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Yep, LLMs will absolutely give you bad information – about 20% of the time, as demonstrated in this study. Of course, looking for the same information using typical search engines is just as bad. There's garbage everywhere! #FOAMed evidencetriage.com/p/llms-are-sti…

The "human-in-the-loop" is doing a lot of work these days to prevent downstream harms from AI- and LLM-generated inaccuracies – and I don't think it's truly up to the task. #FOAMed evidencetriage.com/p/ai-draft-res…

Every time off-the-shelf LLMs are used to generate clinical summaries, they fall short – and have potential for harm. The lesson here ought to be to continue refining more sophisticated methods than zero-shot GPT-4. #FOAMed evidencetriage.com/p/not-quite-th…

Have you been a good prescriber this past influenza season? As little oseltamivir as feasible? And you didn't hand out Xofluza, did you? 😡 #FOAMed acepnow.com/article/have-y…

There might be something to calcium pre-treatment before using a CCB for rate control in AF, but if multiple studies struggle to find an effect, more work needs to be done to determine its efficacy in a higher-risk population, and the ideal dose. #FOAMed evidencetriage.com/p/calcium-pret…

Should you tell your patients if you've used generative AI (or, really, any AI) in their care? As much as feasible. #FOAMed evidencetriage.com/p/yes-tell-pat…

A well-trodden road to use non-specific markers of inflammation and immune system activation – and another example of how the medical literature is astroturfed by corporations and their complicit for-profit publishers. #FOAMed evidencetriage.com/p/magical-biom…

There's certainly no accumulated evidence of harm from taking your once-a-day antihypertensives at bedtime, but the magnitude of benefit may not be dramatic, and likely diluted once twice-a-day medications are added in. #FOAMed evidencetriage.com/p/should-you-t…

If all there were to medicine was composing answers to "patient prompts" in a chatbot window, humans would be obsolete. I guess that's the future of medicine envisioned with AI, so here's OpenAI's new benchmark: #FOAMed evidencetriage.com/p/the-openai-h…

Train smarter, not harder. "Small" language model tuning probably shows the benefit of domain-specific methods of training, with much lower associated costs. #FOAMed evidencetriage.com/p/small-langua…

Health data interoperability isn't just about APIs, it's about a hysterical lack of standarization in workflows and terminologies. LLMs might be able to help automate some of these manual tasks, but much work remains. #FOAMed evidencetriage.com/p/llms-attempt…

New article from #CDSiC "New Performance Measurement Framework for Realizing Patient-Centered Clinical Decision Support: Qualitative Development Study" AHRQ NORC NORC Health Implementation Science Center McWilliams School of Biomedical Informatics Ryan Radecki, MD MS AMIA HIStalk jmir.org/2025/1/e68674

Another look at diverticulitis, and whether undigestible nuts and seeds really do have any impact on incidence. #FOAMed evidencetriage.com/p/do-classic-d…

Tenecteplase before thrombectomy comes with its own set of trade-offs – probably peri-procedural benefits, but likewise consistent harms. #FOAMed evidencetriage.com/p/should-tnk-a…

We are again filling one of our Fellow positions here in Christchurch. Perfect for ACEM/RCEM/ABEM folks who have completed their training and are interested in spending some time in the busiest ED in NZ (over 400 per day), here in glorious Christchurch! cdhb.careercentre.net.nz/Job/Emergency-…

The NICE sepsis screening tool would say they're "high risk" – but they get sent home with merely oral antibiotics. Not very inspiring performance! #FOAMed evidencetriage.com/p/a-wee-sepsis…

Whether it's an unexpected effect of vasopressin or just artificially higher MAPs, there only seems to be harm to targeting 80-85mmHg in septic shock. #FOAMed evidencetriage.com/p/more-map-isn…

Head AIS codes of 2 and greater are Not Things You Want To Have. Learn this one weird trick to prevent it. #medsky evidencetriage.com/p/helmets-prot…

Most children come to the hospital because their parents are concerned – but "concerned they're getting worse" is another independent risk-factor worth appreciating. #FOAMed evidencetriage.com/p/check-on-chi…

Nirsevimab cuts the scourge of RSV in half. No, it's not cheap – but it really works. #FOAMed evidencetriage.com/p/nirsevimab-r…