Ryan Radecki MD MS
@www.evidencetriage.com
FACEP FACEM ABPM-CI. HealthNZ AI & Christchurch EM. Annals of EM Podcast & Journal Club. Columnist ACEPNow. Speaker, writer, dad. Stanford '00. evidencetriage.com 🇺🇸 in 🇳🇿
Merry Christmas from my cats. 😐
December 25, 2025 at 9:35 AM
Merry Christmas from my cats. 😐
It’s a bird!
No, it’s a plane!
No, it’s
No, it’s a plane!
No, it’s
December 22, 2025 at 9:40 PM
It’s a bird!
No, it’s a plane!
No, it’s
No, it’s a plane!
No, it’s
Reposted by Ryan Radecki MD MS
RFK Jr. should have paid more attention to the comics in 1968.
December 20, 2025 at 12:43 AM
RFK Jr. should have paid more attention to the comics in 1968.
Which physicians are the highest-earning cogs in the private equity machine?
Unsurprisingly, gastroenterology, cardiology, and ophthalmology – especially those who own their own imaging, endoscopy, and surgical centers.
This is all obviously good for patients. Ha!
focusbankers.com/physician-pr...
Unsurprisingly, gastroenterology, cardiology, and ophthalmology – especially those who own their own imaging, endoscopy, and surgical centers.
This is all obviously good for patients. Ha!
focusbankers.com/physician-pr...
Physician Practice M&A Multiples: 2025 Data
Current physician practice M&A multiples for 2025 by specialty with EBITDA and enterprise value ranges for platform and add-on transactions.
focusbankers.com
December 19, 2025 at 5:49 PM
Which physicians are the highest-earning cogs in the private equity machine?
Unsurprisingly, gastroenterology, cardiology, and ophthalmology – especially those who own their own imaging, endoscopy, and surgical centers.
This is all obviously good for patients. Ha!
focusbankers.com/physician-pr...
Unsurprisingly, gastroenterology, cardiology, and ophthalmology – especially those who own their own imaging, endoscopy, and surgical centers.
This is all obviously good for patients. Ha!
focusbankers.com/physician-pr...
More of the same biases towards blanket treatment with IVT of any stroke that smells like "disability" (definition of disability not available).
#medsky
www.evidencetriage.com/p/minor-upda...
#medsky
www.evidencetriage.com/p/minor-upda...
Minor Updates For Minor Stroke
Minor stroke is all in the eye of the beholder.
www.evidencetriage.com
December 19, 2025 at 5:45 PM
More of the same biases towards blanket treatment with IVT of any stroke that smells like "disability" (definition of disability not available).
#medsky
www.evidencetriage.com/p/minor-upda...
#medsky
www.evidencetriage.com/p/minor-upda...
The state of AI use in primary care in the UK: a lotta scribes and a lot of additional non-clinical needs.
#medsky
www.evidencetriage.com/p/how-are-gp...
#medsky
www.evidencetriage.com/p/how-are-gp...
How Are GPs Using AI?
And how do they wish they could?
www.evidencetriage.com
December 17, 2025 at 7:34 PM
The state of AI use in primary care in the UK: a lotta scribes and a lot of additional non-clinical needs.
#medsky
www.evidencetriage.com/p/how-are-gp...
#medsky
www.evidencetriage.com/p/how-are-gp...
What's your strategy for using LLMs to augment your clinical decision-making?
(now, if we only had objective data regarding which was "best")
#medsky #MLsky
www.evidencetriage.com/p/are-you-a-...
(now, if we only had objective data regarding which was "best")
#medsky #MLsky
www.evidencetriage.com/p/are-you-a-...
Are You A "Copy-Paster" Or A "Summarizer"?
Or something else entirely?
www.evidencetriage.com
December 16, 2025 at 5:54 PM
What's your strategy for using LLMs to augment your clinical decision-making?
(now, if we only had objective data regarding which was "best")
#medsky #MLsky
www.evidencetriage.com/p/are-you-a-...
(now, if we only had objective data regarding which was "best")
#medsky #MLsky
www.evidencetriage.com/p/are-you-a-...
I'm running the Chicago Marathon next year in support of Team ALS –
– my choice of charity and my connection is personal, and I encourage everyone simply to give what they can to a charity meaningful to them.
That said, donations are matched in Dec –
secure.alsunitedchicago.org/site/TR/Endu...
– my choice of charity and my connection is personal, and I encourage everyone simply to give what they can to a charity meaningful to them.
That said, donations are matched in Dec –
secure.alsunitedchicago.org/site/TR/Endu...
2026 Team ALS - Bank of America Chicago Marathon: Dr. Ryan Radecki - ALS United Greater Chicago
secure.alsunitedchicago.org
December 16, 2025 at 5:24 PM
I'm running the Chicago Marathon next year in support of Team ALS –
– my choice of charity and my connection is personal, and I encourage everyone simply to give what they can to a charity meaningful to them.
That said, donations are matched in Dec –
secure.alsunitedchicago.org/site/TR/Endu...
– my choice of charity and my connection is personal, and I encourage everyone simply to give what they can to a charity meaningful to them.
