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Next day: unresponsive, off sedation, metabolic profile improved, normothermic, still on norepi 0.1 mcg/kg/min It's 10:30 pm & your night shift has been Quiet so far. The nurses are calling u because the ECG on the monitor looks weird. You get a 12-lead ECG & this is what u see:

“STEMI” “LMCA Occlusion” “De-Winters” “Hyperkalaemia” “LVH with Strain” “LBBB + Neg Sgarbossa” “RBBB” Is this going to the cath lab? #ECG #ECGChallenge

55 y/o diabetic F with LOC BP: 80/50 #ecg #ekg #cardioX #cardioEd #foamed #MedTwitter #MedEd #Cardiology

My wife and I recently received the hospital bill for my mother-in-law's nearly three-week stay in an acute care facility, which included time in the ICU before her passing. The total bill from the hospital exceeded $200,000, which I had anticipated. We usually expect a discount

Here's a video I made breaking down this important case of a 50-year-old man who had a "witnessed seizure" at a bus stop #FOAMed

Elderly man, DM2, no chest pain but feeling unwell, vomiting, SOB. What do you see?

43 years old man presents to ED with chest pain. What’s next?

50 y/o M with retrosternal pain #ecg #ekg #cardiology #foamed #cardiox #CardioEd #MedTwitter #MedX #cardiologist

A patient with heart failure under the usual quadruple therapy with increasing deterioration in renal function and this ECG. All clear?

Pacemakers are critical in the management of bradyarrhythmias. 🫀 Aldaas and colleagues review pacemaker fundamentals, indications, and device types, as well as the role of pacemakers in heart failure, emerging advancements, and current limitations. eviden.cc/4ee15iB

Chest pain and nausea with a diagnostic ECG drsmithsecgblog.com/chest-pain-and… Pendell Meyers

Anthony DiGiorgio, DO, MHA I totally agree. Many years ago (in the 1990's), when I was Chief of Surgery, I was publicly excoriated by JCAHO reviewers who opened an ortho chart and failed us because the orthopedist did not have a comprehensive family and social history. Never mind that that the team

I’m not defending waste, fraud and abuse of any kind. Have any insurance executives been arrested? Have any hospital CEOs been arrested? Have any health system CEOs been arrested? I’ve seen physicians imprisoned. I’ve seen nurses imprisoned. I’ve yet to see one hospital

Elderly M w/vague chest discomfort, mild SOB, lightheaded; VS ok. ECG shown. What's your plan? Activate cath if available? Lytics if that's all you have? Serial ECGs? #FOAMed

Is it Always Best to Activate when Convinced of Acute OMI in a STEMI World? drsmithsecgblog.com/is-it-always-b… Pendell Meyers PMcardio—AI that reads ECGs Emerson Floyd

If you think the cards aren’t stacked for corporations, remember that this year CMS (Medicare and Medicaid) proposed 2.9% increases for payment to ASCs (Ambulatory Surgical Centers mostly owned by large health corporations) and 3.4% increases to hospitals (unlawful for physicians

30 years old man with chest pain. Next step?

Learning points of the #ecg Hyperacute T-waves are NOT measured by their amplitude, but by: 1) their “bulkiness” (area under the curve relative to QRS amplitude and, 2) by increased symmetry 3) "T wave imbalance"

Nice one; chest pain? What`s your take?

DX ?