MD @thesgem.bsky.social · 2h

youtube.com/watch?v=R4zI... #MedSky

SGEM521: IM Ketorolac for Acute, Atraumatic Back Pain?

YouTube video by Ken Milne

000

Ken Milne MD @thesgem.bsky.social · 01/10/2026

IM or oral NSAID for acute, atraumatic back pain treated in the emergency department? thesgem.com/2026/09/sgem... #paperinapic by @kirstychallen.bsky.social #MedSky

Ken Milne MD @thesgem.bsky.social · 01/10/2026

Paid to peer review: firms are paying researchers to assess manuscripts for journals www.nature.com/articles/d41...

Paid to peer review: firms are paying researchers to assess manuscripts for journals

Freelance peer-review jobs through third-party companies raise practical and ethical questions.

Ken Milne MD @thesgem.bsky.social · 30/09/2026

My amazing and generous in-laws. Supporting community pediatrics. @dennisrenmd.bsky.social @westernu.ca @schulichmeddent.bsky.social

Ken Milne MD @thesgem.bsky.social · 30/09/2026

No superiority was detected when comparing IM ketorolac to oral ibuprofen for treating acute, atraumatic back pain in the ED. thesgem.com/2026/09/sgem... #MedSky

000

Ken Milne MD @thesgem.bsky.social · 30/09/2026

IM ketorolac was not shown to be superior to oral ibuprofen in this study of acute, atraumatic back pain. thesgem.com/2026/09/sgem... #MedSky

Ken Milne MD @thesgem.bsky.social · 30/09/2026

AI Presents Science with a ‘Ship of Theseus’ Problem undark.org/2026/09/25/o...

AI Presents Science with a ‘Ship of Theseus’ Problem

Opinion | AI can replace each part of the scientific process, leaving the enterprise recognizable but devoid of human judgment.

Ken Milne MD @thesgem.bsky.social · 29/09/2026

Happy national coffee day. Which is every day in emergency medicine @glaucomflecken.bsky.social

static.klipy.com

National Coffee Day Celebration

ALT: National Coffee Day Celebration

Ken Milne MD @thesgem.bsky.social · 28/09/2026

Seems that way on social media. #MedSky

Ken Milne MD @thesgem.bsky.social · 28/09/2026

We’re asking the wrong question about AI in research www.timeshighereducation.com/opinion/were...

timeshighereducation.com

We’re asking the wrong question about AI in research

Springer Nature’s new policy reflects the fact that the key question is not whether AI was used but how its risks are managed, says Ellie Gendle

Ken Milne MD @thesgem.bsky.social · 28/09/2026

Above and beyond: An editor wanted authors to know they’d been falsely cited retractionwatch.com/2026/09/25/a...

retractionwatch.com

Above and beyond: An editor wanted authors to know they’d been falsely cited

Credit: tadamichi/iStock Like many college professors today, Sarah S. Richardson has seen AI-hallucinated citations in work submitted by her students. But she was surprised when an editor recently …

000

Ken Milne MD @thesgem.bsky.social · 28/09/2026

The scroll of truth re: IM ketorolac vs. oral ibuprofen thesgem.com/2026/09/sgem... #MemeMonday #MedSky

Ken Milne MD @thesgem.bsky.social · 27/09/2026

Stats joke

Ken Milne MD @thesgem.bsky.social · 26/09/2026

Children’s Health Defense ‘Expert’ Who Blamed Measles Deaths on Medical Malpractice Found to Have Caused Patient Death flip.it/wMVrrH @casinoshiftmd.bsky.social

Children’s Health Defense ‘Expert’ Who Blamed Measles Deaths on Medical Malpractice Found to Have Caused Patient Death

A federal appeals court granted Dr. Pierre Kory immunity under a law anti-vaxxers have railed against.

000

Ken Milne MD @thesgem.bsky.social · 26/09/2026

SGEM#521: Hit Me with Your Best Shot – IM Ketorolac for Back Pain? thesgem.com/2026/09/sgem... #MedSky

Ken Milne MD @thesgem.bsky.social · 26/09/2026

Don’t punch your doctor (apparently, this needs to be said). flip.it/xVY7Bi #MedSky

Medical Professionals Say This Is The Absolute Worst Thing You Can Do In The ER

For everyone’s sake, please don't be this patient.

