FACEP FACEM AFAIDH. Emergency Medicine & Informatics. @AnnalsofEM Podcast & Journal Club. Columnist @ACEPNow. Speaker, writer, dad. @Stanford '00. 🇺🇸 in 🇳🇿
Christchurch City, New Zealand
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More niche endovascular treatment trials – salvaging tissue at risk outside the typical indications, but with incrementally added risks for death.
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Better informed patients, better consultations, better outcomes.
A good direction of travel, if neither earth-shaking nor ground-breaking.
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Relying upon LLMs to suggest courses of diagnostic evaluation might cost more than a physician – but these data overstate the claim.
It is, however, a legitimate outstanding question to address the safety/completeness inflection point.
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Bubbly hyperbole is a lot more fun the dismal realities of revenue, EBITDA, and returning value to shareholders – but we ought not forget the bill will come due, and that might affect the tools in development and freely/easily accessible at present.
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Pulling back the veil on Epic again – imagine needing to activate their sepsis alert tools to get Gold Stars or join the Honor Roll. 🤮
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The wait is almost over!
Come see @TheEMNerd and Ryan recap the year in Annals of Emergency Medicine at 3:30 in McCormick W183A! #ACEP26
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Tomorrow (Tuesday)! At the podcast recording booth at #ACEP26 – we'll be there 10-11am, so come by say "hello" afterwards!
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Perhaps not "snake oil", but a combination of "anxiety oil" and "false reassurance oil", with a dollop of unnecessary invasive procedures.
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Ryan Radecki, MD MS retweeted
Heading to ACEP26? So are we! 🎉
Come hang out with the Annals of Emergency Medicine team for editor meet-and-greets, creative writing, and Celebration ’26. Save the dates and come say hi! 👋
#ACEP26 #ACEP #EmergencyMedicine #EM
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Fewer than three weeks to go until the Chicago Marathon – if the fight against ALS is personal for you, please consider donating to ALS United Chicago's research fund:
secure.alsunitedchicago.org/…
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It's your chance to see the @AnnalsofEM podcast team live! in person! And catch up on the last year of the top content from your @ACEPNation flagship journal.
See you in Chicago!
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Sending low/intermediate-risk folks to CT coronary angiograms following an ED visit didn't do much for their CVD outcomes, but fewer people were dead within 3 years ... 🤔
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These 0/1-hour troponin algorithms are probably safe, but can we please stop trying to conflate the "ACS" question answered by the test with "30 day outcomes"?
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Which AI drafts require the most revision? Which take the most time in revision? And which occur with greatest frequency?
All these answers and more ...
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Ryan Radecki, MD MS retweeted
Advertising Takes a Mother's Love for Her Child and Uses it to Sell Bleach (2015), installed on the tube by @SpecialPatrols a few years ago.
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A very interesting peek at a prospective evaluation of robust, integrated AI decision-support – and how the initial engagement rapidly evaporated from 70+% to lower than 25% within the first few weeks of deployment!
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In just under two months, I'll be running the Chicago Marathon for the ALS United charity!
There are many worthy charities, and if you have the capacity to give, let this serve as a nudge to do so – and consider the fight against ALS as an option:
secure.alsunitedchicago.org/…
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Supposedly the new pulmonary embolism risk-stratification was dreamt up over drinks (née "expert consensus"), so, luckily, the categories probably do bin people into categories of increased risk.
More prospective validation necessary, of course.
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Patients presenting with syncope sometimes have serious short-term outcomes!
These data indicate selected patients might benefit from observation to reduce missed opportunities for diagnosis and intervention, but that number remains small.
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