Emergency medicine insights
Physician-led articles on emergency medicine, AI implementation, simulation, and operational leadership.
AI in Emergency Medicine
November 5, 2026 · Chester Shermer, MD, FACEP
AI triage tools move PE-positive CT pulmonary angiograms up the radiologist's list. What the evidence shows about accuracy, wait times and downstream care, and how to act on the notice.
AI in Emergency Medicine
November 1, 2026 · Chester Shermer, MD, FACEP
CoDE-ACS and MI3 turn troponin and clinical data into an MI probability. What the validation numbers show, where they beat the 0/1-hour pathway, and the assay catch.
Leadership
October 29, 2026 · Chester Shermer, MD, FACEP
Many clinicians involved in an adverse event carry symptoms afterward, and few say their organization helped. What the second-victim evidence shows and how an ED builds a peer support pathway before it needs one.
AI in Emergency Medicine
October 25, 2026 · Chester Shermer, MD, FACEP
GPT-4 did not improve physician diagnosis in one randomized trial, improved management reasoning in another, and stumbled on raw ED data. How to use a chatbot on shift.
AI in Emergency Medicine
October 22, 2026 · Chester Shermer, MD, FACEP
AI intracranial hemorrhage tools move urgent head CTs up the worklist. Real-world data show they miss many subacute, chronic and small bleeds, flag falsely when bleeds are rare, and did not speed reads in a prospective study.
AI in Emergency Medicine
October 18, 2026 · Chester Shermer, MD, FACEP
Automated LVO detection cut door-to-groin time by 11 minutes in a randomized trial, but it misses a meaningful share of occlusions. Here is how emergency physicians should use the alert.
AI in Emergency Medicine
October 15, 2026 · Chester Shermer, MD, FACEP
AI fracture tools make clinicians more sensitive in reader studies, and NICE allows four of them under conditions. No randomized trial has yet published patient outcomes. How to deploy one as a second reader.
AI in Emergency Medicine
October 11, 2026 · Chester Shermer, MD, FACEP
The only randomized trial of an AI-ECG potassium alert in emergency physicians sped hyperkalemia treatment in flagged patients. Outcomes, accuracy, and the pathway you need first.
ED Management
October 8, 2026 · Chester Shermer, MD, FACEP
Patients who leave without being seen come back more often, and the front end that drives most walkouts is the part an emergency physician can redesign. Here is what the evidence supports.
AI in Emergency Medicine
October 4, 2026 · Chester Shermer, MD, FACEP
AI can forecast emergency department arrivals, but a patient count is not a staffing plan. Learn how to validate forecasts, keep human control, and test a safer workflow.
AI in Emergency Medicine
September 27, 2026 · Chester Shermer, MD, FACEP
Before an AI model changes an emergency department workflow, run it in shadow mode. Here is what to measure, who owns the stop rule, and what should earn go-live.
AI in Emergency Medicine
September 20, 2026 · Chester Shermer, MD, FACEP
AI-assisted vertical care can reduce ED crowding, but only when clinicians own reassessment, override, and the decision to move a patient out of the waiting-room queue.
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