[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-433542-105":59,"doc-detail-433542-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","j-chin-medassoc-highlights-ai-in-emergency-medicine","J Chin MedAssoc - HIGHLIGHTS - AI in Emergency Medicine","","Highlights summarize five medical research articles from the Journal of Chinese Medical Association, focusing on urgent care, airway management, oncology survival outcomes, pancreatic cancer diagnosis, and treatment innovations. The emergency medicine highlight evaluates GPT-4 for visual interpretation and clinical reasoning, noting strong image recognition but reduced overall decision accuracy and “inferential hallucinations.” The airway highlight compares supraglottic airways with endotracheal intubation during flexible bronchoscopy, emphasizing improved oxygenation and efficiency. The oncology and diagnostic highlights address airway stenting survival benefits and the risk of misdiagnosing pancreatic cancer as acute pancreatitis, stressing earlier suspicion and screening.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/j-chin-medassoc-highlights-ai-in-emergency-medicine/433542/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/j-chin-medassoc-highlights-ai-in-emergency-medicine/433542.png","ImageObject",300,407,{"name":92,"@type":93},"Logic","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"How did GPT-4 perform in emergency medicine evaluation?","Question",{"text":113,"@type":114},"GPT-4 showed robust image recognition with 100% accuracy, but overall accuracy was about 60.1%, and final decision-making dropped to 59.3%. Performance declined as diagnostic complexity increased and across imaging modalities.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Why are supraglottic airways favored during flexible bronchoscopy?",{"text":118,"@type":114},"Supraglottic airways reduced the need for airway manipulation, enabling largely uninterrupted bronchoscopy while maintaining improved oxygenation. Patients also showed higher ventilator weaning success rates and shorter hospital stays.",{"name":120,"@type":111,"acceptedAnswer":121},"What diagnostic pitfall is emphasized for pancreatic cancer?",{"text":122,"@type":114},"The highlights stress that pancreatic cancer can mimic acute pancreatitis, leading to misdiagnosis in about 26% of reviewed cases and diagnostic delays often exceeding one year. Recurrent pancreatitis without clear cause should raise suspicion for malignancy.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},433542,1790925768,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24,"preview_page_count":4},1099513958762,"https://ap-avatar.wpscdn.com/avatar/1000023916a998db790?x-image-process=image/resize,m_fixed,w_180,h_180&k=1784791008015729253","J Chin MedAssoc  \nHIGHLIGHTS  \nHighlights  \nJong-Ling Fuh  \nDeputy Editor-in-Chief  \n1. AI in Emergency Medicine: GPT-4 Shows Promise but Struggles with Clinical Decision-Making  \nThe article, “Evaluating GPT-4’s visual interpretation and clinical reasoning in emergency settings: A five-year analysis,” offers a critical look at GPT-4’s performance on Taiwan’s Emergency Medicine Board Examinations. While the study found GPT-4 to possess robust image recognition capabilities, achieving 100% accuracy in this area, its overall accuracy was approximately 60.1%, barely meeting the passing threshold and was notably behind human physicians. Performance decreased with increasing complexity: diagnostic reasoning scored 83.1%, but final decision-making dropped to 59.3% . Accuracy also varied across imaging types, with chest X-rays performing better than electrocardiograms (ECGs) and computed tomography (CT) scans, and significantly declining to as low as 33.3% when multiple images were involved. The model also exhibited “inferential hallucinations,” making unsupported assumptions. These findings position GPT-4 as a promising teaching aid in low-stakes environments, yet highlight its limitations in real-world emergency scenarios where deep clinical judgment is paramount. This article provides a nuanced analysis of AI’s strengths and weaknesses in a highstakes medical context, serving as a critical benchmark for the future development and safe integration of AI in healthcare.1  \n2. Supraglottic Airways Outshine Tubes in Bronchoscopy: Less Fussing, More Oxygen  \nThe article,“The Efficacy and Safety of Supraglottic Airway in Therapeutic Tracheal Procedures via Flexible Bronchoscopy,”provides compelling evidence addressing a practical airway management challenge. This study demonstrates that supraglottic airways (SGAs) offer a safe and efficient alternative to endotracheal intubation during flexible bronchoscopy. Findings from a head-to-head trial indicate that SGAs significantly reduce the need for airway manipulation, allowing for largely uninterrupted bronchoscopy while maintaining improved oxygenation. Patients managed with SGAs also experienced benefits such as a higher success rate of ventilator weaning and shorter hospital stays. These outcomes are highly relevant to anesthesiologists and interventional pulmonologists, as the article highlights the clear clinical benefits and improved patient experience, making it an important contribution to the perioperative airway care literature. This research is seen as a significant development for interventional pulmonology, as it suggests improvements in safety, efficiency, and patient recovery.2  \nJournal of Chinese Medical Association. (2025) 88: 655-656. Received August 1, 2025; accepted, August 4, 2025  \ndoi: 10. 1097/JCMA.0000000000001278  \nCopyright © 2025, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \n3. Breathing New Life: How Airway Stents Revolutionize Survival in Esophageal Cancer  \nThe article,“Survival Outcome of Airway Stenting in Patients with Esophageal Cancer with Airway Involvement,” presents findings on the use of airway stenting for esophageal cancer that involves the airways. The data suggest that stenting may be associated with a notable reduction in pneumonia-related deaths and an improvement in the median survival following airway crisis, increasing from 43 to 117 days. Overall survival also improved, increasing from 106 to 351 days, as stents can help seal fistulas, relieve obstructions, and facilitate subsequent anticancer therapies in a substantial number of patients. A multivariate analysis indicated that stenting could be an independent predictor of survival. This study provides compelling evidence that airway stenting can significantly improve survival and reduce pneum","cbCaiaN1sVUmPp8s","https://ap.wps.com/l/cbCaiaN1sVUmPp8s","pdf",381942,"English","# Highlights\n## AI in Emergency Medicine: GPT-4 Shows Promise but Struggles with Clinical Decision-Making\n## Supraglottic Airways Outshine Tubes in Bronchoscopy: Less Fussing, More Oxygen\n## Breathing New Life: How Airway Stents Revolutionize Survival in Esophageal Cancer\n## Pancreatitis or Stealth Cancer? The Deadly Diagnosis Overlooked in 1 in 4 Patients","[{\"question\":\"How did GPT-4 perform in emergency medicine evaluation?\",\"answer\":\"GPT-4 showed robust image recognition with 100% accuracy, but overall accuracy was about 60.1%, and final decision-making dropped to 59.3%. Performance declined as diagnostic complexity increased and across imaging modalities.\"},{\"question\":\"Why are supraglottic airways favored during flexible bronchoscopy?\",\"answer\":\"Supraglottic airways reduced the need for airway manipulation, enabling largely uninterrupted bronchoscopy while maintaining improved oxygenation. Patients also showed higher ventilator weaning success rates and shorter hospital stays.\"},{\"question\":\"What diagnostic pitfall is emphasized for pancreatic cancer?\",\"answer\":\"The highlights stress that pancreatic cancer can mimic acute pancreatitis, leading to misdiagnosis in about 26% of reviewed cases and diagnostic delays often exceeding one year. Recurrent pancreatitis without clear cause should raise suspicion for malignancy.\"}]","J Chin MedAssoc - HIGHLIGHTS - AI in Emergency Medicine | PDF",1790664497]