That said, donations are matched in Dec –
secure.alsunitedchicago.org/site/TR/Endu...
“Within 48 hours of the Bondi shooting, federal and state leaders in Australia pledged to further tighten the country’s gun laws, already some of the most restrictive in the world … They noted that they were a lot more concrete than the ‘thoughts and prayers’ so often offered by American officials.”
Dean @meganranney.bsky.social joined CNN the day after mass shootings at Brown University and Bondi Beach to discuss the long-term mental and physical health impact of these events.
Dean Ranney is an emergency physician and firearm injury prevention researcher and spent 20 years at Brown.
Dean Ranney is an emergency physician and firearm injury prevention researcher and spent 20 years at Brown.
December 16, 2025 at 3:39 PM
“Within 48 hours of the Bondi shooting, federal and state leaders in Australia pledged to further tighten the country’s gun laws, already some of the most restrictive in the world … They noted that they were a lot more concrete than the ‘thoughts and prayers’ so often offered by American officials.”
Reposted by Ryan Radecki MD MS
Andexxa — Coagulation factor Xa (recombinant), inactivated-zhzo — is going off the market in the U.S.
A victory for those who have been fighting this failed advance for years.
#medsky
A victory for those who have been fighting this failed advance for years.
#medsky
December 11, 2025 at 8:23 PM
Andexxa — Coagulation factor Xa (recombinant), inactivated-zhzo — is going off the market in the U.S.
A victory for those who have been fighting this failed advance for years.
#medsky
A victory for those who have been fighting this failed advance for years.
#medsky
Andexxa — Coagulation factor Xa (recombinant), inactivated-zhzo — is going off the market in the U.S.
A victory for those who have been fighting this failed advance for years.
#medsky
A victory for those who have been fighting this failed advance for years.
#medsky
December 11, 2025 at 8:23 PM
Andexxa — Coagulation factor Xa (recombinant), inactivated-zhzo — is going off the market in the U.S.
A victory for those who have been fighting this failed advance for years.
#medsky
A victory for those who have been fighting this failed advance for years.
#medsky
Worried about etomidate and its suppression of cortisol in the critically ill?
Worry no longer (in adults, anyway).
#medsky
www.evidencetriage.com/p/its-the-et...
Worry no longer (in adults, anyway).
#medsky
www.evidencetriage.com/p/its-the-et...
It's the Etomidate vs. Ketamine Showdown
Because rocuronium vs. succinylcholine is settled.
www.evidencetriage.com
December 10, 2025 at 6:44 PM
Worried about etomidate and its suppression of cortisol in the critically ill?
Worry no longer (in adults, anyway).
#medsky
www.evidencetriage.com/p/its-the-et...
Worry no longer (in adults, anyway).
#medsky
www.evidencetriage.com/p/its-the-et...
Reposted by Ryan Radecki MD MS
AI models can predict patients' health insurance types from normal chest X-rays, revealing hidden socioeconomic biases in medical imaging. This research challenges the perceived neutrality of clinical data and calls for a reevaluation of AI fairness in healthcare. https://arxiv.org/abs/2511.11030
Algorithms Trained on Normal Chest X-rays Can Predict Health Insurance Types
ArXiv link for Algorithms Trained on Normal Chest X-rays Can Predict Health Insurance Types
arxiv.org
December 10, 2025 at 2:41 AM
AI models can predict patients' health insurance types from normal chest X-rays, revealing hidden socioeconomic biases in medical imaging. This research challenges the perceived neutrality of clinical data and calls for a reevaluation of AI fairness in healthcare. https://arxiv.org/abs/2511.11030
The Trump administration continuing to "Make America Healthy Again" by declaring war on preterm infants. 💪
www.reuters.com/business/hea...
www.reuters.com/business/hea...
Exclusive: US FDA launches fresh safety scrutiny of approved RSV therapies for infants
U.S. health regulators informed senior executives at Merck, Sanofi and AstraZeneca last week that their approved protective RSV treatments for infants would face fresh safety scrutiny following concer...
www.reuters.com
December 9, 2025 at 11:53 PM
The Trump administration continuing to "Make America Healthy Again" by declaring war on preterm infants. 💪
www.reuters.com/business/hea...
www.reuters.com/business/hea...
Reposted by Ryan Radecki MD MS
i asked chat gpt to fact check an article for me
December 8, 2025 at 9:33 PM
i asked chat gpt to fact check an article for me
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.
#medsky
www.evidencetriage.com/p/dont-skimp...
#medsky
www.evidencetriage.com/p/dont-skimp...
Don't Skimp on the Nitroglycerin in SCAPE
High-dose is better than low-dose. Thank you for your attention to this matter!
www.evidencetriage.com
December 8, 2025 at 7:30 PM
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.
#medsky
www.evidencetriage.com/p/dont-skimp...
#medsky
www.evidencetriage.com/p/dont-skimp...
Movie you’ve watched more than six times with a gif. Hard mode: no Stars (Wars nor Trek), LOTR, or Marvel, Disney Animated or Pixar.
