Ken Milne MD (@thesgem.bsky.social)

@thesgem.bsky.social Oct 10, 2026, 8:06 AM

Controversial vaccine trial touted by RFK Jr gets go-ahead in Guinea-Bissau
www.theguardian.com/society/2026...

@thesgem.bsky.social Oct 9, 2026, 4:22 PM

www.youtube.com/watch?v=MN9o...

@thesgem.bsky.social Oct 9, 2026, 4:15 PM

SGEM522: Can you safely run vasopressors through a peripheral IV?
www.youtube.com/watch?v=MN9o...
#EBM #FOAMed #MedSky

@thesgem.bsky.social Oct 9, 2026, 12:16 PM

Peripheral vasopressors: Paper in a Pic by @KirstyChallen
thesgem.com/2026/10/sgem... #MedSky @kirstychallen.bsky.social

@thesgem.bsky.social Oct 8, 2026, 10:18 PM

Not everyone. Here is the poll from X.

@thesgem.bsky.social Oct 8, 2026, 3:48 PM

Similar results on X
thesgem.com/2026/10/sgem...

@thesgem.bsky.social Oct 8, 2026, 3:38 PM

It looks like everyone who voted is comfortable starting vasopressors through a peripheral IV line.
thesgem.com/2026/10/sgem... #EBM #MedSky

@thesgem.bsky.social Oct 7, 2026, 7:18 PM

@thesgem.bsky.social Oct 6, 2026, 5:30 PM

Copy of my slides #ACEP26
thesgem.com/wp-content/u...

@thesgem.bsky.social Oct 6, 2026, 4:19 PM

Don’t have a CT scanner at this hospital.

@thesgem.bsky.social Oct 6, 2026, 1:54 PM

Last year, Noah Wyle was the guest skeptic on the SGEM.
thesgem.com/2025/05/sgem...

@thesgem.bsky.social Oct 6, 2026, 1:46 PM

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

@thesgem.bsky.social Oct 6, 2026, 4:26 AM

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

@mdaware.org Oct 5, 2026, 9:00 PMReposted by @thesgem.bsky.social

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

@mdaware.org Oct 5, 2026, 9:46 PMReposted by @thesgem.bsky.social

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

@thesgem.bsky.social Oct 5, 2026, 6:18 PM

Clinical Pearls from the Past Year of the EM Literature.
Today at 3:45 #ACEP26
See you soon...
@acepnation.bsky.social

@thesgem.bsky.social Oct 5, 2026, 1:47 PM

Peer review isn’t free. So who pays?
www.researchinformation.info/analysis-opi... #MedSky

@thesgem.bsky.social Oct 4, 2026, 3:54 PM

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

@thesgem.bsky.social Oct 4, 2026, 2:24 PM

We reviewed the IST-3 on the SGEM 13 years ago. thesgem.com/2013/03/sgem...

@thesgem.bsky.social Oct 4, 2026, 2:13 PM

SGEM#522 on running PIV vasopressors is now available.
podcasts.apple.com/ca/podcast/t...