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Ryan Radecki MD MS

@www.evidencetriage.com
2.8K followers 214 following 2.1K posts

FACEP FACEM ABPM-CI. HealthNZ AI & Christchurch EM. Annals of EM Podcast & Journal Club. Columnist ACEPNow. Speaker, writer, dad. Stanford '00. evidencetriage.com 🇺🇸 in 🇳🇿

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Reposted by Ryan Radecki MD MS
Ciaran Martin @ciaranm.bsky.social · 29/09/2026
I was wrong. It’s happening
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Ryan Radecki MD MS @www.evidencetriage.com · 25/09/2026
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...
evidencetriage.com
Here Comes the Multi-Cancer Panel
The blood equivalent of full-body MRI.
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Ryan Radecki MD MS @www.evidencetriage.com · 22/09/2026
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...
secure.alsunitedchicago.org
2026 Team ALS - Bank of America Chicago Marathon: Dr. Ryan Radecki - ALS United Greater Chicago
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Ryan Radecki MD MS @www.evidencetriage.com · 16/09/2026
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/...
pubs.rsna.org
Simulation of AI-driven CT Queue Prioritization in the Emergency Department | Radiology: Artificial Intelligence
In discrete-event simulations, artificial intelligence–driven emergency department CT queue prioritization (reordering by predicted probability of clinically actionable radiologic findings) reduced...
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Ryan Radecki MD MS @www.evidencetriage.com · 12/09/2026
Make a band edible: Jack White Castle
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Reposted by Ryan Radecki MD MS
KM @sudox.bsky.social · 09/09/2026
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Reposted by Ryan Radecki MD MS
Dr Sarah Hendrica Bickerton 🏳️‍🌈 @sarahhbickerton.bsky.social · 07/09/2026
Imagine if we had wind in Aotearoa New Zealand. *stares at the camera*
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Reposted by Ryan Radecki MD MS
🇭🇲🐬🦘 @shatterwood.bsky.social · 07/09/2026
In Australia, we get 3 hours of free electricity every day because of our solar
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Ryan Radecki MD MS @www.evidencetriage.com · 07/09/2026
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!
Come see Rory and Ryan at Annals of Emergency Medicine next month at ACEP!  October 7th 3:30-4:20pm.
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Ryan Radecki MD MS @www.evidencetriage.com · 03/09/2026
And we're at the "Biff Bucks" point of the timeline. 😑
the trump $1 coin
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Ryan Radecki MD MS @www.evidencetriage.com · 03/09/2026
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...
evidencetriage.com
Keep CT Coronary Angiography Out of the Emergency Department
Still just a sales pitch without the outcomes to support.
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Ryan Radecki MD MS @www.evidencetriage.com · 01/09/2026
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...
evidencetriage.com
Are Troponin Trials Asking The Right Question?
Why are we measuring 30-day outcomes with such interest?
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Reposted by Ryan Radecki MD MS
samuel mehr @mehr.nz · 01/09/2026
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
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Reposted by Ryan Radecki MD MS
Brent Toderian @brenttoderian.bsky.social · 01/09/2026
“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.
theprogressplaybook.com
Copenhagen Cycling Revolution: Lessons for Cities
Close to two-thirds of the city’s residents commute by bike to school or work every day.
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Ryan Radecki MD MS @www.evidencetriage.com · 30/08/2026
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...
evidencetriage.com
Which AI Drafts Ruin Our Inbox Time
The culprits behind AI causing as much burden as relief.
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Ryan Radecki MD MS @www.evidencetriage.com · 28/08/2026
static.klipy.com
Star Trek IV: The Voyage Home - Whales Scene
ALT: Star Trek IV: The Voyage Home - Whales Scene
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Reposted by Ryan Radecki MD MS
Karandeep(Singh) @kdpsingh.bsky.social · 28/08/2026
When physicians start relying on AI-drafted content, how does a health system monitor that human-in-the-loop AI and fix what's broken? Our new @ai.nejm.org study from our team at @jchi-ucsd.bsky.social led by Dr. Lily Poursoltan found hundreds of physicians-hours spent editing AI content.
