BloodSweatxED
Emergency Medicine · Montefiore / Einstein · Bronx, NY

Built
on shift.

EM attending and an educator. The rest of my time goes to building what the shift and the classroom need. Every tool here started as a better way I saw at the bedside or in front of students. No demos that die in a deck. Production or nothing.

Clinician Educator Builder

On the board

Status: real-time
Live DC Instructor Discharge instructions in seconds. Five reading levels, 50+ languages, PHI-scrubbed by design. In production with an active adoption study. → Live Hestia PE Pathway Outpatient management for low-risk PE. Epic SmartPhrases, discharge SmartSet, and the pathway poster in one place. → Live Resus to Recovery Joint EM/CCM grand rounds series. Case-based, quarterly, built around what actually happens between the trauma bay and the ICU. → Live AsthmaTrak Mobile-first asthma symptom tracker with clinician QR sharing. Log on the phone, hand the clinician a scannable summary. → Live Microskills Reasoning Reps Clinical reasoning, broken into level-scaled reps. Short drills that build diagnostic fluency one decision at a time. → Pilot FirstThought v2 Diagnostic reasoning trainer for preclinical students. Builds the illness script before the wards do. → Open source Dreamer A reflective operating system that turns the residue of real work into operator improvement: capture, synthesize, compound. → Open source Claude Skills The workflow layer. Shift handoffs, session capture, grading pipelines. How one attending runs an AI-native practice. → Live DC Rx Discharge instruction generator. Drop in a diagnosis, get patient instructions in seconds. → Live MDM Note Writer Medical decision-making note drafting, built for the pace of a real shift. →

PRN Education

Clinical references · use as needed
13 exams POCUS Pocket references for the ultrasound exams the ED actually runs, curated from POCUS 101. Setup, protocol, criteria, pitfalls, and a sample Epic note for each — built for the 3 a.m. rescan. → 9 procedures Keep Your Hands Busy The procedures the ED actually does, in four growing sections: core bedside, needle, airway & resuscitation, and tubes. Technique, aftercare, pitfalls, and a sample Epic note for each. → 2 references The Med Room Fluids and medications, reasoned instead of reflexive. IV Fluids and Bicarb Curious are live; push-dose pressors, RSI meds, reversal, and repletion are on the way. → 1 stop The Curbside Clinical pearls picked up at every stop along the way, one specialty at a time. → 7 cards Chalk Talk EM topic-specific educational cards for the shift and the classroom. Human curated, AI generated — the deck grows one vetted card at a time. →

In the pipeline

Academic output
Methods paper · in progress

AI discharge tools, measured

Clinician adoption of AI-generated discharge instructions, tracked through passive behavioral logging. Not a survey. What clinicians actually do.

QI intervention · active

Naloxone in hand

Behavioral nudges to drive take-home naloxone kit distribution across two Bronx ED campuses. Started June 2026.

Abstract · submitted

Hestia at the bedside

Operationalizing outpatient low-risk PE management with embedded EHR tooling. The pathway, made un-skippable.

Book chapter · writing

Austere pain medicine

Book chapter on pain management in austere and resource-limited settings, where the formulary is short and backup is far away. Read the review draft →

The book

First Aid
for AI

The field guide for clinicians using AI. Modeled on the book every medical student already trusts. Role-stratified: ED, surgery, primary care, trainee, educator, builder. Written by someone who uses these tools on shift, not someone who read about them.

Status: Writing Read the living guide →