Emergency medicine insights
Physician-led articles on emergency medicine, AI implementation, simulation, and operational leadership.
AI in Emergency Medicine
October 15, 2026 · Chester Shermer, MD, FACEP
AI fracture tools make clinicians more sensitive in reader studies, and NICE allows four of them under conditions. No randomized trial has yet published patient outcomes. How to deploy one as a second reader.
ED Management
October 8, 2026 · Chester Shermer, MD, FACEP
Patients who leave without being seen come back more often, and the front end that drives most walkouts is the part an emergency physician can redesign. Here is what the evidence supports.
AI in Emergency Medicine
October 4, 2026 · Chester Shermer, MD, FACEP
AI can forecast emergency department arrivals, but a patient count is not a staffing plan. Learn how to validate forecasts, keep human control, and test a safer workflow.
AI in Emergency Medicine
September 27, 2026 · Chester Shermer, MD, FACEP
Before an AI model changes an emergency department workflow, run it in shadow mode. Here is what to measure, who owns the stop rule, and what should earn go-live.
AI in Emergency Medicine
September 20, 2026 · Chester Shermer, MD, FACEP
AI-assisted vertical care can reduce ED crowding, but only when clinicians own reassessment, override, and the decision to move a patient out of the waiting-room queue.
AI in Emergency Medicine
September 13, 2026 · Chester Shermer, MD, FACEP
AI-assisted ECG can surface hidden ischemic patterns, but it cannot replace a clinician’s read, serial testing, or bedside judgment. Build the workflow around disagreement and false reassurance.
AI in Emergency Medicine
September 6, 2026 · Chester Shermer, MD, FACEP
General-purpose AI can surface drug-interaction questions, but it cannot replace medication reconciliation, an approved reference, or pharmacist and physician judgment in the ED.
AI in Emergency Medicine
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.
AI in Emergency Medicine
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.
AI Risk & Governance
August 16, 2026 · Chester Shermer, MD, FACEP
A practical ED playbook for tracking AI changes, detecting model drift, and building a rollback plan before patient safety is at risk.
AI Risk & Governance
August 9, 2026 · Chester Shermer, MD, FACEP
AI risk scores can help emergency physicians see patterns sooner, but low risk is not a disposition plan.
AI Risk & Governance
August 2, 2026 · Chester Shermer, MD, FACEP
AI alerts do not make the ED safer by themselves. A practical framework for assigning ownership, escalation, and off-ramps before go-live.
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