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Explain this ECG, please!

🧵 Understanding ALBUMIN in Liver disease : What matters is not just Quantity but QUALITY A thread 🧵 :

This ECG is from a man in his 60s who contacted EMS with new CP (Chest Pain). — How would you interpret this ECG? — Should the cath lab be activated? If not — Why not? — GO TO — tinyurl.com/KG-Blog-482 —#ECG - #ECG_Ken_Grauer - #EKG — :)

Time for another lung tweetorial! A patient was intubated for pulmonary aspiration. No more secretions were obtained, but the patient was 'stuck' at 30% FiO₂ Here's the lung ultrasound of the right base (left was normal) What does it show?

Patient with some shortness of breath in the ED. What's going on here? 🤔 (look/think carefully...) See next for poll 👇

Chest pain, normal ECG, and serial undetectable high sensitivity troponins. Should we do further testing? hqmeded-ecg.blogspot.com/2025/05/chest-…

A patient had worsening dyspnea that followed a thoracentesis. We performed an lung US exam R/O pneumothorax . There was interposition between an anechoic fluid pattern and the A pattern of the lung without sliding, raising the probability of the diagnosis of a hydro-air level

🧵 Less complexity, same accuracy? The promise of mVExUS pubmed.ncbi.nlm.nih.gov/39820706/ A 2025 study from The Ultrasound Journal evaluates a modified VExUS protocol (excluding the renal vein) and finds: 🟢 Same accuracy 🟢 Better feasibility 🟢 Easier adoption #POCUS #VExUS

Do you know anyone who'd like a POCUS fellowship? Come & join me and the team for 6 months or more and get fully accredited. Plenty of one to one tuition. Lots of scanning opportunity. Dedicated teaching time. Interesting intensive care! bit.ly/POCUSfellowAug… Spread the word!

A 26 yo woman with intermittent palpitations, lasting up to 60 minutes. Can you explain this ECG?

The diagnosis is NSTEMI, a worthless diagnosis which harms patients. hqmeded-ecg.blogspot.com/2025/05/the-di… Magnus Nossen, MD

Vexus course kicked off #HR2025 . First Vexus course we ran had 12 participants, well over 30 now! Biggest point of clarification was that we should stop using Vexus to predict right atrial pressure as it is an organ level Doppler measurement of congestion that has more

And now for something completely different (a very difficult electrophysiology case) hqmeded-ecg.blogspot.com/2025/05/and-no… Willy Frick

What is the best explanation for this rhythm? #EPeeps

Distinguished ECG enthusiasts, what are your takes ?

Here are some basic ectopy slides that I've created to illustrate different terms Aimed at beginner/intermediate level Any feedback welcome

A sick elderly patient with nonspecific symptoms hqmeded-ecg.blogspot.com/2025/05/a-sick… Pendell Meyers

Intriguing CW Doppler across Mitral valve. I have a guess but had to scratch my head for a minute. Doppler never lies - flow always needs explained. What could explain the second beat - flow below Baseline. #echofirst WVU CV fellows Daniel Brito MD, FACC Edgar Argulian Chittur Sivaram Ritu Thamman MD

#POCUS image of the day: What would the pulsed wave Doppler of this portal vein likely show? Vote in the poll below. #VExUS #VExUSlite #Nephpearls

If you saw this EKG completely isolated from clinical context, how would you interpret it? hqmeded-ecg.blogspot.com/2025/05/if-you… Willy Frick