The beguiling suggestion viral testing will reduce antibiotic use (or other investigations) doesn't quite pan out as expected โ positive testing does, indeed, diminish prescribing, but negative testing increases.
#FOAMed
https://t.co/4891QnKS0Y
There's absolutely a role for well-made educational games โ
โ 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
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
What is the diagnostic frequency of those "killer" outcomes for patients presenting with chest pain?
Some you'll see every couple shifts โ some you might see once or never across an entire career.
#FOAMed
https://t.co/fA5O8ZVHGm
If you're waiting for the frontier models to navigate your EHR and complete physician-level tasks โ don't hold your breath.
But, that dawn is just over the horizon.
#FOAMed
https://t.co/YM9LxyPbNS
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
@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.
@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.
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
If you're prescribing Paxlovid to prevent serious complications, the population in whom that might be a valid consideration is shrinking rapidly.
If you're chasing theoretical advantages to viral load and symptom resolution, well, good luck.
#FOAMed
https://t.co/v69YM9qhC0
Tired: amoxicillin-clavulanic acid for acute sinusitis
Wired: no antibiotics
Baby steps: amoxicillin
Amazing how we can spend our whole lives talking about antibiotic stewardship and see little, if any, progress ....
#FOAMed
https://t.co/bMtc3CT4qM
@elipwilber@DrToddLee@JAMA_current These stewardship tools aren't useful at the point of empiric therapy โ they're still just part of the potential de-escalation toolkit.
Everyone gets blasted if there's sufficient resistance around.
@JSchuurMD The supply pipeline failures still haven't fully manifested โ and jet fuel vs. petrol vs. diesel are their own separate ecosystems.
We're still finishing off the fumes of the last bits of crude in SE Asia before the refined product really dries up.