SGEM#505: Close Enough for (ARF) Acute Respiratory Failure (HFNO vs NIV)

SGEM#505: Close Enough for (ARF) Acute Respiratory Failure (HFNO vs NIV)

Author: Dr. Ken Milne March 14, 2026 Duration: 36:37

Date: March 11, 2026 Reference: RENOVATE Investigators and the BRICNet Authors; High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure: The RENOVATE Randomized Clinical Trial. JAMA March 2025 Guest Skeptic: Dr. Rory Spiegel is an emergency medicine and critical care physician known for his work in evidence-based medicine and critical care. He […]

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Hosted by emergency physician Dr. Ken Milne, The Skeptics Guide to Emergency Medicine cuts through the noise of daily practice to examine the evidence behind common clinical decisions. This isn't about dry journal reviews; it's a practical, conversational look at the studies and guidelines that actually impact patient care in fast-paced environments. Each episode focuses on a specific topic, breaking down the latest research with a critical eye to separate compelling data from medical myth. You'll hear discussions on everything from trauma protocols to outpatient management, always with an emphasis on applying skepticism to improve outcomes. The goal is to move beyond the old "meet 'em, greet 'em, treat 'em and street 'em" mentality by fostering a more thoughtful, evidence-based approach. For clinicians who want to refine their practice and for anyone interested in the science of acute care, this podcast serves as a regular dose of reasoned analysis. Dr. Milne's experience provides a grounded perspective, making complex information accessible and immediately relevant. Tune in for a straightforward dialogue that challenges assumptions and aims to make medicine better, one examined claim at a time.
Author: Language: en-us Episodes: 100

The Skeptics Guide to Emergency Medicine
Podcast Episodes
SGEM#493: You Can’t Hold Me Down with Spinal Motion Restrictions [not-audio_url] [/not-audio_url]

Duration: 1:02:27
Date: November 8, 2025 Reference: Millin M, et al., Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature, Prehospital Emergency Care…
SGEM#492: Give Blood – To Anemic Patients with Acute Brain Injuries [not-audio_url] [/not-audio_url]

Duration: 17:55
Date: November 12, 2025 Reference: Taccone et al. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury The TRAIN Randomized Clinical Trial. JAMA 2024 Guest Skeptic: Dr. Alex Weiler is an Emerge…