Ken Milne MD @thesgem.bsky.social · 25/09/2026

CDC vaccine policy recommendations grind to a halt under Health Secretary Kennedy flip.it/IOJ8uu

CDC vaccine policy recommendations grind to a halt under Health Secretary Kennedy

The Centers for Disease Control and Prevention’s vaccine recommendation process has been blown up in the past year, and decision-making has ground to a halt.

Ken Milne MD @thesgem.bsky.social · 25/09/2026

ICYMI: Morphine Plus Placebo vs Morphine Plus Acetaminophen for Acute Pain in the ED youtu.be/u4DKFwOHtWw #MedSky

SGEM#520: Morphine Plus Placebo vs Morphine Plus Acetaminophen for Acute Pain in the ED

YouTube video by Ken Milne

Ken Milne MD @thesgem.bsky.social · 25/09/2026

22.5% of conservative-policy reviewers reported using an LLM despite the prohibition 36.5% of permissive-policy reviewers reported at least one explicitly disallowed use arxiv.org/abs/2609.194... #MedSky @dennisrenmd.bsky.social

Use and Effects of LLMs in Peer Review: A Randomized Experiment and Survey at ICML 2026

LLMs are rapidly reshaping peer review, making it important to understand how reviewers use them in practice and how different LLM-use policies affect review outcomes. We investigate these questions t...

Reposted by Ken Milne MD

André Picard @picardonhealth @picardonhealth.bsky.social · 25/09/2026

More than a dozen emergency room nurses have resigned from a hospital in the Greater Toronto Area over the past two months, owing to unmanageable patient volumes and an unsafe work environment, by @alannasmith.bsky.social www.theglobeandmail.com/canada/artic... via @theglobeandmail.com

theglobeandmail.com

Fifteen ER nurses leave Ontario hospital citing overcrowding, safety issues, union says

Resignations at Oakville Trafalgar Memorial Hospital highlight a health care system under pressure across the country

Ken Milne MD @thesgem.bsky.social · 24/09/2026

Where Are the Prepared Minds? The Impact of AI on Scientific Thinking | NEJM AI @dennisrenmd.bsky.social ai.nejm.org/doi/full/10....

Where Are the Prepared Minds? The Impact of AI on Scientific Thinking

Preserving opportunities for independent thought is particularly important because scientific writing and interpretation are themselves mechanisms for organizing knowledge and developing judgment. ...

Ken Milne MD @thesgem.bsky.social · 24/09/2026

IV morphine +/- acetaminophen for acute pain in the Emergency Department. #PaperinaPic by the wonderful @kirstychallen.bsky.social thesgem.com/2026/09/sgem... #medSky

000

Ken Milne MD @thesgem.bsky.social · 23/09/2026

Kennedy Drew $4 Million in Book Advances From Publisher Who Also Monetized MAHA flip.it/XaEEE6

RFK Jr. Drew $4 Million in Book Advances From Publisher Who Also Monetized MAHA

A new disclosure also shows $210,000 in consulting fees paid to Cheryl Hines, the health secretary’s wife, by one of several MAHA-affiliated groups capitalizing from his agenda.

000

Ken Milne MD @thesgem.bsky.social · 21/09/2026

Morphine or morphine + acetaminophen to treat acute pain in the ED? thesgem.com/2026/09/sgem...

000

Ken Milne MD @thesgem.bsky.social · 21/09/2026

Save the date Friday, October 9 Time: 1:30 pm - 2:30 pm www.schulich.uwo.ca/epibio/about... @westernu.ca @schulichmeddent.bsky.social

schulich.uwo.ca

Seminar Series: Dr. Ken Milne

Please join us for our weekly seminar series with guest speaker Dr. Ken Milne an Associate Professor of Medicine in the Schulich School of Medicine & Dentistry, Western University

Ken Milne MD @thesgem.bsky.social · 21/09/2026

New guidelines for the use of artificial intelligence in peer reviews www.snf.ch/en/iOg3Y6tvh...

