Ryan Radecki, MD MS

FACEP FACEM AFAIDH. Emergency Medicine & Informatics. @AnnalsofEM Podcast & Journal Club. Columnist @ACEPNow. Speaker, writer, dad. @Stanford '00. 🇺🇸 in 🇳🇿

[Ryan Radecki, MD MS @emlitofnote]

@adamcifu @jachiam0 Sounds like you're blaming the data for the actions, rather than the clinicians? 🙃

[Ryan Radecki, MD MS @emlitofnote]

In case you missed it – this week's AI preview of our glorious clinician-replacement medical future. This week it's called "MIRA".
#FOAMed
https://t.co/cbywCyjrit

[Ryan Radecki, MD MS @emlitofnote]

An imminent question in the Southern Hemisphere, but not far off for the North – do we still keep giving oseltamivir to our critically unwell patients?

How about the general hospital population?
https://t.co/hEV4JyTqns

[Ryan Radecki, MD MS @emlitofnote]

@MrWBond When bicarbonate is indicated, bicarbonate is indicated.

As a routine push in cardiac arrest – well, that's the question we still can't conclusively answer!

[Ryan Radecki, MD MS @emlitofnote]

Do you like using bicarbonate in cardiac arrest? Couldn't hurt!

Do you hate using bicarbonate in cardiac arrest? Waste of time!

You're both right; never change.
#FOAMed
https://t.co/yi9t1x5Pt4

[Ryan Radecki, MD MS @emlitofnote]

How precarious is the valuation of OpenEvidence – when anyone can get better performance out of a general-purpose LLM, or even the much-maligned generative search result in Google?
#FOAMed
https://t.co/IOqZddhxDB

[Ryan Radecki, MD MS @emlitofnote]

The beguiling suggestion viral testing will reduce antibiotic use (or other investigations) doesn't quite pan out as expected – positive testing does, indeed, diminish prescribing, but negative testing increases.
#FOAMed
https://t.co/4891QnKS0Y

[Ryan Radecki, MD MS @emlitofnote]

@PulmCrit So - only count in “clout” indexes the number of publications where you’re first author or where there are fewer than X coauthors?

[Ryan Radecki, MD MS @emlitofnote]

There's absolutely a role for well-made educational games –

– the case is better made for them when the intervention is compared to an active control, however, rather than intellectual famine.
#FOAMed
https://t.co/8zcOwpHqR8

[Ryan Radecki, MD MS @emlitofnote]

Will this be the study that finally puts a dent in outpatient prescribing of azithromycin?

Oh, of course not.

But, still, a nice example of "clearing bacteria" doesn't change the course of the acute illness.
#FOAMed
https://t.co/jHCmRYiZwI

[Ryan Radecki, MD MS @emlitofnote]

What is the diagnostic frequency of those "killer" outcomes for patients presenting with chest pain?

Some you'll see every couple shifts – some you might see once or never across an entire career.
#FOAMed
https://t.co/fA5O8ZVHGm

[Ryan Radecki, MD MS @emlitofnote]

If you're waiting for the frontier models to navigate your EHR and complete physician-level tasks – don't hold your breath.

But, that dawn is just over the horizon.
#FOAMed
https://t.co/YM9LxyPbNS

[Ryan Radecki, MD MS @emlitofnote]

Yes, a Google symptom checker embedded into the FitBit platform generated some valid differential diagnoses.

Beyond that, the data is messy enough as to limit many conclusions.
#FOAMed
https://t.co/n4Ppu5EUkz

[Ryan Radecki, MD MS @emlitofnote]

Ivermectin

Is for scabies

https://t.co/4xVlVkiHpW

[Ryan Radecki, MD MS @emlitofnote]

@TheSGEM @DrNeilStone @DrNice2026 Best RCT ever.

[Ryan Radecki, MD MS @emlitofnote]

@clairevo @stripe @ow ... but the next frontier is really: "we build this tool in pretendworld, now how do we integrate it with our existing digital infrastructure?"

That's the next point of production friction.

[Ryan Radecki, MD MS @emlitofnote]

@clairevo @stripe @ow I've only seen https://t.co/0lDSYAVUsn

We had plenty of non-techies playing with it to ... some success ... in a limited project space as a test.

I do agree the future is additional wrappers around the coding tools.

[Ryan Radecki, MD MS @emlitofnote]

@clairevo @Anthropologie @AnthropicAI @claudeai @ChatGPTapp @midjourney @OpenAI TBF, if there was a company store that made "spinner words" hats, I wouldn't be sad.

[Ryan Radecki, MD MS @emlitofnote]

@DrToddLee @ABsteward

[Ryan Radecki, MD MS @emlitofnote]

The media hype has decreed: emergency medicine is a dead specialty, and your Friendly Neighborhood LLM is ready to replace you.

Just another challenger bringing the disrespect to our specialty ....
#FOAMed
https://t.co/wOAixEVCBb