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This issue is smile and curiosity on a page.

"the potential harms feel so profound, and all the positive applications basically have to do with increased efficiency. Efficiency isn’t higher on the list of things to pursue than human flourishing. So what is the “why” for you? nytimes.com/interactive/20…

This is an excellent point. These (Clinical AI) should be held to similar standards as medications. Let's hear it for blinding and randomization!

Important point for all things digital medicine. Are we measuring important things for humans? Even if we can, should we?

Publication day for The Autumn Ghost! Thanks to Greystone InkWell Management and so many fellow writers for all the support An important story from medical history #polio #ICU #mechvent #ironlung #vaccineswork #disabilityinclusion Links to order hannahwunsch.com/index.html

One of the more interesting things about generative ai in medicine is that it’s fluency will likely abrogate the need for structured icd10 style documentation… one can dream

I have a really hard time thinking about how to balance societal implications RE: ai (meaning llm) are intellectual property theft at scale and the potential benefit of democratizing expertise

Who's reading The Autumn Ghost? Dr.Hannah Wunsch's suspenseful account of the polio epidemic and its impact on the evolution of critical care will keep you glued to the pages. Available at Amazon, Barnes & Noble, and independent bookstores Society of Critical Care Anesthesiologists ASA® SCCM

Isn't there a town somewhere that has something to do with this?? Lake Wobegon... yeah that's it.

Recommend reading for people interested in the history of medicine as it intersects with technology disease and society. It’s really good.

Let me do one for critical care. Adjusting for severity of illness, the in-hospital course has no effect on the post icu recovery (restricted to survivors).

There is likely some truth to this statement, but keep in mind the term "small differences". This is not a call for nihilism regarding resuscitation.

Have to read in detail. One of the more important things for us to consider is adequacy of the adequate functional outcome endpoints…

The PATCH Team, led by Russell Gruen, a study of pre-hospital TXA for severe trauma in adults at high risk of acute traumatic coagulopathy treated in advanced trauma systems, has been published today in NEJM. #CCR23 Here’s a summary of what we did... nejm.org/doi/full/10.10…

So, based on all of that, you tell me, should we implement (or continue to use) pre-hospital TXA in advanced trauma systems for adults at risk of acute traumatic coagulopathy?

This is the critical point.

Arthur Albuquerque Typically you'd consider death as worse than other outcomes.

#ARDS ESICM guidelines 🫁 definition 🫁 phenotyping 🫁 #HFNO 🫁 CPAP/NIV 🫁 low tidal volume MV 🫁 PEEP & recruitment maneuvers 🫁 prone positioning 🫁 neuromuscular blocking agents 🫁 extracorporeal life support #ECMO #ECLS #ECCO2r #FOAMcc on Intensive Care Medicine 🖇️ bit.ly/43J1OCe

Can GPT-4 solve really hard medical cases and come up with a good list of differential diagnoses? @zahirkanjee Byron Crowe and my study is out in JAMA , and the short answer is, “Yes.” But what does this all mean? 🧵⬇️ x.com/JAMA_current/s…