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 🇳🇿
Reposted by Ryan Radecki MD MS
I’m sure lots of my Ōtautahi Christchurch mutuals know about these but I’ve just completed the latest Life in Christchurch survey for the City Council. This one is about travelling within the city, it’s especially good!
They want my feedback re:bike parking & safety while biking in Chch? WOO HOO!🙌🏼
They want my feedback re:bike parking & safety while biking in Chch? WOO HOO!🙌🏼
Life in Christchurch 2025
The latest Life in Christchurch survey is now open for your feedback and we'd love your feedback on your experiences of travelling in Christchurch!
christchurchcc.syd1.qualtrics.com
November 14, 2025 at 7:15 AM
I’m sure lots of my Ōtautahi Christchurch mutuals know about these but I’ve just completed the latest Life in Christchurch survey for the City Council. This one is about travelling within the city, it’s especially good!
They want my feedback re:bike parking & safety while biking in Chch? WOO HOO!🙌🏼
They want my feedback re:bike parking & safety while biking in Chch? WOO HOO!🙌🏼
Hello #nzpol !
NEW: The first two years of Massachusetts' millionaire tax has raised $3 billion more than expected.
And rather than driving the rich away, IPS researchers found that the number of millionaires has *increased.*
Tax the rich. Greg Ryan in @bloomberg.com:
And rather than driving the rich away, IPS researchers found that the number of millionaires has *increased.*
Tax the rich. Greg Ryan in @bloomberg.com:
Millionaire Tax That Inspired Mamdani Fuels $5.7 Billion Haul in Massachusetts
A millionaire levy in Massachusetts that New York City mayoral frontrunner Zohran Mamdani holds up as a model for taxing the rich has generated $3 billion more in revenue than expected without forcing...
www.bloomberg.com
November 13, 2025 at 11:20 PM
Hello #nzpol !
I have a backlog of something like 30 articles that all deserved a post – the answer is clearly: none of them will get a post, yet, they all will.
Here are the first few:
#medsky
www.evidencetriage.com/p/one-liners...
Here are the first few:
#medsky
www.evidencetriage.com/p/one-liners...
One-Liners, Part One
I've fallen behind and I can't get up!
www.evidencetriage.com
November 13, 2025 at 7:57 PM
I have a backlog of something like 30 articles that all deserved a post – the answer is clearly: none of them will get a post, yet, they all will.
Here are the first few:
#medsky
www.evidencetriage.com/p/one-liners...
Here are the first few:
#medsky
www.evidencetriage.com/p/one-liners...
Want to stop the cycle of doomscrolling and promote new work from @annalsofem.bsky.social ?
Now recruiting additional Social Media editorial roles:
www.acep.org/education/jo...
Now recruiting additional Social Media editorial roles:
www.acep.org/education/jo...
Annals Social Media Editor Assistant
The Social Media Editor Assistant will support the Social Media Editor in managing and growing the online presence of Annals of Emergency Medicine.
www.acep.org
November 12, 2025 at 6:34 PM
Want to stop the cycle of doomscrolling and promote new work from @annalsofem.bsky.social ?
Now recruiting additional Social Media editorial roles:
www.acep.org/education/jo...
Now recruiting additional Social Media editorial roles:
www.acep.org/education/jo...
Reposted by Ryan Radecki MD MS
If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life.
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
November 11, 2025 at 12:12 AM
If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life.
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life.
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
November 11, 2025 at 12:12 AM
If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life.
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
... with 300,000 Actual Cases out there, every ICU bed in the U.S. would have (more than one!) post-influenza vaccine GBS ventilated patient occupying it.
Literally everyone in the U.S. has died of vaccine-related harms, if enough of their theories are to be believed ....
Literally everyone in the U.S. has died of vaccine-related harms, if enough of their theories are to be believed ....
1. He overstates the risk. Guillain-Barre from the influenza vaccine is 1-2 additional cases per million doses given.
2. Only 30% of patients require mechanical ventilation.
3. A hospitalist would consult with their affiliated OB-Gyn, not a "Locum Independent Contractor"
2. Only 30% of patients require mechanical ventilation.
3. A hospitalist would consult with their affiliated OB-Gyn, not a "Locum Independent Contractor"
November 10, 2025 at 8:08 PM
... with 300,000 Actual Cases out there, every ICU bed in the U.S. would have (more than one!) post-influenza vaccine GBS ventilated patient occupying it.
Literally everyone in the U.S. has died of vaccine-related harms, if enough of their theories are to be believed ....
Literally everyone in the U.S. has died of vaccine-related harms, if enough of their theories are to be believed ....
Kiss of death.