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Ryan Radecki MD MS @www.evidencetriage.com · 24/08/2026
No cheating. Share the last photo of the sky in your camera roll
A lenticular cloud at sunrise over lake wānaka
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Ryan Radecki MD MS @www.evidencetriage.com · 21/08/2026
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...
evidencetriage.com
When Cutting-Edge AI Decision-Support Fails
Clinical workflow acceptability beats clinical utility every day.
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Ryan Radecki MD MS @www.evidencetriage.com · 21/08/2026
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...
secure.alsunitedchicago.org
2026 Team ALS - Bank of America Chicago Marathon: Dr. Ryan Radecki - ALS United Greater Chicago
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Reposted by Ryan Radecki MD MS
oh no @ili.bsky.social · 19/08/2026
en esta economía??????
nyt cooking melissa clark seis leches cake january 21, 2020
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Ryan Radecki MD MS @www.evidencetriage.com · 17/08/2026
His final tweet. RIP.
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Ryan Radecki MD MS @www.evidencetriage.com · 14/08/2026
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...
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Ryan Radecki MD MS @www.evidencetriage.com · 13/08/2026
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...
evidencetriage.com
The "Benefit" To Admitting Syncope
Just about none! But not none!
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Ryan Radecki MD MS @www.evidencetriage.com · 13/08/2026
weather information graphic showing a "heat dome" over Texas, surrounded by a "ring of fire"
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Ryan Radecki MD MS @www.evidencetriage.com · 10/08/2026
my superpower is instantly forgetting people’s names
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Ryan Radecki MD MS @www.evidencetriage.com · 10/08/2026
HT: bsky.app/profile/npor...
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Ryan Radecki MD MS @www.evidencetriage.com · 10/08/2026
Narrator: it did not stay in the box www.rnz.co.nz/news/world/9...
rnz.co.nz
AI assistant hacks gym website in first known Australian autonomous cyber attack
Andrew asked his personal assistant to book him a spot in one of his gym's coveted morning classes.
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Ryan Radecki MD MS @www.evidencetriage.com · 09/08/2026
King of the hill clips: phoenix should not exist
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Ryan Radecki MD MS @www.evidencetriage.com · 06/08/2026
Three(!!!) jobs popping up here in Christchurch now advertised: 12-month Fellow parental cover: cdhb.careercentre.net.nz/Job/Emergenc... 0.5 FTE Permanent SMO position: cdhb.careercentre.net.nz/Job/Emergenc... 12-month fixed-term SMO position: cdhb.careercentre.net.nz/Job/Emergenc...
Christchurch hospital (pre-Tower 3).
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Ryan Radecki MD MS @www.evidencetriage.com · 05/08/2026
In this fascinating pre-print, authors tried to address clinical safety in LLMs by just ... asking nicely for it to apply a cost function penalizing under-triage. And it kind of works! But probably not well enough to rely upon. #medsky #MLsky www.evidencetriage.com/p/llms-can-b...
evidencetriage.com
LLMs Can Be Commanded To Be Less Risky
In their own strange, probabilistic way.
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Ryan Radecki MD MS @www.evidencetriage.com · 04/08/2026
It is not "the PERC rule". That is all.
static.klipy.com
I Have Spoken The Mandalorian
ALT: I Have Spoken The Mandalorian
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Ryan Radecki MD MS @www.evidencetriage.com · 04/08/2026
Can I interest you in an other Epic/ML/RRT fantasy of "hundreds of lives saved" by an alert? #medsky #MLsky www.evidencetriage.com/p/ai-guided-...
evidencetriage.com
AI-Guided Rapid Response "Reduces Mortality"
But what do these interventions actually *do*?
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Ryan Radecki MD MS @www.evidencetriage.com · 03/08/2026
Remember these Texas Medical Center dashboards where they documented how many extra ICUs they opened?
