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The Skeptics Guide to Emergency Medicine
Meet 'em, greet 'em, treat 'em and street 'em
For agents: The Skeptics' Guide to Emergency Medicine: a podcast and blog on evidence-based emergency medicine for clinicians, with episode archives by topic.
emergency-medicinemedical-podcastevidence-based-medicineclinical-educationsgem
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# The Skeptics Guide to Emergency Medicine
Meet 'em, greet 'em, treat 'em and street 'em
## Sitemaps
- [XML Sitemap](https://thesgem.com/sitemap.xml): Contains all public & indexable URLs for this website.
## Posts
- [SGEM#524: High, High HOPE for Recovery – Alteplase between 4.5 and 24 hours](https://thesgem.com/2026/10/sgem524-high-high-hope-for-recovery-alteplase-between-4-5-and-24-hours/) - Date: October 6, 2026 Guest Skeptic: Dr. Ryan Stanton, creator of the EM podcast Front Line and the new President of the American College of Emergency Physicians (ACEP). Reference: Zhou et al. HOPE investigators. Alteplase for Acute Ischemic Stroke at 4.5 to 24 Hours: The HOPE Randomized Clinical Trial. JAMA. 2025 Case: Mr. Wei Zhang
- [SGEM Paper in a Pic #523](https://thesgem.com/2026/10/sgem-paper-in-a-pic-523/)
- [SGEM Memes #523](https://thesgem.com/2026/10/sgem-memes-523/)
- [SGEM#523: Everything Grows and Grows…Until it Doesn’t. Clinical Practice Guidelines for Faltering Weight](https://thesgem.com/2026/10/sgem523-everything-grows-and-growsuntil-it-doesnt-clinical-practice-guidelines-for-faltering-weight/) - Reference: Kersten HB, et al; American Academy of Pediatrics and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Clinical Practice Guideline for Diagnosis and Management of Faltering Weight. Pediatrics. 2026. Date: September 15, 2026 Guest Skeptic: Dr. Salina Khushal is a Pediatric Gastroenterologist at the Pediatric Specialists of Virginia. She completed her fellowship at
- [SGEM Paper in a Pic #522](https://thesgem.com/2026/10/sgem-paper-in-a-pic-522/)
- [SGEM Poll #522](https://thesgem.com/2026/10/sgem-poll-522/)
- [SGEM#522: Va-so-Pressors – Can You Run Them Peripherally?](https://thesgem.com/2026/10/sgem522-va-so-pressures-can-you-run-them-peripherally/) - Date: September 30, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary intensivist and is the medical student clerkship director for critical care. Reference: ZhangJian et al.
- [SGEM Poll #521](https://thesgem.com/2026/09/sgem-poll-521/)
- [SGEM Xtra: If I Could Turn Back Time - 14 Seasons of Skepticism, Kindness & Evidence-Based EM](https://thesgem.com/2026/09/sgem-xtra-if-i-could-turn-back-time-14-seasons-of-skepticism-kindness-evidence-based-em/) - Date: September 4, 2026 This is an SGEM Xtra looking in the rearview mirror at 14 years of The SGEM and looking forward to Season#15. Season 15 is traditionally the crystal anniversary. Crystal is transparent; it can help us see things more clearly, and it can also shatter if you drop it. So, basically, a
- [SGEM Paper in a Pic #521](https://thesgem.com/2026/09/sgem-paper-in-a-pic-521/)
- [SGEM Memes #521](https://thesgem.com/202
…
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