Writing on clinical AI, airway devices, emergency medicine, and systems that have to survive contact with reality.https://napiermd.me/https://napiermd.me/posts/preventing-ai-fabrication-in-clinical-documentation/https://napiermd.me/posts/preventing-ai-fabrication-in-clinical-documentation/One invented medication is enough. Clinical documentation AI has to be built around evidence.Sat, 21 Feb 2026 00:00:00 GMThttps://napiermd.me/posts/building-a-chest-pain-risk-stratifier-from-clinical-conversations/https://napiermd.me/posts/building-a-chest-pain-risk-stratifier-from-clinical-conversations/Chest pain exposes overconfident clinical AI. Useful support beats false diagnosis.Sat, 14 Feb 2026 00:00:00 GMThttps://napiermd.me/posts/changing-models-in-clinical-documentation/https://napiermd.me/posts/changing-models-in-clinical-documentation/A new model is not a reason to touch the chart. Failure modes decide whether migration is worth it.Wed, 04 Feb 2026 00:00:00 GMThttps://napiermd.me/posts/the-95-dollar-laryngoscope/https://napiermd.me/posts/the-95-dollar-laryngoscope/Video laryngoscopy was never just a better-view problem. In EMS, it was an access problem.Thu, 22 Jan 2026 00:00:00 GMThttps://napiermd.me/posts/building-in-public/https://napiermd.me/posts/building-in-public/Private work can lie to you. This site is where I put the parts that can survive daylight.Thu, 08 Jan 2026 00:00:00 GMT