Emergency medicine insights

Emergency Medicine AI & Operations Blog

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

When the ED AI Goes Dark: Build the Downtime Drill Before Go-Live

AI in Emergency Medicine

When the ED AI Goes Dark: Build the Downtime Drill Before Go-Live

August 30, 2026 · Chester Shermer, MD, FACEP

An ED AI outage is a clinical transition, not only an IT incident. Use five tests to recognize failure, switch to a safe fallback, reconcile the record, and train the team before the next shift depends on it.

Before Your ED Buys AI, Demand the Evidence Packet

AI in Emergency Medicine

Before Your ED Buys AI, Demand the Evidence Packet

August 23, 2026 · Chester Shermer, MD, FACEP

A vendor demo is not evidence that an AI tool will work in your emergency department. Here is the evidence packet and local stop rule to require before go-live.

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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