Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024)

editors

Lectures Recorded

New March 2025: 

Replace STEMI/NSTEMI with OMI/NOMI and AI in the ECG Diagnosis of OMI

Webinar February 2024: Subtle Acute Coronary Occlusion and its Mimics

Webinar November 2023: Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts can do it for you!!

Grand Rounds at Kaiser August 2023.  Most up-to-date lecture including Queen of Hearts InterpretationsSelected Cases of Occlusion MI (OMI), or not, on the ECG


Neuroprotective CPR by Keith Lurie at Florida EMS Webinar

Grand Rounds at Mayo Clinic Arizona Cardiovascular Department on July 7, 2022

Let’s Replace the STEMI/NonSTEMI Paradigm with the OMI/NOMI Paradigm

April 2021 (slightly older version of above, but includes “Future Research” at the end):

Keynote Rijlant Lecture at International Society of Electrocardiology:  The OMI/NOMI Paradigm (this is focused on the science)

One Hour Lecture: Does this ECG show Occlusion MI (OMI)?

24 minute lecture: The False STEMI Non-STEMI Dichotomy from SMACC-Chicago in 2015 (the last 7 minutes is focused on ECGs)

New August 2020!

Transitioning to High Sensitivity Troponin Assays at Hennepin Healthcare

New July 2020!


Updated 1 hour lecture: The False STEMI-NonSTEMI Dichotomy

Updated 1 hour lecture: Subtle ECG Findings of Left Anterior Descending Artery (LAD) Occlusion — LAD Occlusion MI (OMI)


Lecture on High Sensitivity Troponin Protocols in the ED


These are 2 short lectures I gave at the Rocky Mountain EM Winter Conference February 2018.

Too Fast!     Too Slow!

One hour lecture on Subtle ECG Findings of Coronary Occlusion



SMACC-Gold lecture: NonSTEMI that Need the Cath Lab Now (this is from March 2014)

Acute Coronary Syndromes, Part 1 (Overview and Non-STE-ACS) and Part 2 (STEMI)

Here is a 40 minute lecture on T-wave inversion

Here is a lecture on the diagnosis of Acute MI in the presence of Left Bundle Branch Block

Here is a 40 minute lecture on Complications of ACS

Here is a lecture on Acid Base Disorders (55 minutes)

Here are Interviews with Scott Weingart of EMCrit on “Who Needs the Cath Lab Now.” Part 1 and Part 2.

Here is the Associated Document.

Here is the Cheat Sheet.

Approach to Potential Ischemic Chest Pain


Here is a lecture on narrow complex tachycardia, recorded September 2014.


The blog is featured on Podcast 42 of EMCrit, on various aspects of the ECG in MI, and another EMCrit feature on left bundle branch block.

Keith Lurie on Advances in CPR from 2013 Best of Hennepin Conference

OMI Manifesto Lectures:

Full 1 hour version from 2019

20 minute version from 2020’s H&R Reloaded Conference

Queen of Hearts Podcast:

Podbean version:

https://cardiovascularcmemayoclinic.podbean.com/e/advances-in-occlusion-myocardial-infarction-detection/

Spotify version:

https://open.spotify.com/episode/6ZZjP9mdRbaiaRgCSO6Syf?si=zDViV5dxTOGm0XgV0RaSlA