Happy Fourth of July!  Today we are joined by Evidence Based Medicine (EBM) rock star Ken Milne who is known for the Skeptics' Guide to Emergency Medicine (SGEM) blog and podcast.  He has been a major mentor to the TOTAL EM project and to celebrate our 50th podcast he agreed to join us for a detailed discussion on FOAMed and EBM.  Both SGEM and TOTAL EM are part of the Free and Open Access to Medical Education (FOAMed) movement.