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brookswalsh

@brookswalsh.bsky.social

ER doc. Okay at reading ECGs Proud to have helped eliminate "excited delirium" in EM. Aiming to correctly use the subjunctive in Spanish more often. And I am never, ever sick at sea.

1,715 Followers  |  2,006 Following  |  1,408 Posts  |  Joined: 04.07.2023
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Posts by brookswalsh (@brookswalsh.bsky.social)

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a woman holds a black ball in her hands ALT: a woman holds a black ball in her hands

I want to see a study funded by Magic 8-Ball comparing the two

02.03.2026 00:21 β€” πŸ‘ 10    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

84% of the time, β€œChatGPT Health” killed a customer using their paid service as advertised

01.03.2026 23:27 β€” πŸ‘ 419    πŸ” 211    πŸ’¬ 15    πŸ“Œ 18
Nancy by Ernie Bushmiller.

First panel, Nancy talking to a logger sawing a tree and pointing to a carved piece of trunk.

Nancy: Can I have that piece? My boy friend carved it.
Logger: Sure.

Second panel, Nancy is watching the log burn in the fire place.
Nancy: I'm mad at him.

Nancy by Ernie Bushmiller. First panel, Nancy talking to a logger sawing a tree and pointing to a carved piece of trunk. Nancy: Can I have that piece? My boy friend carved it. Logger: Sure. Second panel, Nancy is watching the log burn in the fire place. Nancy: I'm mad at him.

Every once in awhile I think about this Nancy comic and it makes me laugh every single time. Absolute perfection.

01.03.2026 21:40 β€” πŸ‘ 4831    πŸ” 1140    πŸ’¬ 23    πŸ“Œ 19

The @annalsofem.bsky.social editors' summary is unjustifiably generous about AI scribing.

Editors' job is to temper the author's enthusiasm, not hype it.

01.03.2026 21:56 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

β€œA hospitalization rate at 2% is ludicrous...It’s vast underreporting. Measles makes you sick.”

- Dr. Paul Offit, director of the Vaccine Education Center and an infectious disease physician at Children’s Hospital of Philadelphia

01.03.2026 17:03 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Washington Post image
A student's arm is seen in the rubble at the school in Minab, Iran. (Abbas Zakeri/Mehr News/WANA/ Reuters

Washington Post image A student's arm is seen in the rubble at the school in Minab, Iran. (Abbas Zakeri/Mehr News/WANA/ Reuters

It was correct of the WaPo to publish this photo of the aftermath of the attack on the girls' school in Minab.

A school girl's detached arm laying next to her dirt-covered viscera.

This is now our legacy in the world.

www.washingtonpost.com/world/2026/0...

01.03.2026 15:40 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Our study was conducted at a single tertiary academic ED, and ambient AI use was voluntary and encounter-specific, on a low overall percentage of encounters (11.2%) skewed toward lower acuity and highly skewed adoption among a subset of physicians. Comparisons should be interpreted as descriptive associations reflecting early real-world use.
Furthermore, outcomes were derived from electronic health record audit logs, which estimate active electronic health record time but cannot fully distinguish focused documentation from multitasking, interruptions, or concurrent clinical activity. Misclassification of on-shift versus after-shift work is possible when physicians extend beyond scheduled shift end or document remotely. Finally, we did not directly assess documentation quality, coding accuracy, patient experience, or financial impacts, which are important dimensions of ambient AI evaluation.

Our study was conducted at a single tertiary academic ED, and ambient AI use was voluntary and encounter-specific, on a low overall percentage of encounters (11.2%) skewed toward lower acuity and highly skewed adoption among a subset of physicians. Comparisons should be interpreted as descriptive associations reflecting early real-world use. Furthermore, outcomes were derived from electronic health record audit logs, which estimate active electronic health record time but cannot fully distinguish focused documentation from multitasking, interruptions, or concurrent clinical activity. Misclassification of on-shift versus after-shift work is possible when physicians extend beyond scheduled shift end or document remotely. Finally, we did not directly assess documentation quality, coding accuracy, patient experience, or financial impacts, which are important dimensions of ambient AI evaluation.

Abstract:
"When used [in an ER setting], ambient AI was associated with shorter on-shift documentation time, total EHR time."

Editors' summary
"AI modestly shortened documentation time."

Limit
"Comparisons should be interpreted as *descriptive* associations"
www.annemergmed.com/article/S019...

01.03.2026 15:27 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 1

There is no acceptable reason to call the Higgs boson the β€œGod particle.” It corresponds to no theological concept in circulation and the guy responsible for it originally called it β€œgoddamned particleβ€œ because it was hard to find

28.02.2026 17:12 β€” πŸ‘ 86    πŸ” 6    πŸ’¬ 3    πŸ“Œ 1

Somehow, I'm starting to question the credibility of the FIFA Peace Prize πŸ€”

03.01.2026 16:42 β€” πŸ‘ 46    πŸ” 10    πŸ’¬ 0    πŸ“Œ 4

I’m going to be blunt here: Helen Keller could have seen this result coming from a mile away.

27.02.2026 23:04 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

For what it’s worth, I don’t have any tattoos.

27.02.2026 16:31 β€” πŸ‘ 2017    πŸ” 445    πŸ’¬ 105    πŸ“Œ 120
Tweet from uchΓ© blackstock, md @uche_blackstock

I knew Dave Newman, but when I very first heard your story, Aja, I believed you. You deserved to be protected the most. I'm so sorry you had to go through this, but we are fighting to make sure this never happens again.

