SGEM#473: Did You Ever Have To Make Up Your Mind – Midazolam or Ketamine for Acute Agitation in the Pre-Hospital Setting
Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025 Date: April 24, 2025 Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chicago…
SGEM#473: Did You Ever Have To Make Up Your Mind – Midazolam or Ketamine for Acute Agitation in the Pre-Hospital Setting
Reference: Muldowney et al. A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting. Ann Emerg Med. 2025
Date: April 24, 2025
Guest Skeptic: Dr. Howie Mell received his Medical Doctorate (MD) from the University of Illinois at Chica…
ACEP Frontline Public Edition - So What: The Tylenol Takedown with Dr. Howie Mell
In this episode, we breakdown the research and evidence used for the HHS and Administrative announcement that Tylenol "may" cause autism. We dive into what it really means and where all the major medical associations sit with regard to the announcement. We also have a reveal at the end of a new add…
So What, Frontline Edition - Ketamine vs Etomidate NEJM with Dr. Howie Mell
In this episode, we breakdown the new article and research looking at ketamine and etomidate for intubation. Dr. Mell breaks down the article and what it really means for emergency medicine and airway management. We have this article..."So What" with Dr. Howie Mell
So What: Are C-Collars on the Path of the Dinosaurs - Part 1 of 2
In this episode, Dr. Howie Mell sits down with Dr. Ken Milne about recent data and evidence on the use of cervical collars and cervical motion restriction. The question the work to answer is whether it's time for the C-collar to follow backboards and dinosaurs into the relative history of medicine.
So What: Are C-Collars on the Path of the Dinosaurs - Part 2 of 2
Part two of two. In this episode, Dr. Howie Mell sits down with Dr. Ken Milne about recent data and evidence on the use of cervical collars and cervical motion restriction. The question the work to answer is whether it's time for the C-collar to follow backboards and dinosaurs into the relative his…
When the Ovaries Retire: Menopause in the ED
Menopause is not just “hot flashes”—it is a systemic hormonal shift that affects almost every organ system. For the emergency clinician, recognizing the symptoms of perimenopause and menopause is crucial for expanding the differential diagnosis once life-threatening conditions are ruled out. Dr. Pa…
So What: Snakebites with Spencer Greene
What do you do when a patient arrives with a venomous snakebite? Which bites are truly dangerous, when should antivenom be used, and what are the biggest myths that continue to circulate about snakebite management? On this episode of So What?, host Dr. Howie Mell sits down with one of the nation's …
The Evolving Landscape and Practice of Emergency Medicine, with Dr. Howie Mell
In this episode, Dr. Nisha Mehta is joined by Dr. Howie Mell, an emergency medicine physician with decades of experience in emergency services, to reflect on how emergency medicine—and healthcare more broadly—has changed throughout his career.
They discuss:
What people often get wrong about the…
Stop calling it burnout: COVID denial and the wounds ER doctors carry
An emergency physician bought a new iPad and found 53 phone numbers he had forgotten were there. Each one was a family he put on a video call to say goodbye before he intubated their loved one. Howie Mell is an emergency physician with a master's degree in public health. This episode is based on hi…
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