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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

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Ken Milne MD @thesgem.bsky.social · 16h
Controversial vaccine trial touted by RFK Jr gets go-ahead in Guinea-Bissau www.theguardian.com/society/2026...
theguardian.com
Controversial vaccine trial touted by RFK Jr gets go-ahead in Guinea-Bissau
Recommended dose of hepatitis B vaccine will be withheld from thousands of newborns by Danish researchers
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Ken Milne MD @thesgem.bsky.social · 09/10/2026
www.youtube.com/watch?v=MN9o...
youtube.com
SGEM522: Can you safely run vasopressors through a peripheral IV?
YouTube video by Ken Milne
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Ken Milne MD @thesgem.bsky.social · 09/10/2026
SGEM522: Can you safely run vasopressors through a peripheral IV? www.youtube.com/watch?v=MN9o... #EBM #FOAMed #MedSky
youtube.com
SGEM522: Can you safely run vasopressors through a peripheral IV?
YouTube video by Ken Milne
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Ken Milne MD @thesgem.bsky.social · 09/10/2026
Peripheral vasopressors: Paper in a Pic by @KirstyChallen thesgem.com/2026/10/sgem... #MedSky @kirstychallen.bsky.social
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Ken Milne MD @thesgem.bsky.social · 08/10/2026
Not everyone. Here is the poll from X.
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Ken Milne MD @thesgem.bsky.social · 08/10/2026
Similar results on X thesgem.com/2026/10/sgem...
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Ken Milne MD @thesgem.bsky.social · 08/10/2026
It looks like everyone who voted is comfortable starting vasopressors through a peripheral IV line. thesgem.com/2026/10/sgem... #EBM #MedSky
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Ken Milne MD @thesgem.bsky.social · 07/10/2026
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Ken Milne MD @thesgem.bsky.social · 06/10/2026
Copy of my slides #ACEP26 thesgem.com/wp-content/u...
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Ken Milne MD @thesgem.bsky.social · 06/10/2026
Don’t have a CT scanner at this hospital.
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Ken Milne MD @thesgem.bsky.social · 06/10/2026
Last year, Noah Wyle was the guest skeptic on the SGEM. thesgem.com/2025/05/sgem...
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Ken Milne MD @thesgem.bsky.social · 06/10/2026
This morning, I'll be giving a talk at #ACEP26 called: Dr. Milne & the Terrible, Horrible, No Good, Very Bad ER Shift Think of it as a season of The Pitt set in a rural critical access hospital. @dennisrenmd.bsky.social
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Ken Milne MD @thesgem.bsky.social · 06/10/2026
Thank you to all those who attended my Clinical Pearls talk today at #ACEP26 You can download my slides here. thesgem.com/wp-content/u... #MedSky
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Reposted by Ken Milne MD
Seth Trueger @mdaware.org · 05/10/2026
2026 lit review: SRMA: all the usual things except bicarb seem to help in hyperK no, prenatal APAP is not linked to autism @thesgem.bsky.social at #acep26
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Reposted by Ken Milne MD
Seth Trueger @mdaware.org · 05/10/2026
higher LOS, resource use by NPs may outweigh the (salary) cost savings, lots of limitations and intra-group variation @thesgem.bsky.social at #ACEP26
ACEP26
THE FUTURE OF EM IS NOW
CHICAGO TOBER 5-8, 2026
THE FUTURE OF EM IS NOW
78.
98.
20-
20-
CLINICAL QUESTION
In ED patients, does being treated by an NP rather than a physician affect resource use and outcomes?
PATIENTS
RESOURCES
OUTCOMES
American College of Emergency Physicians®
ADVANCING EMERGENCY CARE
STUDY TYPE
Observational study with a quasi-
experimental design
NP
MD/DO
1.1 million ED visits
SAME PATIENTS
BETTER EVIDENCE
STRONGER CARE
KEY RESULT
NPs used more resources and had a higher 30-day preventable hospitalization rate than physicians.
DIFFERENT PROVIDERS.
SAME GOAL.
BETTER
PATIENT CARE.
LET'S MOVE
FORWARD TOGETHER
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Ken Milne MD @thesgem.bsky.social · 05/10/2026
Clinical Pearls from the Past Year of the EM Literature. Today at 3:45 #ACEP26 See you soon... @acepnation.bsky.social
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Ken Milne MD @thesgem.bsky.social · 05/10/2026
Peer review isn’t free. So who pays? www.researchinformation.info/analysis-opi... #MedSky
researchinformation.info
Peer review isn’t free. So who pays? - Research Information
Research Information recently hosted a webinar on the subject of paid peer review. Tim Gillett gives a potted view of proceedings
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Ken Milne MD @thesgem.bsky.social · 04/10/2026
Come hear me speak at #ACEP26 on Tuesday morning. It will be Dr. Ken Milne and the Terrible, Horrible, No Good, Very Bad Shift. Inspired by this book. @acepnation.bsky.social #MedSky
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Ken Milne MD @thesgem.bsky.social · 04/10/2026
We reviewed the IST-3 on the SGEM 13 years ago. thesgem.com/2013/03/sgem...
thesgem.com
SGEM#29: Stroke Me, Stroke Me (Thrombolysis
[display_podcast] Date: 24 March 2013 "Now everybody, Have you heard, If you're in the game (of emergency medicine), Then the stroke's the word, Don't take no rhythm, Don't take no style, Gotta thirst...
