ECG Cases 57 Art of Occlusion MI Part 5 – Clinical-ECG-POCUS Triptych emergencymedicinecases.com/ecg-cases-oc... #ECG #POCUS #cardiosky #ecgsky @emcases.bsky.social

#ECG Cases 56: the art of #OcclusionMI, part 4: sequence photos emergencymedicinecases.com/ecg-cases-ar... @emcases.bsky.social #FOAMed #EKG #cardiosky #ECGsky

Read our editorial at the link below! www.termedia.pl/Occlusion-my... #ECGSky #Medsky #cardiosky @ecgcases.bsky.social

Next series of ECG courses! 1. HEARTS Resident: June 18+25 2. HEARTS Student: July 15+22 3. HEARTS Advanced: July 23+30 To register: heartsECGcourse.com @emcases.bsky.social #ECG #EKG #ECGinterpretation #medstudent #resident #paramedic #ECGsky

The Art of Occlusion MI Part 3 – Impression. emergencymedicinecases.com/ecg-cases-ar... #ecg #ekg #cardiosky #ecgsky @emcases.bsky.social

EM Quick Hits 64 🩸Whole Blood Transfusions @petrosoniak Zafar Qasim 💔Calcium Before Diltiazem in Afib @First10EM ✂️Thoracotomy Pearls @EMSwami 🧒Uterine Casts @andrewjtagg 💟OMI Scale & Proportionality @ECGCases emergencymedicinecases.com/em-quick-hit... #FOAMed

“Transitioning to the OMI paradigm addresses critical gaps in the STEMI/NSTEMI framework by emphasizing the identification of ACO irrespective of ST-segment elevation.“ pmc.ncbi.nlm.nih.gov/articles/PMC... #ecg #ecgsky #cardiosky

Glad to see the Australian guidelines reflect the data where American guidelines (@accintouch.bsky.social) were stuck in an antiquated era. The best time to move on from STEMI was years ago. The second best time is now. www.heartfoundation.org.au/for-professi... #medsky #cardiosky #ECGsky

Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm? hqmeded-ecg.blogspot.com/2025/03/will... #ECG #ECGsky #cardiosky

Brugada syndrome: 3 steps to diagnosis. Part of @emcases.bsky.social video series youtu.be/KQy5QpH5zDA?... #ECG #EKG #ECGsky #cardiosky

Equity gaps in the diagnosis and treatment of Occlusion MI. New #CJCopen article www.cjcopen.ca/article/S258... #cardiosky

Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome? #ECG #ECGsky #cardiosky hqmeded-ecg.blogspot.com/2025/03/ches...

“What is the gold standard for #ECG interpretation: computer, cardiologist, or patient outcome?” New letter in @cjemonline.bsky.social link.springer.com/article/10.1... #ecgsky

#ECG Cases 54 The Art of Occlusion MI: Scale and Proportionality #ecgsky #meded #cardiosky @emcases.bsky.social emergencymedicinecases.com/ecg-cases-ar...

Potassium 6.2 with narrow QRS: any indications for calcium? #ECG #ECGsky #medsky hqmeded-ecg.blogspot.com/2025/02/pota...

‘NSTEMI’ or reperfused OMI, and which is the culprit? #ECG #ECGsky hqmeded-ecg.blogspot.com/2025/02/nste...

EM Quick Hits hot off the press! @EMSwami -Timing of RSI Drugs @BrittJEllis -Older Pts & ED Flow @ICEM2025 Melody Ng -Nutrition for Shift Workers @DrJerom -Rx Prolonged Tourniquet Nour Khatib/Phil Gillick -Rural Case @ECGCases -Reciprocal Changes emergencymedicinecases.com/em-quick-hit... #FOAMed

hqmeded-ecg.blogspot.com/2025/01/shou... #cardiosky #ECGsky #medsky

30 year old, history of thyroid disease, with sudden bilateral leg weakness #ECG #EKG #ECGsky #cardiosky #medsky

80 y/o with HTN, presenting with chest pain. HS Troponin-1 2,943 ng/L. #ECGSky #CardioSky #MedSky

Occlusion MI: from theoretical concept to practical therapy www.sciencedirect.com/science/arti... @jaccjournals.bsky.social #JACCAdvances @drmarthagulati.bsky.social

Make #ECG interpretation your New Year’s resolution 🎉 Next courses: 1. HEARTS #EMS: January 8 2. HEARTS Advanced: February 12 & 19 3. HEARTS #CardiacTech: March 8 4. HEARTS Advanced: April 8 5. HEARTS #Resident: May 23 To register: heartsECGcourse.com #ECGsky @emcases.bsky.social

ECG quiz! Cardiologists or other fancy pants experts not allowed What’s going on here then? Patient is a man in his 50s 1 point for headline finding 1 point for rhythm 1 point for putting it all together #ecgsky #medsky

60 year old with chest pain. Is this inferior injury or pericarditis? #ecgsky #cardiosky #ecg #ekg #medsky

how are you going to treat this patient's palpitations? answer here: emcrit.org/squirt/ecg3/ #EMIMCC #ECGsky

Congenital defect - pectus excavatum! Quite the ECG

“NSTEMI is a bit of a wastebasket…We have to do better in terms of identifying the occluded arteries that really warrant timely intervention”. Great discussion on #OcclusionMI paradigm shift www.medscape.com/viewarticle/... #medsky #cardiosky

"Well, the anterior leads are Q'ed out, so this has probably been going on for some time." But...

This will be a timeless tutorial on electrocardiographic coronary anatomy in OMI!

#ECG Cases 52 - the art of #OcclusionMI, part 1: mirror image emergencymedicinecases.com/ecg-cases-ar... @emcases.bsky.social #EKG #ECGsky #cardiosky #medsky

This is inferoposterior OMI. Inferior HATW (III > F > II), reciprocal down-up T waves in I/aVL, STD V2. Proximal LCx culprit. Shown are explainability map and follow up ECG with reperfusion.

A past case at OSH. Undiff syncope, but saw this ECG and knew I had to do a POCUS echo right away. 1/2

#ECG Computer says Afib, Vtach, RVH, posterior MI, and hyperK all at the same time 🤔 #ECGsky

Hyperacute T wave or not: do any of these #STEMI ECGs have #OcclusionMI? #ECG #ECGsky #cardiosky hqmeded-ecg.blogspot.com/2024/12/hype...

BRASH syndrome ECG: - subtle peaked T-waves from hyperkalemia - bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes (more on BRASH: emcrit.org/ibcc/brash/) (ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky

For anyone interested in learning more about angiography, check out my introductory guide! You’ll find a lot of nice annotated diagrams like this one. intuitivecardiology.notion.site/angiography

shortcomings of the STEMI NSTEMI paradigm, resulting patient harm, and why we need to add on the 'OMI paradigm' which i will post next #CardioSky #EmImCc #12lead #ekg #STEMI #pci #OMI heart.bmj.com/content/110/...

Great talk from Dr Tarlan Hedayati on when to fear RBBB, including the “hat trick” of RBBB + LAFB + concordant STE #EMCSum24