iiinova — where your digital self keeps evolving

Ryan Radecki MD MS @www.evidencetriage.com · 18h

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

Annals of Emergency Medicine Podcast with Rory and Ryan is Live!

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Ryan Radecki MD MS @www.evidencetriage.com · 18h

Try the T8 in Sydney sometime; you don't have to ride in a flying coffin!

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Ryan Radecki MD MS @www.evidencetriage.com · 20h

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

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Ryan Radecki MD MS @www.evidencetriage.com · 22h

Arguably some of that is clinically appropriate – and also includes such things as HCV antivirals etc.

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Ryan Radecki MD MS @www.evidencetriage.com · 22h

And/or illness severity – but that would likewise assume the new mutations wouldn't change its susceptibility to the antiviral (though I suspect protease inhibition is fairly robust to spike protein changes). The U.S. is a funny case of dramatically higher antiviral use than much of the world.

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Ryan Radecki MD MS @www.evidencetriage.com · 23h

Vanishingly low clinical utility in modern times, not to mention economically unfavorable.

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Ryan Radecki MD MS @www.evidencetriage.com · 05/10/2026

Too real. The most enthusiastic uptake in my environment seems to be for creating uninspiring “policy” documents that will live in a dusty corner of Sharepoint. Where it Matters, LLM output tends to be as much an impediment as an accelerator.

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Dan Buckland @danbuckland.me · 04/10/2026

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!

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Ben Zabar @benzabar.bsky.social · 04/10/2026

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

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Ken Milne MD @thesgem.bsky.social · 04/10/2026

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

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Roland Pierik @roleo.eurosky.social · 08/09/2026

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...

bbc.com

No cervical cancer cases in fully HPV-vaccinated women in Scotland

A study published by Public Health Scotland finds that the HPV vaccine is "highly effective".

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Ryan Radecki MD MS @www.evidencetriage.com · 03/10/2026

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

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Ryan Radecki MD MS @www.evidencetriage.com · 01/10/2026

It also sounds like something Bobby Hill would say, amusingly enough.

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Ryan Radecki MD MS @www.evidencetriage.com · 29/09/2026

NZ has the same thing! Fully funded 20 hours a week of “early childhood education”. Is it is everything/enough/perfect … no, but is it a damn sight better than the USA? Hell yes.

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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 · 26/09/2026

You haven’t made it until they have “ScalziWorld” theme parks. - A log flume ride called “The Flow” that sometimes drops you in the parking lot. - A Jurassic Park-style Kaiju tour with real Kaiju and is “perfectly safe”. - A Redshirts ride that ejects the group member most disposable on the day.

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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 · 23/09/2026

It’s going to be mildly interesting to see what happens to USMLE and etc. scores and pass rates in the next few years, let alone board-certification examinations.

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Ryan Radecki MD MS @www.evidencetriage.com · 23/09/2026

His link has fallen in a forest; it has been, or not been, heard.

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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 · 16/09/2026

Is this about AI or saving Venice from rising sea levels.

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Ryan Radecki MD MS @www.evidencetriage.com · 12/09/2026

Or, your cat, after spending absurd amounts to get them cleared and imported to New Zealand … dead within a month of arriving.

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Ryan Radecki MD MS @www.evidencetriage.com · 12/09/2026

With a soaking tub like that I’m surprised they didn’t describe it as a spa-like retreat.

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Ryan Radecki MD MS @www.evidencetriage.com · 12/09/2026

Should have my friend in SYD tell you about his northern beaches rental with a giant rock in it, bizarre window from a sunken bathroom into a closet, ceiling falling in during rain, etc.

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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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KM @sudox.bsky.social · 09/09/2026

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Ryan Radecki MD MS @www.evidencetriage.com · 09/09/2026

It’s a year to learn which pieces have promise for development, and which pieces need reliable offseason upgrade. I still like the team.

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Ryan Radecki MD MS @www.evidencetriage.com · 09/09/2026

Nothing compared to the interesting times to be had by this guy’s test subjects.

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Ryan Radecki MD MS @www.evidencetriage.com · 09/09/2026

What is already dead can never die.

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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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🇭🇲🐬🦘 @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

Cursed currency bearing the mark of The Deceiver???

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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. 😑

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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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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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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 · 01/09/2026

how can we even afford these fancy gang brands in this economy ...

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Ryan Radecki MD MS @www.evidencetriage.com · 31/08/2026

livin' your bus(t) life, as it were

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