December 8, 2025 at 12:54 AM
Movie you’ve watched more than six times with a gif. Hard mode: no Stars (Wars nor Trek), LOTR, or Marvel, Disney Animated or Pixar.
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.
#medsky
www.evidencetriage.com/p/a-faster-w...
#medsky
www.evidencetriage.com/p/a-faster-w...
A Faster Way To Sinus Rhythm
"Remember vernakalant", said no one.
www.evidencetriage.com
December 7, 2025 at 7:26 PM
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.
#medsky
www.evidencetriage.com/p/a-faster-w...
#medsky
www.evidencetriage.com/p/a-faster-w...
Come to Christchurch for EM fellowship!
Does "no night shifts" pique your interest?
#medsky
jobs.acem.org.au/job/3153/eme...
Does "no night shifts" pique your interest?
#medsky
jobs.acem.org.au/job/3153/eme...
Emergency Medicine Fellowship (Christchurch Hospital)
Christchurch Hospital
Fixed-term fellowship for one to two years to suit starting Mid 2026
Are you an Emergency Medicine specialist looking to take your skills to the next level while enjoying a vibra...
jobs.acem.org.au
December 7, 2025 at 5:39 AM
Come to Christchurch for EM fellowship!
Does "no night shifts" pique your interest?
#medsky
jobs.acem.org.au/job/3153/eme...
Does "no night shifts" pique your interest?
#medsky
jobs.acem.org.au/job/3153/eme...
Reposted by Ryan Radecki MD MS
Practice changing plenary #ASH25‼️
Iron is hypothesized to feed infxn & IV iron often avoided in that setting.
>85k people hospitalized w/5 most common bacterial infxns, compared those who recvd IV iron to those who did not.
🩸greater hemoglobin increase
🩸lower mortality at 14 & 90 days
Iron is hypothesized to feed infxn & IV iron often avoided in that setting.
>85k people hospitalized w/5 most common bacterial infxns, compared those who recvd IV iron to those who did not.
🩸greater hemoglobin increase
🩸lower mortality at 14 & 90 days
December 6, 2025 at 6:46 PM
Practice changing plenary #ASH25‼️
Iron is hypothesized to feed infxn & IV iron often avoided in that setting.
>85k people hospitalized w/5 most common bacterial infxns, compared those who recvd IV iron to those who did not.
🩸greater hemoglobin increase
🩸lower mortality at 14 & 90 days
Iron is hypothesized to feed infxn & IV iron often avoided in that setting.
>85k people hospitalized w/5 most common bacterial infxns, compared those who recvd IV iron to those who did not.
🩸greater hemoglobin increase
🩸lower mortality at 14 & 90 days
Reposted by Ryan Radecki MD MS
The NOHARM project is another leaderboard focusing on the tangible clinical actions suggested (or omitted) by LLMs – and, again, physicians are regrettably pretty average.
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
Are LLMs or Physicians Better for "NOHARM"?
LLMs, unsafe. Physicians, uhm .. also unsafe.
www.evidencetriage.com
December 4, 2025 at 8:04 PM
The NOHARM project is another leaderboard focusing on the tangible clinical actions suggested (or omitted) by LLMs – and, again, physicians are regrettably pretty average.
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
The NOHARM project is another leaderboard focusing on the tangible clinical actions suggested (or omitted) by LLMs – and, again, physicians are regrettably pretty average.
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
Are LLMs or Physicians Better for "NOHARM"?
LLMs, unsafe. Physicians, uhm .. also unsafe.
www.evidencetriage.com
December 4, 2025 at 8:04 PM
The NOHARM project is another leaderboard focusing on the tangible clinical actions suggested (or omitted) by LLMs – and, again, physicians are regrettably pretty average.
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
#medsky #MLsky
www.evidencetriage.com/p/are-llms-o...
Seeing all the recent extended time window stroke trials and the "paradigm shift from 'time window' to 'tissue window'" and it takes me back to when I presented at SMACC in 2016 to say the same thing –
#medsky
#medsky
December 4, 2025 at 8:02 PM
Seeing all the recent extended time window stroke trials and the "paradigm shift from 'time window' to 'tissue window'" and it takes me back to when I presented at SMACC in 2016 to say the same thing –
#medsky
#medsky
Reposted by Ryan Radecki MD MS
VA staff flag dangerous errors ahead of new EHR expansion: A multibillion-dollar electronic medical records system is set for expansion across VA hospital networks. Users say glitches & errors continue to put patients at risk
archive.ph/2025.12.03-1... @histalk.bsky.social @www.evidencetriage.com
archive.ph/2025.12.03-1... @histalk.bsky.social @www.evidencetriage.com
archive.ph
December 3, 2025 at 6:44 PM
VA staff flag dangerous errors ahead of new EHR expansion: A multibillion-dollar electronic medical records system is set for expansion across VA hospital networks. Users say glitches & errors continue to put patients at risk
archive.ph/2025.12.03-1... @histalk.bsky.social @www.evidencetriage.com
archive.ph/2025.12.03-1... @histalk.bsky.social @www.evidencetriage.com