Jesse McLaren

Art of Occlusion MI Part 4: Sequence Photos | ECG Cases | Emergency Medicine Cases Like sequence photography, serial ECGs correlated with patient symptoms can identify occlusion MI and reperfusion at risk for reocclusion on this month's ECG Cases blog at Emergency Medicine Cases

#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

Whole Blood Transfusions, Calcium Before Diltiazem in Afib, Thoracotomy Pearls, Uterine Casts, OMI Scale & Proportionality | EM Cases | EM Quick Hits Whole blood transfusion in trauma, calcium pre-treatment to prevent diltiazem-induced hypotension, dynamic LV outflow tract obstruction, resuscitative thoracotomy, uterine casts, scale & proportionali...

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

Reevaluating STEMI: The Utility of the Occlusive Myocardial Infarction Classification to Enhance Management of Acute Coronary Syndromes The current classification of acute myocardial infarction (AMI) into ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) has limitations in i...

“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? Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

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

YouTube video by EM Cases Brugada Syndrome - 3 Steps to Diagnosis

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 Myocardial Infarction Patients with occlusion myocardial infarction (OMI) who meet the ST-elevation myocardial infarction (STEMI) criteria experience inequitable delays in care, because of sociodemographic factors, such as...

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

Safety and accuracy of the computer interpretation of normal ECGs at triage - Canadian Journal of Emergency Medicine Background ECGs performed at ED triage are mandatorily assessed by an emergency physician contributing to task interruptions, decreased quality of care and increased error risk. Recent literature sugg...

There’s a link to original in supplementary info at the bottom link.springer.com/article/10.1...

Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome? Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

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

The Art of Occlusion MI: Scale and Proportionality | ECG Cases | EM Cases In this ECG Cases blog we use visual concepts of scale and proportion to identify false positive and subtle Occlusion MI... Written by Jesse McLaren; Peer Reviewed and edited by Anton Helman. Februa...

#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 indication for calcium? Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

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 lesion is the culprit? Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

‘NSTEMI’ or reperfused OMI, and which is the culprit? #ECG #ECGsky

hqmeded-ecg.blogspot.com/2025/02/nste...

Optimizing RSI medication timing, nutrition tips for shift workers, ED boarding challenges in older patients, managing prolonged tourniquet application, rural peer support programs, reciprocal changes... Topics in this EM Quick Hits podcast Anand Swaminathan on optimizing RSI medication timing (1:08) Brittany Ellis on ED boarding challenges in older patients and improving ED overcrowding and ED flow ...

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

Should we wait for troponin when the ECG does not show "diagnostic" ST Elevation? Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

hqmeded-ecg.blogspot.com/2025/01/shou...

#cardiosky #ECGsky #medsky

Computer said atrial flutter, normal QT and nonspecific ST. But it’s sinus tach, long QT vs QU, and ST depression that looks like hypokalemia. Potassium was 1.8, from thyrotoxic hypokalemic periodic paralysis. Motor weakness resolved with potassium correction

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

Reply: Occlusion Myocardial Infarction: From Theoretical Concept to Practical Therapy

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

⏱️ HR: normal
⚡️Electrical: normal
🧭Axis: normal
📈R-wave: normal
🔋Tall/small voltages: normal
💔ST/T: inferior STE with reciprocal STD in aVL, which is highly sensitive for inferior Occlusion MI and excludes pericarditis
= inferior OMI. Cath: RCA occlusion

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

First degree AV block and subtle peaked T: hyperK?

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

Does STEMI Need a Rebrand to ‘Occlusion MI’? A review paper prompted a discussion among cardiologists Bob Harrington, Manesh Patel, and Michael Gibson on whether the ST-segment elevation myocardial infarction paradigm needs an update.

“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