November 3, 2025 at 9:38 PM
Kiss of death.
Reposted by Ryan Radecki MD MS
My name is Ozymandias, King of Kings. Look upon my works, which contain sequences of flashing lights and images that may affect photosensitive viewers.
My name is Ozymandias, King of Kings. Look upon my works, which are known to the State of California to cause cancer.
November 3, 2025 at 8:32 PM
My name is Ozymandias, King of Kings. Look upon my works, which contain sequences of flashing lights and images that may affect photosensitive viewers.
First peripheral vasopressors, now deferred arterial catheterization – critical care is becoming less-invasive every day.
#medsky
www.evidencetriage.com/p/arterial-c...
#medsky
www.evidencetriage.com/p/arterial-c...
Arterial Catheters Don't Save Lives
"Change my mind."
www.evidencetriage.com
November 3, 2025 at 8:26 PM
First peripheral vasopressors, now deferred arterial catheterization – critical care is becoming less-invasive every day.
#medsky
www.evidencetriage.com/p/arterial-c...
#medsky
www.evidencetriage.com/p/arterial-c...
"The 2.3% gain in FEOBV binding in the anterior cingulate achieved over a 10-week intervention may offset the estimated 2.5% decline typically observed over a decade of natural aging."
The face validity of a wee digital game "de-aging" your brain is just about nil.
games.jmir.org/2025/1/e75161/
The face validity of a wee digital game "de-aging" your brain is just about nil.
games.jmir.org/2025/1/e75161/
Effects of Computerized Cognitive Training on Vesicular Acetylcholine Transporter Levels using [18F]Fluoroethoxybenzovesamicol Positron Emission Tomography in Healthy Older Adults: Results from the Im...
Background: The cholinergic system mediates essential aspects of cognitive function, yet its structure and function decline progressively with age, by an estimated 2.5% per decade across the lifespan....
games.jmir.org
November 3, 2025 at 8:59 AM
"The 2.3% gain in FEOBV binding in the anterior cingulate achieved over a 10-week intervention may offset the estimated 2.5% decline typically observed over a decade of natural aging."
The face validity of a wee digital game "de-aging" your brain is just about nil.
games.jmir.org/2025/1/e75161/
The face validity of a wee digital game "de-aging" your brain is just about nil.
games.jmir.org/2025/1/e75161/
It's ANDROMEDA-SHOCK 2, another addition to this season's sequel list.
Does the CRT assessment make it better than "usual care", or is the protocol the real star here? How can we unpack it to find out?
#medsky
www.evidencetriage.com/p/perfusion-...
Does the CRT assessment make it better than "usual care", or is the protocol the real star here? How can we unpack it to find out?
#medsky
www.evidencetriage.com/p/perfusion-...
Perfusion Is Not Just A Number
Lactate is easy to measure, but remember it's just a surrogate.
www.evidencetriage.com
November 1, 2025 at 9:34 PM
It's ANDROMEDA-SHOCK 2, another addition to this season's sequel list.
Does the CRT assessment make it better than "usual care", or is the protocol the real star here? How can we unpack it to find out?
#medsky
www.evidencetriage.com/p/perfusion-...
Does the CRT assessment make it better than "usual care", or is the protocol the real star here? How can we unpack it to find out?
#medsky
www.evidencetriage.com/p/perfusion-...
Don’t let this article make you anxious there’s something you’ll miss by not performing neuroimaging on children with behavioral disturbances.
Even in this cohort grossly confounded by indication, truly important findings were rare.
#medsky
www.evidencetriage.com/p/lets-overs...
Even in this cohort grossly confounded by indication, truly important findings were rare.
#medsky
www.evidencetriage.com/p/lets-overs...
Let's Overstate Abnormal Neuroimaging In Pediatric Psychosis
As high as 1 in 20 – or, it's all in the framing.
www.evidencetriage.com
October 26, 2025 at 7:13 PM
Don’t let this article make you anxious there’s something you’ll miss by not performing neuroimaging on children with behavioral disturbances.
Even in this cohort grossly confounded by indication, truly important findings were rare.
#medsky
www.evidencetriage.com/p/lets-overs...
Even in this cohort grossly confounded by indication, truly important findings were rare.
#medsky
www.evidencetriage.com/p/lets-overs...
Re-skeet if you know what this is (and age yourself, publicly).
October 26, 2025 at 7:05 PM
Re-skeet if you know what this is (and age yourself, publicly).
"Roseman University College of Medicine in Las Vegas welcomed its first class of 64 students in July. The school will feature a character-based curriculum that prioritizes ethics, empathy and integrity alongside medical knowledge."
