Built on
the night
shift.
EM attending and 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.
On the board
DC Instructor
Discharge instructions in seconds. Five reading levels, 50+ languages, PHI-scrubbed by design. In production with an active adoption study.
Hestia PE Pathway
Outpatient management for low-risk PE. Epic SmartPhrases, discharge SmartSet, and the pathway poster in one place.
Resus to Recovery
Joint EM/CCM grand rounds series. Case-based, quarterly, built around what happens between the trauma bay and the ICU.
AsthmaTrak
Mobile-first asthma symptom tracker with clinician QR sharing. Log on the phone, hand over a scannable summary.
Microskills Reasoning Reps
Clinical reasoning, broken into level-scaled reps. Short drills that build diagnostic fluency one decision at a time.
FirstThought v2
Diagnostic reasoning trainer for preclinical students. Builds the illness script before the wards do.
Dreamer
A reflective operating system that turns the residue of real work into operator improvement: capture, synthesize, compound.
Claude Skills
The workflow layer. Shift handoffs, session capture, grading pipelines. How one attending runs an AI-native practice.
MDM Note Writer
Medical decision-making note drafting, built for the pace of a real shift.
PRN Education
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.
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.
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.
The Curbside
Clinical pearls picked up at every stop along the way, one specialty at a time.
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.
Teaching Desk
Session guides, reusable teaching pearls, and the working queue for upcoming teaching.
In the pipeline
AI discharge tools, measured
Clinician adoption of AI-generated discharge instructions, tracked through passive behavioral logging. Not a survey. What clinicians actually do.
Naloxone in hand
Behavioral nudges to drive take-home naloxone kit distribution across two Bronx ED campuses. Started June 2026.
Hestia at the bedside
Operationalizing outpatient low-risk PE management with embedded EHR tooling. The pathway, made un-skippable.
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 →
All who wander: guides for building
Build in Public
Obsidian, Claude, and GitHub connected end to end: a private backup of everything you write, a public build log on a real URL, and a deliberate wall between the two. Written for a colleague on a Mac who had never used git.
Rep Tracker
Camera-based rep counter for squats and curls. Pose tracking runs locally in the browser, nothing uploaded, testing whether the core loop feels good before an iOS build.
AI Workout Assistant
Push-up and squat rep counter with pose classification. MoveNet keypoints, fully client-side.