Andrew Bland
@acbmd22.bsky.social
Med/Peds. Nephrology. Educator. Floinator. MBA and Masters of Data Science and Predictive Analytics
I think AI with the right prompting is pretty effective at answering clinical questions while reducing hallucinations. I’ve been playing with it quite a bit. Excited to see you using it as an educational multiplier. Submitted this to HiMSS as a proposal
June 10, 2025 at 8:06 AM
I think AI with the right prompting is pretty effective at answering clinical questions while reducing hallucinations. I’ve been playing with it quite a bit. Excited to see you using it as an educational multiplier. Submitted this to HiMSS as a proposal
Reposted by Andrew Bland
This highlights the importance of stakeholder involvement and the impact of disease prevalence when evaluating AI tool effectiveness.
#EuropeanRadiology #RadSky #MedSky
🔗 https://buff.ly/4aMWy4G
#EuropeanRadiology #RadSky #MedSky
🔗 https://buff.ly/4aMWy4G
Implementing an AI algorithm in the clinical setting: a case study for the accuracy paradox - European Radiology
Objectives We report our experience implementing an algorithm for the detection of large vessel occlusion (LVO) for suspected stroke in the emergency setting, including its performance, and offer an…
buff.ly
February 13, 2025 at 8:00 AM
This highlights the importance of stakeholder involvement and the impact of disease prevalence when evaluating AI tool effectiveness.
#EuropeanRadiology #RadSky #MedSky
🔗 https://buff.ly/4aMWy4G
#EuropeanRadiology #RadSky #MedSky
🔗 https://buff.ly/4aMWy4G
I just had a patient who had a BMP CO2 of 40 and an ABG bicarb of 20. VBG showed bicarb of 20. Turned out LDH can also artificially raise BMP CO2. Anion gap was negative 15. journals.sagepub.com/doi/full/10....
Artifactually elevated serum bicarbonate results caused by elevated serum lactate dehydrogenase concentrations - Mohamed Saleem, Goce Dimeski, Les Bourne, Penelope Coates, 2013
Background An accurate estimation of serum bicarbonate concentration (HCO) is essential to the diagnosis and treatment of acid-base disorders and electrolyte di...
journals.sagepub.com
January 26, 2025 at 10:37 AM
I just had a patient who had a BMP CO2 of 40 and an ABG bicarb of 20. VBG showed bicarb of 20. Turned out LDH can also artificially raise BMP CO2. Anion gap was negative 15. journals.sagepub.com/doi/full/10....
I have a Trovan pen that I love
December 3, 2024 at 8:37 PM
I have a Trovan pen that I love
I spoke at a couple of RN education sessions and hospitalist mgts and the nurses, on their own, selected this as their quality improvement project for 2025.
December 2, 2024 at 12:01 PM
I spoke at a couple of RN education sessions and hospitalist mgts and the nurses, on their own, selected this as their quality improvement project for 2025.
I agree. The journey is long but worthy. The nurses accept that all of my patients are now “allergic” to IV anti hypertensive meds. We are working on ensuring pain and agitation are managed. I have had to do a few standardized seated average of 3 BPs but found a few ETOH withdrawals
December 2, 2024 at 11:57 AM
I agree. The journey is long but worthy. The nurses accept that all of my patients are now “allergic” to IV anti hypertensive meds. We are working on ensuring pain and agitation are managed. I have had to do a few standardized seated average of 3 BPs but found a few ETOH withdrawals
We have started this journey. Most accept the truth but fear medical legal consequences of either not calling a doctor or “Dr notified no orders received”
December 2, 2024 at 11:47 AM
We have started this journey. Most accept the truth but fear medical legal consequences of either not calling a doctor or “Dr notified no orders received”
This is very consistent with what I’m seeing when patients in GDMT (complete RAASi) come in septic. It suggests we need suck day education in when to hold RAASi meds
November 28, 2024 at 9:32 AM
This is very consistent with what I’m seeing when patients in GDMT (complete RAASi) come in septic. It suggests we need suck day education in when to hold RAASi meds
No blood in, no urine out
November 12, 2024 at 4:38 PM
No blood in, no urine out