Ryan Radecki MD MS

Some good news for emergency departments. Our study shows safe use of high-sensitivity point-of-care troponin to reduce lengths of stay for patients being assessed for possible myocardial infarction. #EMSky #MedSky #CardioSky www.ahajournals.org/doi/10.1161/...

Relying upon LLMs to suggest courses of diagnostic evaluation might cost more than a physician – but these data overstate the claim. It is, however, a legitimate outstanding question to address the safety/completeness inflection point. #medsky #MLsky www.evidencetriage.com/p/can-llms-t...

Better informed patients, better consultations, better outcomes. A good direction of travel, if neither earth-shaking nor ground-breaking. #medsky #MLsky www.evidencetriage.com/p/adding-llm...

Relying upon LLMs to suggest courses of diagnostic evaluation might cost more than a physician – but these data overstate the claim. It is, however, a legitimate outstanding question to address the safety/completeness inflection point. #medsky #MLsky www.evidencetriage.com/p/can-llms-t...

Bubbly hyperbole is a lot more fun the dismal realities of revenue, EBITDA, and returning value to shareholders – but we ought not forget the bill will come due, and that might affect the tools in development and freely/easily accessible at present. #medsky #MLsky jamanetwork.com/journals/jam...

No joke. I think this is the most important video I have ever seen about mobile games. This guy breaks down how this game psychologically profiles you, and makes the game harder or easier in order to show you ads

it would be cool if there was some way to know medications were -safe -effective -contained what they say -arent contaminated

🎙️ The September Annals of Emergency Medicine Podcast is here! Join Drs. Rory Spiegel and Ryan Radecki as they discuss research in emergency medicine and share their perspectives on the latest literature. 🎧 Listen now: player.captivate.fm/episode/041b...

My spoon is too big! A core memory from childhood, remastered. H/T @stinaleicht.bsky.social for sharing its existence. www.youtube.com/watch?v=UU_m...

Top ten most foreboding sentence I've ever read.

Pulling back the veil on Epic again – imagine needing to activate their sepsis alert tools to get Gold Stars or join the Honor Roll. 🤮 #medsky #MLsky www.evidencetriage.com/p/leave-the-...

A 5-year-old male presents to the emergency department with inability to move his arms/legs and difficulty breathing.  Family reports they found him ingesting these fireworks (see image). What lab do you expect to be abnormal and why? ☠️☠️☠️☠️☠️

The wait is almost over! Come see Rory and Ryan recap the year in Annals of Emergency Medicine at 3:30 in McCormick W183A! #ACEP26

Terry Tao @teorth.bsky.social: Indiscriminate brute-force application of AI to mathematics is depleting the field of good questions without renewing this resource or providing commensurate value. OpenAI: We hear you. Here's a .zip file with 377 hasty AI solutions to important open problems.

Tomorrow (Tuesday)! At the podcast recording booth at #ACEP26 – we'll be there 10-11am, so come by say "hello" afterwards!

You know you’re back in America when you’re riding sad and frail rail public transit. 😜 #ACEP26

Talking at #ACEP2026 @acepnation.bsky.social this week about applying Space Engineering concepts to EM! Come hear a robust follow up to Dr. Menon's keynote! Wed afternoon!

So why do we do triage at most MCIs? It isn't to save lives. It isn't because your system is "overwhelmed." So initial teaching/assumptions throws everything else off. #ACEP26 @www.evidencetriage.com

Come hear me speak at #ACEP26 on Tuesday morning. It will be Dr. Ken Milne and the Terrible, Horrible, No Good, Very Bad Shift. Inspired by this book. @acepnation.bsky.social #MedSky

The number of cases of cervical cancer reported in Scotland among women given the HPV vaccine at 12-13 years of age is now zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. Zero. www.bbc.com/news/article...

Who else is heading to Chicago next week for @acepnation.bsky.social and the Chicago Marathon?

New Zealand knows how to #kidney.

I was wrong. It’s happening

Perhaps not "snake oil", but a combination of "anxiety oil" and "false reassurance oil", with a dollop of unnecessary invasive procedures. #medsky www.evidencetriage.com/p/here-comes...

Fewer than three weeks to go until the Chicago Marathon – if the fight against ALS is personal for you, please consider donating to ALS United Chicago's research fund: secure.alsunitedchicago.org/site/TR/Endu...

Mildly entertaining study re: AI CT queuing – – if you're the clinician who frequently orders low-yield/low clinical likelihood scans, I wonder if you'd notice the increases in your ED LOS, whilst the most effective clinicians would have deceased ED LOS .... pubs.rsna.org/doi/10.1148/...

Make a band edible: Jack White Castle

Imagine if we had wind in Aotearoa New Zealand. *stares at the camera*

In Australia, we get 3 hours of free electricity every day because of our solar

It's your chance to see the @annalsofem.bsky.social podcast team live! in person! And catch up on the last year of the top content from your @acepnation.bsky.social flagship journal. See you in Chicago!

And we're at the "Biff Bucks" point of the timeline. 😑

Sending low/intermediate-risk folks to CT coronary angiograms following an ED visit didn't do much for their CVD outcomes, but fewer people were dead within 3 years ... 🤔 #medsky www.evidencetriage.com/p/keep-ct-co...

These 0/1-hour troponin algorithms are probably safe, but can we please stop trying to conflate the "ACS" question answered by the test with "30 day outcomes"? #medsky www.evidencetriage.com/p/are-tropon...

This is absolutely insane. Don't pay for-profit publishers APCs. Don't let your collaborators do it either. Post preprints of your work, post your work on pubmed central, but for fucks sake stop sending hard-earned grant dollars to these publishing conglomerates

“When mayors in other cities ask me how #Copenhagen afforded to invest in its cycling networks, I ask them how on earth they have been able to afford highway projects. We invested in bike lanes because that was the cheapest option.” What the world can learn from Copenhagen’s cycling revolution.

Which AI drafts require the most revision? Which take the most time in revision? And which occur with greatest frequency? All these answers and more ... #medsky #MLsky www.evidencetriage.com/p/which-ai-d...

No cheating. Share the last photo of the sky in your camera roll

A very interesting peek at a prospective evaluation of robust, integrated AI decision-support – and how the initial engagement rapidly evaporated from 70+% to lower than 25% within the first few weeks of deployment! #medsky #MLsky www.evidencetriage.com/p/when-cutti...

In just under two months, I'll be running the Chicago Marathon for the ALS United charity! There are many worthy charities, and if you have the capacity to give, let this serve as a nudge to do so – and consider the fight against ALS as an option: secure.alsunitedchicago.org/site/TR/Endu...

en esta economía??????

His final tweet. RIP.

Supposedly the new pulmonary embolism risk-stratification was dreamt up over drinks (née "expert consensus"), so, luckily, the categories probably do bin people into categories of increased risk. More prospective validation necessary, of course. #medsky www.medrxiv.org/content/10.6...

Patients presenting with syncope sometimes have serious short-term outcomes! These data indicate selected patients might benefit from short-term observation to reduce missed opportunities for diagnosis and intervention, but that number remains small. #medsky www.evidencetriage.com/p/the-benefi...

my superpower is instantly forgetting people’s names

HT: bsky.app/profile/npor...