Emergency physician @UHN, Associate prof @UofT. #ECG blog/podcast for @EMcases, an associate editor of @smithECGblog, teacher @heartsECGcoursešŸ«€ (he/him)

Joined May 2016
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From ST Elevation MI to Occlusion MI: the new paradigm shift in Acute Myocardial Infarction. New @JACCJournals #JACCAdvances state-of-the-art review with Jose Nunes de Alencar, @AslangerE, @PendellM and @smithECGBlog sciencedirect.com/science/ar…
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New article in @JElectrocardiol by @willyhfrick The illusion of simplicity: Diagnostic inconsistencies within the STEMI paradigm doi.org/10.1016/j.jelectroca…

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Replying to @DrMarkHellerman
An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think! — Would you activate the cath lab for both patients, neither patient, or only one of them? drsmithsecgblog.com/an-ecg-f…
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HEARTS Foundation: intro to #ECG interpretation course āœ… systematic interpretation āœ… evidence-based pearls āœ… interactive, small group format āœ… practice with real cases To register: heartsECGcourse.com @ECGcases @EMCases #MedEd #EKG #EmergencyMedicine #medstudent
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65 year old with chest pain new Left Bundle Branch Block: is this acute coronary occlusion? drsmithsecgblog.com/65-year-… @ECGcases Old ECG on top. New on bottom.
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88F presents w/ substernal chest discomfort. What’s the diagnosis? Answer w/ 2 min video explanation: jacc.org/doi/10.1016/j.jacca… @JACCJournals #JACC #ECG #CardioTwitter #FOAMed
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Registration for #CAEP26 pre-conference courses is extended to May 15! Join us June 5-6 in Winnipeg for insightful courses & interactive workshops: airway, peds trauma, ventilation, ECG, opioids & ED ortho. Register: caepconference.ca/preconfere… #emergencymedicine #meded
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One week left to register for @ECGcases HEARTS Emergencies course at @CAEPConference To register: caepconference.ca/preconfere…
#CAEP26 Pre-conference Courses & Workshops -registration closes April 24! Join us June 5-6 in Winnipeg for insightful and interactive learning in airway management, ECGs, peds trauma, mechanical ventilation, leadership & more. šŸ‘‰Register: caepconference.ca/preconfere…
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Can the Queen of Hearts @PMcardioApp improve diagnostic accuracy for OMI in the difficult subset of canceled catheterization lab activations? 17 cases w true OMI (TIMI 0/1 flow) were falsely canceled by the interventionist. The queen of hearts accurately identified 16 of 17 as OMI. Specificity 73%. @PendellM sciencedirect.com/science/ar…

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#CAEP26 Pre-conference Courses & Workshops -registration closes April 24! Join us June 5-6 in Winnipeg for insightful and interactive learning in airway management, ECGs, peds trauma, mechanical ventilation, leadership & more. šŸ‘‰Register: caepconference.ca/preconfere…
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Jesse McLaren retweeted
Stable wide complex tachycardia ≠ always VT. āš ļø Artifact āš ļø AF ± WPW āš ļø Hyperkalemia āš ļø Sinus tach ACLS says ā€œassume VTā€ā€¦ but context matters. EM Cases: avoiding WCT pitfalls šŸ«€ emergencymedicinecases.com/a… #FOAMed #ECG
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Jesse McLaren retweeted
More and more, the Occlusion Myocardial Infarction vs. Non-Occlusion paradigm (OMI/NOMI) is overtaking the old and useless STEMI/NonSTEMI paradigm. Listen here to ⁦@josenalencar⁩
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50 year old with shortness of breath drsmithsecgblog.com/50-year-… @ECGcases
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Occlusion MI vs #STEMI: A Paradigm Shift in #ECG Interpretation for Myocardial Infarction youtu.be/3M-3-vVLLbA?si=o59M… @EMCases #cardiotwitter

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Replying to @JAMAInternalMed
These types of deadly misses occur frequently, and contrary to what the article suggests, posterior leads are not required to recognize this ECG as a STEMI equivalent requiring immediate reperfusion.
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But posterior leads are often falsely negative. Trust a diagnostic 12-lead or you will delay intervention for posterior OMI. This is now shown in this article by. @ECGcases pmc.ncbi.nlm.nih.gov/article…
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What happens when you don’t trust your interns, or the Queen of Hearts? #thepitt
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