Ken Milne MD
@thesgem.bsky.social
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
Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine.
www.TheSGEM.com
Pinned
Under pressure - To Rx medication to patients in the ER with asymptomatic hypertension. #EBM #FOAMed
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social
Under pressure to prescribe medication to asymptomatic patients in the ER with high blood pressure.
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social #MedSky
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social #MedSky
January 4, 2026 at 2:13 PM
Under pressure to prescribe medication to asymptomatic patients in the ER with high blood pressure.
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social #MedSky
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social #MedSky
Under pressure - To Rx medication to patients in the ER with asymptomatic hypertension. #EBM #FOAMed
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social
January 3, 2026 at 2:27 PM
Under pressure - To Rx medication to patients in the ER with asymptomatic hypertension. #EBM #FOAMed
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social
thesgem.com/2026/01/sgem... @aineyoremd.bsky.social
January 3, 2026 at 1:57 AM
Don’t punch your doctor (apparently, this needs to be said). flip.it/wzlAWS
Medical Professionals Say This Is The Absolute Worst Thing You Can Do In The ER — HuffPost
For everyone’s sake, please don't be this patient.
flip.it
January 2, 2026 at 8:59 PM
Don’t punch your doctor (apparently, this needs to be said). flip.it/wzlAWS
Reposted by Ken Milne MD
I both love and hate this paper. First of all: very well done study. Good design. Great question. They don’t overstate their conclusions and claim causation from an observational study. And it encourages beneficence on the part of ER docs.
Does asymptomatic HTN get your BP up in the ER?
Next up on the SGEM is this paper:
"Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients" #MedSky
pubmed.ncbi.nlm.nih.gov/38559566/
@mdaware.org @aineyoremd.bsky.social
Next up on the SGEM is this paper:
"Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients" #MedSky
pubmed.ncbi.nlm.nih.gov/38559566/
@mdaware.org @aineyoremd.bsky.social
homer simpson screaming with his mouth wide open
ALT: homer simpson screaming with his mouth wide open
media.tenor.com
January 2, 2026 at 5:57 PM
I both love and hate this paper. First of all: very well done study. Good design. Great question. They don’t overstate their conclusions and claim causation from an observational study. And it encourages beneficence on the part of ER docs.
Does asymptomatic HTN get your BP up in the ER?
Next up on the SGEM is this paper:
"Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients" #MedSky
pubmed.ncbi.nlm.nih.gov/38559566/
@mdaware.org @aineyoremd.bsky.social
Next up on the SGEM is this paper:
"Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients" #MedSky
pubmed.ncbi.nlm.nih.gov/38559566/
@mdaware.org @aineyoremd.bsky.social
homer simpson screaming with his mouth wide open
ALT: homer simpson screaming with his mouth wide open
media.tenor.com
January 2, 2026 at 1:54 PM
Does asymptomatic HTN get your BP up in the ER?
Next up on the SGEM is this paper:
"Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients" #MedSky
pubmed.ncbi.nlm.nih.gov/38559566/
@mdaware.org @aineyoremd.bsky.social
Next up on the SGEM is this paper:
"Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients" #MedSky
pubmed.ncbi.nlm.nih.gov/38559566/
@mdaware.org @aineyoremd.bsky.social
You can't keep other people warm by setting yourself on fire.
#burnout @ontariomedical.bsky.social #MedSky
#burnout @ontariomedical.bsky.social #MedSky
January 1, 2026 at 3:04 PM
You can't keep other people warm by setting yourself on fire.
#burnout @ontariomedical.bsky.social #MedSky
#burnout @ontariomedical.bsky.social #MedSky
Starting 2026 with a #PaperinaPic from the fantastic
@kirstychallen.bsky.social
Cap refill in sepsis management: ANDROMEDA-Shock-2
thesgem.com/2025/12/sgem... @first10em.bsky.social @emcrit.bsky.social
@kirstychallen.bsky.social
Cap refill in sepsis management: ANDROMEDA-Shock-2
thesgem.com/2025/12/sgem... @first10em.bsky.social @emcrit.bsky.social
January 1, 2026 at 2:36 PM
Starting 2026 with a #PaperinaPic from the fantastic
@kirstychallen.bsky.social
Cap refill in sepsis management: ANDROMEDA-Shock-2
thesgem.com/2025/12/sgem... @first10em.bsky.social @emcrit.bsky.social
@kirstychallen.bsky.social
Cap refill in sepsis management: ANDROMEDA-Shock-2
thesgem.com/2025/12/sgem... @first10em.bsky.social @emcrit.bsky.social
Reposted by Ken Milne MD
@uriebay.bsky.social @beyerstein.bsky.social @tomlevenson.bsky.social @anniegirl.bsky.social @doloresquintana.bsky.social @merlinofcanada.bsky.social @maej43.bsky.social #CovidVaccines reduce hospital visits for #children Shocker.🙄 #CDC H/T @annelaurie.bsky.social
CDC scientists find that COVID vaccines slash ER visits for children flip.it/U2E8F4 @dennisrenmd.bsky.social
CDC scientists find that COVID vaccines slash ER visits for children
In December 2025, the CDC published a study revealing that COVID vaccines significantly lower emergency room visits for children.
flip.it
December 31, 2025 at 11:54 PM
I feel similar, except I would use the term vaccine-hesitant instead of antivaxxer to be less pejorative.
