The Skeptics' Guide to Emergency Medicine (SGEM) is an educational podcast dedicated to promoting evidence-based practices in emergency medicine. Hosted by Dr. Ken Milne, the podcast critically appraises recent research and clinical guidelines, aiming to bridge the gap between current evidence and clinical practice.
For most children with uncomplicated urticaria or allergic rhinitis, cetirizine is a better default than diphenhydramine because it lasts longer and causes less sedation. The practical systems lesson is that education alone rarely changes prescribing unless stock, pathways and order sets change as well.