@walinjom According to Lupu et al’s paper in Clinical Cardiology (2022) guidelines are rarely followed in very high risk or high risk patients. Major problem.

@OGdukeneurosurg Emergency Medicine. We have to interact with every specialty every day. Advocating for our patients, often when no one else will, while we know that a call from us usually means additional work for the other specialties (whom we really appreciate).

@angna_86 @mornei2011 @BotCardiology @EkgHacks @smithECGBlog @IC_SIAC @EM_RESUS @PCRonline @SOCiME_ Inferior OMI. HATW & subtle STE 2/3/F, minimal reciprocal STD aVL. Should have emergent cath.

@HeartOTXHeartMD Chicago and North Shore will miss u. Good luck in SC. Hope the steaks down there are as good as Chicago’s. (I know, not very ❤️ healthy, but who doesn’t love a good steak?)

@ecgandrhythmRoe @TyroneW02575769 Severe HypoK? Down/up ST segments look suspicious.

@suricardio @Ahmedata7777 @baramink @CardioBeat_ @chi_no_usagi @ecgandrhythmRoe @FibrilloFlutter @makkyecg Could be either wraparound LAD or inferior/RCA. Needs emergent cath regardless.

@ecgandrhythmRoe I’d probably have pacing pads on the pt given risk of sudden AV block with the BFB.

@ecgandrhythmRoe Shark fin-massive anterolateral STEMI. Reciprocal inferior STD. Bifascicular block (RBBB & LAFB). Proximal LAD. Needs emergent cath.

@simplyserotonin We have a Med Ed track in our program which residents really like. Happy to answer any EM questions.

@simplyserotonin There’s great opportunities to mentor and teach residents and students in EM, which is one of the best things about it. Med Ed Is great. When you’re looking at EM programs make sure u find out about how theyir residents are involved in teaching.

@mowwyjane I bet he was the life of the party!

@mowwyjane Too many choices? We don’t have a TJ here, closest one is 2 hours away- probably a good thing :)

@MAstronomers To Serve Man

@smithECGBlog Inferior HATW; STD/TWI in aVL seal the inferior OMI Dx.

@suricardio @baramink @CardioBeat_ @chi_no_usagi @DrRajeshG1 @DrRazi4 @ecgandrhythmRoe @ecgotaku @FibrilloFlutter Probably reperfused inferior OMI. HATW early V-leads,posterior wall was likely also involved. RCA or Cx.

@TheECGMedic Would be suspicious for high lateral OMI- subtle STE aVL, ?also in I.

@ecgandrhythmRoe VT, has concordant negativity in V-leads. Looks a bit irregular so could also be AFib with BBB or pre-excited. Likely is gonna need shocked either way.

@suricardio @DrRajeshG1 @DrRazi4 @ecgandrhythmRoe @baramink @FibrilloFlutter @KostekMilan Looks like artifact-perhaps arterial pulse damping artifact-in line leads. V-leads suspicious, could be Wellens vs. artifact. Would repeat EKG but still be pretty suspicious.