@dennisrenmd.bsky.social @kaymd.bsky.social
@dennisrenmd.bsky.social @kaymd.bsky.social
December 30, 2025 at 12:51 PM
I feel similar, except I would use the term vaccine-hesitant instead of antivaxxer to be less pejorative.
@dennisrenmd.bsky.social @kaymd.bsky.social
@dennisrenmd.bsky.social @kaymd.bsky.social
ANDROMEDA-Shock-2: Cap Refill Time for Personalized Sepsis Treatment
thesgem.com/2025/12/sgem... #MedSky @first10em.bsky.social
thesgem.com/2025/12/sgem... #MedSky @first10em.bsky.social
December 29, 2025 at 3:07 PM
ANDROMEDA-Shock-2: Cap Refill Time for Personalized Sepsis Treatment
thesgem.com/2025/12/sgem... #MedSky @first10em.bsky.social
thesgem.com/2025/12/sgem... #MedSky @first10em.bsky.social
ANDROMEDA-Shock-2: Cap Refill Time for Personalized Sepsis Treatment #MedSky #mememonday
thesgem.com/2025/12/sgem...
thesgem.com/2025/12/sgem...
December 29, 2025 at 3:07 PM
ANDROMEDA-Shock-2: Cap Refill Time for Personalized Sepsis Treatment #MedSky #mememonday
thesgem.com/2025/12/sgem...
thesgem.com/2025/12/sgem...
Is a hierarchical composite outcome just putting lipstick on a pig? Find out more on this week's episode of the Skeptics' Guide to EM. We do a structured critical appraisal of the ANDROMEDA-SHOCK-2 Trial with @first10em.bsky.social
thesgem.com/2025/12/sgem... #EBM #MedSky @emcrit.bsky.social
thesgem.com/2025/12/sgem... #EBM #MedSky @emcrit.bsky.social
December 28, 2025 at 2:49 PM
Is a hierarchical composite outcome just putting lipstick on a pig? Find out more on this week's episode of the Skeptics' Guide to EM. We do a structured critical appraisal of the ANDROMEDA-SHOCK-2 Trial with @first10em.bsky.social
thesgem.com/2025/12/sgem... #EBM #MedSky @emcrit.bsky.social
thesgem.com/2025/12/sgem... #EBM #MedSky @emcrit.bsky.social
Cap Refill Time for Personalized Sepsis Treatment:
ANDROMEDA-Shock-2 reviewed with guest skeptic @first10em.bsky.social
thesgem.com/2025/12/sgem... #MedSky
ANDROMEDA-Shock-2 reviewed with guest skeptic @first10em.bsky.social
thesgem.com/2025/12/sgem... #MedSky
December 28, 2025 at 3:35 AM
Cap Refill Time for Personalized Sepsis Treatment:
ANDROMEDA-Shock-2 reviewed with guest skeptic @first10em.bsky.social
thesgem.com/2025/12/sgem... #MedSky
ANDROMEDA-Shock-2 reviewed with guest skeptic @first10em.bsky.social
thesgem.com/2025/12/sgem... #MedSky
Reposted by Ken Milne MD
Sit with discomfort
December 27, 2025 at 3:59 AM
Sit with discomfort
Nuance is Dead
YouTube video by No Filter Philosophy
youtube.com
December 27, 2025 at 3:04 AM
Merry Christmas to those who celebrate.
December 25, 2025 at 6:00 PM
Merry Christmas to those who celebrate.
The 12 Days of Christmas the SGEM Gave to Me: How to critically interpret the literature. thesgem.com/2024/12/sgem... @casinoshiftmd.bsky.social @kaymd.bsky.social @dennisrenmd.bsky.social
December 24, 2025 at 4:47 PM
The 12 Days of Christmas the SGEM Gave to Me: How to critically interpret the literature. thesgem.com/2024/12/sgem... @casinoshiftmd.bsky.social @kaymd.bsky.social @dennisrenmd.bsky.social
www.science.org/doi/10.1126/...
It took over 8 years to get this paper retracted.
It took over 8 years to get this paper retracted.
Retraction
On 9 May 2017, Science Signaling published the Research Article “The amyloid-β oligomer Aβ*56 induces specific alterations in neuronal signaling that lead to tau phosphorylation and aggregation” by F....
www.science.org
December 24, 2025 at 3:46 PM
www.science.org/doi/10.1126/...
It took over 8 years to get this paper retracted.
It took over 8 years to get this paper retracted.
Reposted by Ken Milne MD
I wonder what @markhamillofficial.bsky.social thinks of our episode. What would a #Joker effect be?
The Batman Effect - Encouraging Prosocial Behaviour.
thesgem.com/2025/12/sgem... @dennisrenmd.bsky.social #MedSky
thesgem.com/2025/12/sgem... @dennisrenmd.bsky.social #MedSky
December 24, 2025 at 11:33 AM
I wonder what @markhamillofficial.bsky.social thinks of our episode. What would a #Joker effect be?
Reposted by Ken Milne MD
"Key Result: Passengers were roughly three times more likely to give up their seat for a pregnant-appearing woman when Batman was present on the train compared with when he was not."
The Batman Effect - Encouraging Prosocial Behaviour.
thesgem.com/2025/12/sgem... @dennisrenmd.bsky.social #MedSky
thesgem.com/2025/12/sgem... @dennisrenmd.bsky.social #MedSky
December 24, 2025 at 12:14 PM
"Key Result: Passengers were roughly three times more likely to give up their seat for a pregnant-appearing woman when Batman was present on the train compared with when he was not."