Emergency Medicine AI & Operations Blog — Page 2 of 6

AI Governance

AI Clinical Decision Support in the ED: The 'Show Your Work' Rule

July 26, 2026 · Chester Shermer, MD, FACEP

A practical ED ops rule for safe AI CDS: if it can’t show its work for rapid clinician review, it doesn’t steer care.

AI Risk & Governance

Ambient AI Scribes in the ED: A Governance Checklist Before You Let the Note Drive the Care

July 19, 2026 · Chester Shermer, MD, FACEP

A practical governance checklist for deploying ambient AI documentation in the ED without creating polished, dangerous chart errors.

Simulation & Training

EMS Simulation Training: Reps Before the Real Call

July 17, 2026 · Chester Shermer, MD, FACEP

The skills most likely to kill a patient when fumbled are the ones we practice least. A HEMS medical director's evidence-based framework for EMS simulation training that actually transfers to the street.

ED Management

ED Observation Units: Fix Boarding Before It Breaks You

July 15, 2026 · Chester Shermer, MD, FACEP

A meaningful share of the patients you admit never needed an inpatient bed — they needed 15 hours of protocolized care. A 25-year EM physician's playbook for building an ED observation unit that actually fixes boarding.

AI in Emergency Medicine

The AI-Assist That Fails at 2 A.M.: How to Train Your ED for Algorithmic Failure

July 12, 2026 · Chester Shermer, MD, FACEP

A practical ED playbook for training clinicians to catch and manage AI errors before automation bias turns them into patient harm.

AI in Emergency Medicine

When the Triage Model Is Wrong: A Failure-Mode Playbook for the ED

July 5, 2026 · Chester Shermer, MD, FACEP

A practical ED playbook for catching, documenting, and governing AI-driven triage errors before they harm patients.

AI in Emergency Medicine

AI Training for Emergency Medicine: A Practical Framework

June 24, 2026 · Chester "Chet" Shermer, MD, FACEP

Master AI in emergency medicine with our practical framework. Learn essential clinical decision support tools and human-in-the-loop governance for…

AI in Emergency Medicine

Telemedicine AI and the Scope-of-Practice Question Emergency Medicine Has Been Avoiding

June 21, 2026 · Chester "Chet" Shermer, MD, FACEP

Telemedicine AI is now expanding the de facto scope of every clinician on the platform. The regulatory frameworks are not catching up. The ED institution has to.

AI in Emergency Medicine

AI in the Military Medical Environment: What Civilian EDs Should Be Watching

June 14, 2026 · Chester "Chet" Shermer, MD, FACEP

The DHA rolled ambient AI to every military hospital this year. DARPA wants autonomous battlefield medics by 2028. Civilian EM is the downstream.

AI in Emergency Medicine

Social Determinants of Health and the AI Blind Spots Hurting Patients

June 7, 2026 · Chester "Chet" Shermer, MD, FACEP

A 2026 Lurie Children's study of 74,000 pediatric ED visits found Black, Hispanic, and Spanish-preferring kids were systematically undertriaged.

AI in Emergency Medicine

AI Credentialing and Privileging: A Framework Hospitals Need

May 31, 2026 · Chester "Chet" Shermer, MD, FACEP

The Joint Commission released AI guidance in 2025. The AMA passed AI literacy policy in November 2025. Most hospitals still have no AI privileging framework.

AI in Emergency Medicine

Mastering Night Shifts: Emergency Medicine Survival Guide

May 24, 2026 · Chester "Chet" Shermer, MD, FACEP

Struggling with night shifts? Learn how to optimize your sleep schedule, manage the circadian trough, and thrive in emergency medicine as a nocturnist.