We've pretty much run out of runway for any role for SABA monotherapy in asthma. #FOAMed.

It’s a short, quick leap for ChatGPT and other LLMs to switch from providing reliable health information to providing toxic health disinformation. #FOAMed.

An agentic structure from Microsoft improves performance over the general LLMs – but it doesn't show us much about its practical use in real-world medicine. #FOAMed.

Even though this study "didn't show" significant excess atherosclerosis in folks with high exercise-induced troponin levels, I'm still on the "any troponin is bad troponin" train. #FOAMed .

There's nothing more fun than executing a multi-database search strategy, followed by manual review, amirite?. You couldn't pay me to do it – sounds like a perfect job for an agent. #FOAMed.

Training a model on biased data . will give you a biased model. More important a consideration than ever as transparency in models becomes less robust. #FOAMed.

Getting closer to having full gender equality for speakers at emergency medicine conferences, but more work to be done. #FOAMed.

RT @AnnalsofEM: 🎧 The June 2025 Annals of EM podcast just dropped!. Rory & Ryan break down key articles and big EM topics. 🔥 Don’t miss it!….

A whole gram of esomeprazole – didn't do much for sepsis. #FOAMed.

How many decades will it take for "normal" saline to stop being the default IV fluid choice?. There's basically no remaining reason to reach for it – "only a tiny difference" turns into a large absolute harm across the entire health system. #FOAMed.

When you're already doing a great job clinically identifying the sickest kids, a new alert doesn't help. Of course, they also won't get rid of it after proving it's useless. Ha ha! Silly you. #FOAMed.

Simply sending someone a letter, electronically, should not be confused with a “nudge” or “clinical decision-support” – and it doesn’t change physician behavior. #FOAMed.

Yet again – in a non-clinical surrogate setting – clinicians aided by AI outperformed clinicians using conventional resources. But AI, by itself, led the way. #FOAMed.

It's that Apple study – where, if you ever want to feel smarter than a chatbot, you can just restack some blocks to a point of *just* enough complexity the LRM can no longer determine the accuracy of its steps from patterns in its training set. #FOAMed.

Something like 36% of PubMed involves "forbidden" terms covered by new U.S. government censorship processes –. Not nearly that many publications will actually be impacted, but still not great, Bob. #FOAMed.

Nirsevimab cuts the scourge of RSV in half. No, it's not cheap – but it really works. #FOAMed.

Most children come to the hospital because their parents are concerned – but "concerned they're getting worse" is another independent risk-factor worth appreciating. #FOAMed.

Head AIS codes of 2 and greater are Not Things You Want To Have. Learn this one weird trick to prevent it. #medsky.

Whether it's an unexpected effect of vasopressin or just artificially higher MAPs, there only seems to be harm to targeting 80-85mmHg in septic shock. #FOAMed.