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]

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

[Ryan Radecki, MD MS @emlitofnote]

Don’t follow/subscribe to convicted sexual predators.

[Brooks Walsh @BrooksWalsh]

I'll be darned.

*That* David Newman is back, and writing about medicine.

"Fallen from grace" indeed.

[Ryan Radecki, MD MS @emlitofnote]

@DrToddLee … thanks for doing it!

[Ryan Radecki, MD MS @emlitofnote]

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

[Ryan Radecki, MD MS @emlitofnote]

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

[Ryan Radecki, MD MS @emlitofnote]

@elipwilber @DrToddLee @JAMA_current These stewardship tools aren't useful at the point of empiric therapy – they're still just part of the potential de-escalation toolkit.

Everyone gets blasted if there's sufficient resistance around.

[Ryan Radecki, MD MS @emlitofnote]

@JSchuurMD The supply pipeline failures still haven't fully manifested – 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.