Tweet from uchΓ© blackstock, md @uche_blackstock I knew Dave Newman, but when I very first heard your story, Aja, I believed you. You deserved to be protected the most. I'm so sorry you had to go through this, but we are fighting to make sure this never happens again.

"But when [Aja] also asked the technician, who sprayed Luminol on the bag of evidence, to also spray her ...
β€œIt was all over my face, all over my breasts like I told her”"
@ucheblackstockmd.bsky.social

Need to remind new EM docs of this case every now and then
www.thecut.com/2019/10/moun...

27.02.2026 15:10 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 2    πŸ“Œ 0

And not just the actions of *Mr* Newman by himself.

Also how "many* people in EM initially took his side, defended Newman

27.02.2026 15:11 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Tweet from uchΓ© blackstock, md @uche_blackstock

I knew Dave Newman, but when I very first heard your story, Aja, I believed you. You deserved to be protected the most. I'm so sorry you had to go through this, but we are fighting to make sure this never happens again.

Tweet from uchΓ© blackstock, md @uche_blackstock I knew Dave Newman, but when I very first heard your story, Aja, I believed you. You deserved to be protected the most. I'm so sorry you had to go through this, but we are fighting to make sure this never happens again.

"But when [Aja] also asked the technician, who sprayed Luminol on the bag of evidence, to also spray her ...
β€œIt was all over my face, all over my breasts like I told her”"
@ucheblackstockmd.bsky.social

Need to remind new EM docs of this case every now and then
www.thecut.com/2019/10/moun...

27.02.2026 15:10 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 2    πŸ“Œ 0

Oh buddy. Good thing we're doing a text thing here or I would be murdering the prosody of Cervantes and Benito

27.02.2026 15:04 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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911 calls capture kids burning with fever, struggling to breathe at ICE detention center EMS crews were called to the Dilley Immigration Processing Center in Texas at least 11 times since September for children in medical distress, records show.

β€œThere is absolutely, unequivocally no appropriate way to detain a child, period. It is causing physical, mental, measurable, studied harm."
- Dr. Lara Jones, pediatric critical care doc
share.google/eP93PIHhvdlb...

27.02.2026 14:34 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Casey Means, surgeon general nominee, opposes vaccines. Here's how you can tell.
YouTube video by Dr. Arghavan Salles, MD, PhD Casey Means, surgeon general nominee, opposes vaccines. Here's how you can tell.

Casey Means is an anti-vaxxer. Don’t be fooled by her repetition of β€œvaccines save lives.” Listen to the caveats she gives and how hard they have to push to get her to admit specific vaccines are effective. She is not qualified to be surgeon general.

27.02.2026 01:21 β€” πŸ‘ 265    πŸ” 128    πŸ’¬ 21    πŸ“Œ 6

Joke a shade too recondite for some, i fear

27.02.2026 02:32 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

A solid headline for a longform piece about this Surgeon General nomination would be "Means' Motive and Opportunity."

25.02.2026 20:33 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 3    πŸ“Œ 0

Murderbots are a go.

26.02.2026 22:20 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0

hmm weird that the sexist gets it wrong machine would act this way

26.02.2026 21:30 β€” πŸ‘ 9    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

Not to turn this into Bluesky bingo, but i thought using AI like this was explicitly part of Project 2025?

26.02.2026 21:27 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
β€˜Unbelievably dangerous’: experts sound alarm after ChatGPT Health fails to recognise medical emergencies Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases

"In one of the simulations, eight times out of 10 (84%), the [Chatgpt] sent a suffocating woman to a future appointment she would not live to see"

www.theguardian.com/technology/2...

26.02.2026 21:06 β€” πŸ‘ 2    πŸ” 3    πŸ’¬ 1    πŸ“Œ 3

Left: me on iTalki pronouncing "garantizado"
Right: my iTalki tutor planning feedbackj

26.02.2026 20:51 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

step 1) identify a problem
step 2) make that problem worse

26.02.2026 01:10 β€” πŸ‘ 35    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0

What kind of shithole country allows this to happen?

26.02.2026 01:10 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Headline in the financial times:
Private equity tries to breathe new life into US hospice chain
Kinderhook’s $1.1bn bet on Enhabit comes with thin margins, heavy debt and increasing scrutiny

Headline in the financial times: Private equity tries to breathe new life into US hospice chain Kinderhook’s $1.1bn bet on Enhabit comes with thin margins, heavy debt and increasing scrutiny

Post image

"Recent academic research has been almost universally negative about the impact on patient outcomes when financial buyers get involved.
[But] it may be that Enhabit can, away from the strictures of public market reporting, generate better financial returns while still looking after patients"

25.02.2026 19:23 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

"Most infected children..."
MF, most children do fine regardless of what you throw at them.
*Most* children do fine with lawn darts, Tide pods, and riding on the back of a motorcycle.

25.02.2026 15:52 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Holy cow, I wouldn't want a hot mike in front of me, and I'm nominally in control of my utterances.

25.02.2026 15:47 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

"ΒΏQuiΓ©nes son realmente nuestros hΓ©roes?
ΒΏA quiΓ©n estamos honrando?
Y en algunos lugares, donde la gente tumbΓ³ estatuas, no se volvieron a instalar. Y han dejado los pedestales vacΓ­os y eso provoca una conversaciΓ³n sobre lo que sΓ­ deberΓ­a estar ahΓ­.
Por lo menos obliga una reflexiΓ³n."

25.02.2026 15:32 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0