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Ryan Radecki MD MS @www.evidencetriage.com · 31/07/2026
Which peptide fixes your back Asking for a friend
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Ryan Radecki MD MS @www.evidencetriage.com · 25/07/2026
New addition to the GRADE evidence framework: advertorial When a $180B company has to pay to publish a study from high-profile U.S.-based academic institutions as Open Access in The Lancet Regional Health Americas ... www.thelancet.com/journals/lan...
thelancet.com
Whole-blood point of care biomarker testing following traumatic brain injury
In 2018, the U.S. Food and Drug Administration (FDA) first approved a blood test to aid clinical decision-making regarding CT imaging in patients following mild traumatic brain injury (TBI).1 This was...
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Ryan Radecki MD MS @www.evidencetriage.com · 25/07/2026
Let’s take two things that are almost free and make you pay money for them again.
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Ryan Radecki MD MS @www.evidencetriage.com · 24/07/2026
Another example of journals paying reviewers and reaping the benefits. It is a substantial investment on the part of the journal, however, and remains to be seen what sustainable models will ultimately emerge. #medsky www.evidencetriage.com/p/how-would-...
evidencetriage.com
How Would You Like to Make £220?
(You don't have to review for free!)
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Ryan Radecki MD MS @www.evidencetriage.com · 22/07/2026
It's all well and good to develop a predictive or prescriptive model, but what's the actual health system impact? The real world wants to know. #medsky #mlsky www.evidencetriage.com/p/the-actual...
evidencetriage.com
The Actual Consequences of Decision-Support
AI edition!
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Ryan Radecki MD MS @www.evidencetriage.com · 19/07/2026
Trust everyone.
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Ryan Radecki MD MS @www.evidencetriage.com · 18/07/2026
Stop scrolling and post 2 characters who bring you happiness.
static.klipy.com
Alex Horne & Greg Davies' Handshake
ALT: Alex Horne & Greg Davies' Handshake
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Reposted by Ryan Radecki MD MS
Peter Tennant @pwgtennant.bsky.social · 18/07/2026
"LLMs are structurally indifferent to truth"
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Ryan Radecki MD MS @www.evidencetriage.com · 14/07/2026
“Murderbot, I see your performance reliability is dropping. I believe I may have something for that.” cc: @marthawells.com
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Ryan Radecki MD MS @www.evidencetriage.com · 12/07/2026
Yep, the YEARS criteria are safe to use for exclusion of PE in patient with active cancer. #medsky www.evidencetriage.com/p/cancer-can...
evidencetriage.com
Cancer Can't Stop YEARS
Keep cutting down those CTPAs with "Hydra".
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Ryan Radecki MD MS @www.evidencetriage.com · 03/07/2026
Can we use LLMs to screen patient safety "eTriggers" for missed opportunities for diagnosis? Yes (probably) – but bland one-shot prompting of general purpose models isn't going to do the trick. #medsky #MLsky www.evidencetriage.com/p/the-llm-as...
evidencetriage.com
The LLM As QA Judge
A good low-risk administrative application, but still a ways to go.
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Reposted by Ryan Radecki MD MS
Bethany Black @bethanyblack.bsky.social · 27/06/2026
🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️ One milkshake to rule the boys, one milkshake to find them, one milkshake to bring the boys and in my yard to bind them 🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️🕯️
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Ryan Radecki MD MS @www.evidencetriage.com · 26/06/2026
Every city's got an ominous megastructure.
A brutalist timezone.
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Ryan Radecki MD MS @www.evidencetriage.com · 24/06/2026
Conceptually, this is a fun project – and I agree continuous feedback is an important component of practicing medicine. That said, tossing additional anecdotes into your decision-making workflow will contribute to recency and availability biases. 🙃 #medsky www.michiganmedicine.org/health-lab/h...
michiganmedicine.org
How AI is helping emergency physicians learn from their patients
How the “Tell Me What Happens Next” initiative is being used by the Department of Emergency Medicine’s new Division of Clinical Informatics using artificial intelligence.
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Ryan Radecki MD MS @www.evidencetriage.com · 22/06/2026
Stay With Your Group
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Reposted by Ryan Radecki MD MS
Scott McGrath @smcgrath.phd · 19/06/2026
Nearly 3 out of 4 clinicians are concerned about widespread clinical deskilling from overreliance on automation. Also, as patients increasingly bring AI-generated research to medical appointments, doctors and nurses find themselves spending more time acting as validators of outside data. #MedSky 3/5
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