AI guidelines for reviewers

Reviewers may use AI to support their evaluation, but it must not replace their own judgment. Proposal data must remain confidential.

Ken Milne MD @thesgem.bsky.social · 21/09/2026

@ashleygwinter.bsky.social Did you see this publication? pubmed.ncbi.nlm.nih.gov/42269780/

pubmed.ncbi.nlm.nih.gov

Vaginal Estrogen Prescription is Associated with Reduced Risk of Serious Adverse Outcomes in Women of All Age Groups with Recurrent Urinary Tract Infection: An Epic Cosmos Database Analysis - PubMed

Vaginal estrogen prescription within 2 months of rUTI diagnosis is associated with lower odds of serious adverse outcomes across age groups.

000

Ken Milne MD @thesgem.bsky.social · 20/09/2026

The 5 stages of grief when responding to internet comments

Ken Milne MD @thesgem.bsky.social · 20/09/2026

SGEM#520 on treating pain in the ED is available on @Spotify. Does acetaminophen add anything to IV morphine? open.spotify.com/episode/4744...

open.spotify.com

SGEM#520: It takes my pain away – Morphine, but do I need to add acetaminophen?

The Skeptics Guide to Emergency Medicine · Episode

000

Ken Milne MD @thesgem.bsky.social · 20/09/2026

The SGEM ranked #15 in the top 50 medical podcasts & rising sponsorscout.io/rankings/pod...

sponsorscout.io

Top 50 Rising Medicine Podcasts | Sponsor Scout

Rising Medicine podcasts ranked by observable momentum and sponsorship value using the Sponsor Scout Rising Index.

Ken Milne MD @thesgem.bsky.social · 19/09/2026

SGEM#520: Treating pain in the ED with morphine +/- acetaminophen. thesgem.com/2026/09/sgem... #EBM #FOAMed @aineyoremd.bsky.social @kaymd.bsky.social

Reposted by Ken Milne MD

Timothy Caulfield @caulfieldtim.bsky.social · 19/09/2026

Experts warn against relying solely on AI for medical advice amid privacy and accuracy concerns health.yahoo.com/healthcare/a... "It's really hard to know when there are inaccuracies, and these systems do get things wrong."

health.yahoo.com

Experts warn against relying solely on AI for medical advice amid privacy and accuracy concerns

More people are turning to artificial intelligence for medical advice, but experts warn this can be both risky and effective. A recent report highlights that about 17% of adults use AI chatbots like ...

Ken Milne MD @thesgem.bsky.social · 19/09/2026

RFK Jr. tells vaccine-skeptic group Children's Health Defense they have a 'friend' in the White House flip.it/ndXaIB

RFK Jr. tells vaccine-skeptic group Children's Health Defense they have a 'friend' in the White House

HHS Robert F. Kennedy Jr. told the vaccine-skeptic group Children's Health Defense on Thursday they "have a friend in the White House" in President Donald Trump.

Ken Milne MD @thesgem.bsky.social · 19/09/2026

Morphine +/- acetaminophen for treating acute pain in the emergency department. thesgem.com/2026/09/sgem... @casinoshiftmd.bsky.social #MedSky

Ken Milne MD @thesgem.bsky.social · 19/09/2026

I had a wonderful time in Halifax. One of the highlights was seeing my #EBM mentor Dr. Andrew Worster who took a chance on a rural doc who kept asking “why”. Forever grateful. #MedSky

Reposted by Ken Milne MD

Papertis @papertis.bsky.social · 18/09/2026

Looking forward to this one. Pain management is one of those areas where the gap between 'what we think works' and 'what the evidence actually shows' can be surprisingly wide. Always useful to revisit the foundations.

