Emergency medicine insights

Emergency Medicine AI & Operations Blog

Physician-led articles on emergency medicine, AI implementation, simulation, and operational leadership.

EMS Simulation Training: Reps Before the Real Call

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 Observation Units: Fix Boarding Before It Breaks You

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.

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