Ryan Radecki, MD MS
@emlitofnote
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FACEP FACEM AFAIDH. Emergency Medicine & Informatics. @AnnalsofEM Podcast & Journal Club. Columnist @ACEPNow. Speaker, writer, dad. @Stanford '00. 🇺🇸 in 🇳🇿
Christchurch City, New Zealand
Joined June 2011
Worried about etomidate and its suppression of cortisol in the critically ill? Worry no longer (in adults, anyway). #FOAMed
https://t.co/dPeNv2veUp
evidencetriage.com
Because rocuronium vs. succinylcholine is settled.
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Rapidly titrating nitroglycerin infusions to "scary" rates is completely justified in acute onset pulmonary edema – and, good news, the half-life is so short it's easy to dial it back if you overshoot. #FOAMed
https://t.co/jgKsyIFGJN
evidencetriage.com
High-dose is better than low-dose. Thank you for your attention to this matter!
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VA Making Changes to Veterans’ Health Records – What To Know https://t.co/jXki5G1N99
@HardeepSinghMD @histalk @emlitofnote @McWilliamsSBMI @CIRCLE_org
newsweek.com
The Department of Veterans Affairs (VA) has been making changes to veterans' health records as part of a move to modernize the system.
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Remember vernakalant? The random little guy from a few network meta-analyses for cardioversion in AF? Well, it may be finally coming to an ED near you. #FOAMed
https://t.co/iibr8n7p0v
evidencetriage.com
"Remember vernakalant", said no one.
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The NOHARM project is another leaderboard focusing on the tangible clinical actions suggested (or omitted) by LLMs – and, again, physicians are regrettably pretty average. #FOAMed
https://t.co/eblxh0i7n2
evidencetriage.com
LLMs, unsafe. Physicians, uhm .. also unsafe.
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The age of the ambient scribe is here. How does version 1.0 stack up? Are they everything they're cracked up to be, or are there problematic icebergs nestled beneath the surface? #FOAMed
https://t.co/xuXkkM0xSk
evidencetriage.com
Scribe vs. Scribe vs. No-Scribe
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When AI scribes fail to match human scribes – is it a failure of the technology to achieve natural parity, or a failure of clinicians to adapt and grow? 🤔 #FOAMed
https://t.co/6QWBi45241
evidencetriage.com
Who will win?
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In @AnnalsofEM – a study looking at the bogeyman of missed stroke in dizziness, of which an undue level of importance has been placed. Luckily, strokes are rarely missed and the resulting disability is usually low. #FOAMed
https://t.co/Ae9qVFV3vJ
evidencetriage.com
Luckily, very little disability results from subtle clinical presentations.
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Part three of three – catching up on a backlog of mildly interesting medical literature from the past month. #FOAMed
https://t.co/HPOv8pM7x9
evidencetriage.com
And, we're back to live!
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The question was posed: can ESR and CRP contribute useful diagnostic information for the evaluation of spinal epidural abscess? My take in ACEPNow! (hint: nope!) #FOAMed
https://t.co/3mh4ou0MKb
acepnow.com
Can ESR & CRP reliably rule out acute infectious spinal pathology? A new study explores using these markers to avoid MRI for spinal epidural abscess.
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I'm digging out of my "knowledge debt" accumulated over the past month of relative inactivity. Better one-liners than nothing. #FOAMed
https://t.co/sMuLl878sv
evidencetriage.com
Digging out of the archives of the past few weeks.
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I have a backlog of something like 30 articles that all deserved a post – the answer is clearly: none of them will get a post, yet, they all will. Here are the first few: #FOAMed
https://t.co/VFk2KzkSMg
evidencetriage.com
I've fallen behind and I can't get up!
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Want to stop the cycle of doomscrolling and promote new work from @AnnalsofEM ? Now recruiting additional Social Media editorial roles: https://t.co/faMD803e8q
acep.org
The Social Media Editor Assistant will support the Social Media Editor in managing and growing the online presence of Annals of Emergency Medicine.
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If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life. "Fellow" positions open for applications for 2026: https://t.co/XG6OBQfZzJ
cdhb.careercentre.net.nz
Emergency Medicine Fellowship Location: Christchurch Hospital, Waipapa Building
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First peripheral vasopressors, now deferred arterial catheterization – critical care is becoming less-invasive every day. #FOAMed
https://t.co/eVMtFtb6bl
evidencetriage.com
"Change my mind."
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It's ANDROMEDA-SHOCK 2, another addition to this season's sequel list. Does the CRT assessment make it better than "usual care", or is the protocol the real star here? How can we unpack it to find out? #FOAMed
https://t.co/D3ivFTc28h
evidencetriage.com
Lactate is easy to measure, but remember it's just a surrogate.
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Don’t let this article make you anxious there’s something you’ll miss by not performing neuroimaging on children with behavioral disturbances. Even in this cohort grossly confounded by indication, truly important findings were rare. #FOAMed
https://t.co/0RcobwVCUg
evidencetriage.com
As high as 1 in 20 – or, it's all in the framing.
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If you fly enough, eventually you'll encounter a medical emergency. Here's the result of over 70,000 in-flight consultations: #FOAMed
https://t.co/Vq43U2OnWo
evidencetriage.com
It's an emergency – in the air!
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"Phoenix Sepsis Criteria" is another well-meaning attempt to objectively define sepsis, but can we predict that future deterioration early in the emergency department? Yet again, probably not. #FOAMed
https://t.co/xufoaxIPol
evidencetriage.com
Academic criteria trying to mutate into clinical application.
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ICYMI, it's ensitrelvir. Targets the same SARS-2-CoV protease as nirmatrelvir, clears viral particles the same way, and has the same (minimal) effect on symptoms. But it's another option, and that's not a bad thing. #FOAMed
https://t.co/v58GoXUxDo
evidencetriage.com
Looks a lot like nirmatrelvir.
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