Ken Milne MD @thesgem.bsky.social · 18/09/2026

You can find a copy of my Back to the Future slides on EBM and AI at this link. thesgem.com/wp-content/u... #MedSky

000

Ken Milne MD @thesgem.bsky.social · 18/09/2026

Season#15 of the SGEM starts tomorrow with an episode on managing pain in the ED. jamanetwork.com/journals/jam... #MedSky

jamanetwork.com

Morphine Plus Placebo vs Morphine Plus Acetaminophen for Acute Pain in the ED

This randomized clinical trial investigates whether intravenous morphine plus placebo is noninferior to morphine plus acetaminophen for initial management of acute pain in adult patients in the emerge...

000

Ken Milne MD @thesgem.bsky.social · 17/09/2026

SGEM#475: Management of Clinical Scaphoid Fractures youtu.be/-pXip5s79ng #MedSky

SGEM#475: Management of Clinical Scaphoid Fractures

YouTube video by Ken Milne

Ken Milne MD @thesgem.bsky.social · 16/09/2026

Heading to Halifax today. Giving the President’s Invited Speaker lecture to the Canadian Association of Thoracic Surgeons. We are going back to the future to discuss the origins of EBM & consider how AI will shape medical practice in 30yrs. @casinoshiftmd.bsky.social @schulichmeddent.bsky.social

Ken Milne MD @thesgem.bsky.social · 16/09/2026

SGEM477: Pre-oxygenation strategies before intubation in patients with acute hypoxic respiratory failure youtu.be/1m6xqKPEGEs Guest skeptic: the wonderful @aineyoremd.bsky.social #MedSky

SGEM477: PreOx strategies before intubation in patients with acute hypoxic respiratory failure

YouTube video by Ken Milne

Ken Milne MD @thesgem.bsky.social · 16/09/2026

kevinmd.com/2026/09/ai-i...

AI in peer review should be a second reader, not a judge

AI in peer review can flag statistics, citations, and reporting gaps, but reviewer fatigue is the deeper strain. See why the hybrid model keeps humans deciding.

Ken Milne MD @thesgem.bsky.social · 15/09/2026

apnews.com/article/meas...

000

Ken Milne MD @thesgem.bsky.social · 15/09/2026

www.researchprofessionalnews.com/rr-news-worl...

researchprofessionalnews.com

Three-quarters of researchers unsure what use of AI to disclose - Research Professional News

Oxford University Press finds disclosure gap, as it and Springer Nature update usage guidance

Ken Milne MD @thesgem.bsky.social · 15/09/2026

SGEM#478: Sex-Based Disparities in the Treatment of STIs #EBM #FOAMed youtu.be/K7mQlon7z0E #MedSky @darakass.com

SGEM#478: Sex-Based Disparities in the Treatment of STIs

YouTube video by Ken Milne

100

Ken Milne MD @thesgem.bsky.social · 14/09/2026

SGEM#481: Shot Through the Chart And You’re to Blame – But Can We Intervene? www.youtube.com/watch?v=i11T... @meganranney.bsky.social @dennisrenmd.bsky.social #MedSky

SGEM#481: Emergency department utilization by youth before and after firearm injury

YouTube video by Ken Milne

Ken Milne MD @thesgem.bsky.social · 14/09/2026

Ken Milne MD @thesgem.bsky.social · 13/09/2026

Debate: Thrombolysis for Acute Ischemic Stroke www.youtube.com/watch?v=r1u8... #MedSky @stanfordneuro.bsky.social @aanmember.bsky.social @acepnation.bsky.social @casinoshiftmd.bsky.social

Thrombolysis in Ischemic Stroke | ARGU-EBM Debate 2

YouTube video by Baylor College of Medicine

Ken Milne MD @thesgem.bsky.social · 13/09/2026

SGEM#483: TENS Units for Treating Back Pain youtu.be/Tf1encqbEkg #MedSky @lwestafer.bsky.social

SGEM483: TENS Units for Treating Back Pain

YouTube video by Ken Milne

Ken Milne MD @thesgem.bsky.social · 12/09/2026

SGEM#484: Pharmacological Interventions for the Acute Treatment of Hyperkalemia #FOAMed #EBM #MedSky www.youtube.com/watch?v=AP9q...

SGEM484: Pharmacological Interventions for the Acute Treatment of Hyperkalemia

YouTube video by Ken Milne

000