How many RVUs do you get for empathy. 😐
How many RVUs do you get for empathy. 😐
October 26, 2025 at 7:02 PM
"Roseman University College of Medicine in Las Vegas welcomed its first class of 64 students in July. The school will feature a character-based curriculum that prioritizes ethics, empathy and integrity alongside medical knowledge."
How many RVUs do you get for empathy. 😐
How many RVUs do you get for empathy. 😐
Just me and a few of my closest friends will be savoring your succulent data.
October 26, 2025 at 6:13 PM
Just me and a few of my closest friends will be savoring your succulent data.
If you fly enough, eventually you'll encounter a medical emergency.
Here's the result of over 70,000 in-flight consultations:
#medsky
www.evidencetriage.com/p/is-there-a...
Here's the result of over 70,000 in-flight consultations:
#medsky
www.evidencetriage.com/p/is-there-a...
Is There A Doctor On The Plane?
It's an emergency – in the air!
www.evidencetriage.com
October 25, 2025 at 8:03 PM
If you fly enough, eventually you'll encounter a medical emergency.
Here's the result of over 70,000 in-flight consultations:
#medsky
www.evidencetriage.com/p/is-there-a...
Here's the result of over 70,000 in-flight consultations:
#medsky
www.evidencetriage.com/p/is-there-a...
"Private equity purchases of health-care assets increased from $2 billion in 2001 to $151 billion in 2021. Such firms now own at least 460 US hospitals, 409 hospices, 8% of dermatologists, 7% of gastroenterologists, 10% of medical oncologists ..."
🤢
#medsky
www.thelancet.com/journals/lan...
🤢
#medsky
www.thelancet.com/journals/lan...
Health care in the USA: money has become the mission
Despite extraordinary scientific and medical resources, the US health-care system
underperforms. In this Review we consider the damage wrought by decades of market-based
policies that have stimulated ...
www.thelancet.com
October 25, 2025 at 6:50 PM
"Private equity purchases of health-care assets increased from $2 billion in 2001 to $151 billion in 2021. Such firms now own at least 460 US hospitals, 409 hospices, 8% of dermatologists, 7% of gastroenterologists, 10% of medical oncologists ..."
🤢
#medsky
www.thelancet.com/journals/lan...
🤢
#medsky
www.thelancet.com/journals/lan...
I couldn't help but chuckle at seeing this on the PDF for an article today.
It must be a high bar to hurdle to require a "sponsored content" label, when so much NEJM content is already grossly distorted by the study sponsors ....
It must be a high bar to hurdle to require a "sponsored content" label, when so much NEJM content is already grossly distorted by the study sponsors ....
October 23, 2025 at 8:21 PM
I couldn't help but chuckle at seeing this on the PDF for an article today.
It must be a high bar to hurdle to require a "sponsored content" label, when so much NEJM content is already grossly distorted by the study sponsors ....
It must be a high bar to hurdle to require a "sponsored content" label, when so much NEJM content is already grossly distorted by the study sponsors ....
Hard to think of someone who has been more influential in Clinical Informatics education – decades of enthusiasm and evangelism for our specialty, bringing critical informatics skills to practicing clinicians. 👏
I am thrilled and honored to announce that I have been elected to the National Academy of Medicine (NAM). NAM is one of three academies that make up the National Academies of Sciences, Engineering, and Medicine in the US.
news.ohsu.edu/2025/10/20/o...
news.ohsu.edu/2025/10/20/o...
OHSU biomedical informatics expert elected to National Academy of Medicine
William Hersh recognized as an innovator, expert in biomedical informatics education.
news.ohsu.edu
October 23, 2025 at 8:15 PM
Hard to think of someone who has been more influential in Clinical Informatics education – decades of enthusiasm and evangelism for our specialty, bringing critical informatics skills to practicing clinicians. 👏
"Phoenix Sepsis Criteria" is another well-meaning attempt to objectively define sepsis, but can we predict that future deterioration early in the emergency department?
Yet again, probably not.
#medsky #mlsky
www.evidencetriage.com/p/hopeless-s...
Yet again, probably not.
#medsky #mlsky
www.evidencetriage.com/p/hopeless-s...
Hopeless Sepsis Criteria, Pediatric Edition
Academic criteria trying to mutate into clinical application.
www.evidencetriage.com
October 20, 2025 at 10:47 PM
"Phoenix Sepsis Criteria" is another well-meaning attempt to objectively define sepsis, but can we predict that future deterioration early in the emergency department?
Yet again, probably not.
#medsky #mlsky
www.evidencetriage.com/p/hopeless-s...
Yet again, probably not.
#medsky #mlsky
www.evidencetriage.com/p/hopeless-s...