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Back to basics: ECGs are dynamic, get serial ECGs and learn the OMI progression drsmithsecgblog.com/back-to-basics… Pendell Meyers

RESOLUTION S: Probe is over the abdomen R: Small bowel obstruction: dilated (>2.5cm) small bowel (identified by plicae circulares) with alternating peristalsis. #raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

Students: What probe is being used, and where on the body is it most likely? Residents: What diagnosis is consistent with this clip? #raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

Body fluids: What to order & How to interpret Sarah Foohey #MedEd

#ecg shows WCT with HR ~135bpm; It has (+) VT signs: 1. Atypical RBBB with tall left rabbit ear 2. Positive aVR 3. r/S < 1 in V6 with LAD. 4. AV dissociation Fulfill 4/4 criteria for Fascicular VT 1. Atypical RBBB 2. QRS <140msec 3. r/S<1 in V6 4. (+)aVR

Why did it take 70 years for this to cause trouble? And what are the markers of risk in this ECG? drsmithsecgblog.com/why-did-it-tak… Magnus Nossen, MD

Answer: Folds mimicking polyps. Can happen when they are partially visualized. Note on video when sweeping through that these are folds.

Read the latest Educational Pearl on Fall down stairs with knee pain at umem.org/educational_pe…

The L wave is an abnormal mid-diastolic flow wave seen on transmitral Doppler echocardiography, between the E and A waves. Again, suggestive of high LV filling pressure. Cumulatively, findings were consistent with Grade 3 diastolic dysfunction and VExUS grade 3. I have the

#ecg shows : 1. AFL in V1 and Lead 2 - atrial rate ~ 257bpm/CL 234msec 2. WCT with variable R-R interval; VT👇 - AV dissociation - Fusions beat - (+) Concordance 3. RBBB morphology - No QRS transition - (-)aVR - Inferior Axis - QRS notching 🔺AFL with NSVT (AL Mitral Annulus)

#ecg shows NCT with HR ~214bpm: 1. Lateral STD ~2mm in V5-V6 with STE aVR ~2mm suggests evidence of retrograde P wave activation 2. Pseudo r V1 & Pseudo S II,III,aVF 3. Short RP⏭️ RP~100msec 🔺Short RP tachycardia - Orthodromic AVRT

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

RESOLUTION S: A low-frequency convex probe is likely over the LLQ of the abdomen. R: Diverticulitis is the most likely diagnosis.

Students: Where is the probe? Residents: What procedure is being performed? #raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

How to estimate LAP when you’re given SBP and a CW Doppler trace of the MR jet on your #echofirst exam (instead of E/e’)? #POCUS #FOAMed

Estimating LAP using Mitral E/e’ #POCUS #FOAMed #echofirst

TR jet method #POCUS #FOAMed

chest pain in a 40-something woman. drsmithsecgblog.com/even-omi-that-…

Read the latest Educational Pearl on Traumatic Brain Injury Management Reminders at umem.org/educational_pe…

What sonographic finding on the SAG scan of the MTP joint is identified by the green arrow? ANSWER: Note the presence of an echogenic line on the superficial margin of the anechoic hyaline cartilage. This is referred to as the “double contour sign” and is a specific finding for