EM/ACCM/E-AEC Zen-tensivist. Humanist. Philosophizer/Belly-Button Starer. Med interests: MCS, HEMS-CC, de-prescribing, and communication. My opinions are my own, not of my employer(s).
Steven Ilko š„ ššØ
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Sorry, I am extremely skeptical that the language model underlying OpenEvidence is trained on an exclusively biomedical corpus ā all the available evidence suggests it is RAG on a third-party foundation model.
Wow! MARCH trial results show no significant benefit for hypertonic saline and carbocisteine in ventilated ICU patients, and significant harm associated with both. Very well done to all of the investigators!
www.nejm.org/doi/full/10....
#CCR26
Over on LinkedIn, Dr Jorge Salluh shared a very thoughtful post on how his journal, Crit Care Science, thinks about single center studies
Iām sharing it here:
š article
If we can't get studies to answer even "basic questions" (like ICU fluids). No way can an LLM use subsets of the lit to answer more complex questions.
TL;DR- OpenEvidence is pitching itself to healthcare organizations and physicians as the answer to thinking. #emimcc
www.nytimes.com/2026/06/08/b...
That's the power of PEEP! Excellent proof of concept.
Donald Trump promised the war in Iran would end with unconditional surrender. But he never said which country would do the surrendering.
Anyone have any experience with medetomidine withdrawal, and spotting it from fentanyl withdrawal? I am thinking about it in a guy with maybe the worst opioid withdrawal I've ever seen. Otherworldly severe. #emimcc
OG Coca-Cola is effectively human draino and you won't be able to convince me otherwise at this point. #emimcc #medsky
Anyone else have a favorite case report so far this year?
www.cureus.com/articles/424...