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Ken Milne MD @thesgem.bsky.social · 04/10/2026
SGEM#522 on running PIV vasopressors is now available. podcasts.apple.com/ca/podcast/t...
podcasts.apple.com
SGEM#522: Va-so-Pressors – Can You Run Them Peripherally?
Podcast Episode · The Skeptics Guide to Emergency Medicine · October 3 · 26m
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Ken Milne MD @thesgem.bsky.social · 04/10/2026
IST-3 is the largest RCT of IV tPA for acute ischemic stroke & contributes substantially to SRMAs & guidelines. Concerns persist regarding potential bias arising from missing 6-month Oxford Handicap Scale data. link.springer.com/article/10.1... #MedSky
link.springer.com
Assessment of bias in the third international stroke trial (IST-3) - BMC Medical Research Methodology
Background The Third International Stroke Trial (IST-3) is the largest randomized controlled trial (RCT) of intravenous alteplase for acute ischemic stroke and contributes substantially to meta-analys...
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Ken Milne MD @thesgem.bsky.social · 04/10/2026
Heading to Chicago tomorrow for #ACEP26 I will be giving a couple of talks. The first one is on Monday. If you are attending, come and say hello.
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Ken Milne MD @thesgem.bsky.social · 03/10/2026
Link to the article jamanetwork.com/journals/jam...
jamanetwork.com
Incidence of Adverse Events in Peripheral Intravenous Vasopressor Use
This systematic review and meta-analysis examines incidence of adverse events and central venous catheter avoidance after peripheral intravenous administration of vasopressors in adults with hypotensi...
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Ken Milne MD @thesgem.bsky.social · 03/10/2026
Here's the theme music for the episode. www.youtube.com/watch?v=Iyv9...
youtube.com
Billy Joel - Pressure (Official Video)
YouTube video by billyjoelVEVO
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Ken Milne MD @thesgem.bsky.social · 03/10/2026
Can you safely run vasopressors peripherally? thesgem.com/2026/10/sgem... #MedSky
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Ken Milne MD @thesgem.bsky.social · 02/10/2026
youtube.com/watch?v=R4zI... #MedSky
youtube.com
SGEM521: IM Ketorolac for Acute, Atraumatic Back Pain?
YouTube video by Ken Milne
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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
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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...
nature.com
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.
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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
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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
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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
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Ken Milne MD @thesgem.bsky.social · 30/09/2026
AI Presents Science with a ‘Ship of Theseus’ Problem undark.org/2026/09/25/o...
undark.org
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.
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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
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Ken Milne MD @thesgem.bsky.social · 28/09/2026
Science hell
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Ken Milne MD @thesgem.bsky.social · 28/09/2026
Seems that way on social media. #MedSky
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Ken Milne MD @thesgem.bsky.social · 28/09/2026
Yep, it's why we included it as part of the case presentation.
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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
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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 …
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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
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Ken Milne MD @thesgem.bsky.social · 27/09/2026
Stats joke
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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
flip.it
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.
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Ken Milne MD @thesgem.bsky.social · 26/09/2026
Pat Benatar - Hit Me With Your Best Shot www.youtube.com/watch?v=0JRg...
youtube.com
Pat Benatar - Hit Me With Your Best Shot (Live) (Official Music Video)
YouTube video by PatBenatarVEVO
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Ken Milne MD @thesgem.bsky.social · 26/09/2026
Link to the publication journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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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
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Ken Milne MD @thesgem.bsky.social · 26/09/2026
Don’t punch your doctor (apparently, this needs to be said). flip.it/xVY7Bi #MedSky
flip.it
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.
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Ken Milne MD @thesgem.bsky.social · 25/09/2026
CDC vaccine policy recommendations grind to a halt under Health Secretary Kennedy flip.it/IOJ8uu
flip.it
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.
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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
youtu.be
SGEM#520: Morphine Plus Placebo vs Morphine Plus Acetaminophen for Acute Pain in the ED
YouTube video by Ken Milne
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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
arxiv.org
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...
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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
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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....
ai.nejm.org
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. ...
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