Kudos to this study team using LLMs to write ED handoffs. Gen AI notes scored better on automated measures, but a bit lower on physician review. Zero critical safety issues, but a few issues with logic/completeness. Smart new framework for safety eval. #EMedSky
jamanetwork.com/journals/jam...
It’s a a bit of an outdated term, but it is a proper medical term. Whether it’s accurate here is a separate issue. Here’s DeBakey writing about it: pubmed.ncbi.nlm.nih.gov/7147190/
A regimen of inhaled insulin plus basal insulin showed similar HbA1c outcomes compared to usual care for type 1 diabetes patients.
by Hirsch IB, Beck RW (...) Calhoun P et 37 al. in Diabetes Care #MedSky
📖 read the article:
You’re never too busy to show kindness to a child.
When this preschooler showed up for a race (on his pedal-less strider bike) at the local BMX park, his family discovered that he was the only one in his age group to attend.
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One of my favorite case reports. Includes 3D reconstruction CT images of a bag of gummy bears 😂
pmc.ncbi.nlm.nih.gov/articles/PMC...
Interesting result…
>Importantly, despite mortality benefit for the entire patient population studied, the authors found no effect of the intervention on mortality for patients with an alert, raising the possibility that the intervention was exerting broader effects on care patterns
Hope to be there if life permits!
It’s like a Platonic solid just with less albumin usually.
Does Andexanet Alpha Improve Outcomes Compared With Four-Factor Prothrombin Complex Concentrate for Reversal of Direct Oral Anticoagulants? www.annemergmed.com/article/S019... #education #MedSky #MedTwitter #EMSky #EMedSky #BlueSky
I’ve used it sporadically over the years. It seems to work a solid “meh.” It does a bit but isn’t saving the day. Honestly once I learned that you can give up to 80-100mg of IV maxuran, Ive almost never had to use anything other than maxuran and NSAIDs for about 10 years now.
Between 1997 and 2022, splash pads across the country were linked to at least 60 outbreaks, with the largest sickening over 2,000 water frolickers in one go.
Antipsychotics are used to treat *agitation* in dementia when non-pharmacological attempts don’t work and there are concerns the patient may hurt themselves or someone else. This is standard practice supported by both Canadian and international guidelines. Ex: ccsmh.ca/wp-content/u...
There’s nothing about daily fines, or restricting students from moving out of province. The bill is here: m.assnat.qc.ca/Media/Proces...
The actual text of this tabled bill is extremely different than what is suggested in this article. It basically establishes fines for MDs who bill for publicly covered services within the first 5y of practice, and allows the government to create a RoS agreement with students.
Happy Friday!
Just going to leave this here and hopefully put a smile on one or two faces 😀
Our hospital greeter
#dogtherapy #MedSky
A liberal transfusion strategy in acute brain injury patients leads to better neurological outcomes than a restrictive approach.
by Taccone FS, Rynkowski Bittencourt C (...) Vincent JL et 25 al. in JAMA
📖 read the article:
Improves cognitive performance too, right??? #medsky
Hot off the Press: Enhancing Emergency Department Triage Equity With Artificial Intelligence: Outcomes From a Multisite Implementation www.annemergmed.com/article/S019... #education #MedSky #EMSky #EMedSky #BlueSky
#news "The model exhibited clinically meaningful performance, notably its high negative predictive accuracy"
"Clinical use of comparable #AI in first-line, quick-response triage of patients with chest pain or dyspnoea appears as a valuable option" #emedsky #medsky
openheart.bmj.com/content/11/2...
NYU gave their staff access to HIPAA-secure ChatGPT last year. It's a pretty great paper looking at real-world usage of GenAI. If you run the numbers, you could arguably give healthcare users access for like $20 a year, which seems kind of mind-blowing to me.
academic.oup.com/jamia/advanc...
Skytorial: can you crack the case?
A middle-aged healthy patient undergoes colonoscopy under propofol sedation.
Colonoscopy is unremarkable.
Post-procedure, the patient doesn't wake up and has rhythmic movements involving the legs as shown here.
Labs are normal.
What might be going on?
📣 New perspective paper: Insights into durability against resistance from the antibiotic nitrofurantoin
We discuss what makes nitrofurantoin robust against resistance evolution, in spite of prolonged and extensive usage against UTIs #MicroSky
Open access/CC-BY-4.0: www.nature.com/articles/s44...
Achieving optical transparency in live animals with absorbing molecules. @science.org #scisky #Medsky #News #Technology
Read more
www.science.org/doi/10.1126/...
Interesting. Definitely had been taught to avoid cephalexin in pyelo. Our lab still comments on urine cultures that it’s not appropriate to use to treat pyelo. #medsky #emedsky
A photograph looking down on a larval insect. You can see a rounded head at the top and the fluffy tapered bottom. Between these are six segments, alternating white and black. There are hairs coming off of the six black segments, but not the shiny white segments between them.
#EntomologyConsult: A patient has a persistent rash. Concerned about insects are the cause, looked through the bedroom and found these. Would these have caused the rash?
Yes I am a pink axolotl deal with it
Sometimes, you just need to bow to the absurd a little bit…
Equally applicable in my line of work! #emedsky
Your baby may be able to sit upright without assistance as early as 6 months, but, like most skills, this is one perfected over time.
This happy little guy is almost there. It’s hard when Dad has more jokes than you have balance and core strength!
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Your energy affects everyone around you. 😄
“Check”
