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onDecember 31, 2021

CJEM Open Access OMI Quality Improvement Publication

1 min read

Just published in the CJEM:

From STEMI to occlusion MI: paradigm shift and ED quality improvement

Jesse T. T. McLaren

H. Pendell Meyers

Stephen W. Smith

Lucas B. Chartier

Pendell Meyers

onDecember 31, 2021

The Right Decision for the Wrong Reason?

An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…

6 Min Read

Jesse McLaren

onMay 25, 2026

65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?

by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…

9 Min Read

Willy Frick

onMay 22, 2026

STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.

A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…

4 Min Read

Pendell Meyers

onDecember 31, 2021

Should we activate the lab? A simple but important lesson

Written by Pendell Meyers A man in his 60s called EMS for sudden chest pain and shortness of breath. He was found in moderate respiratory…

9 Min Read

Jesse McLaren

onJanuary 3, 2022

7 steps to missing posterior Occlusion MI, and how to avoid them

This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting…

6 Min Read

Steve Smith

onJanuary 6, 2022

What does LBBB look like in severe hypothermia? Is there a long QT? Is the QT appropriate for the temperature?

This patient was found down in a Minneapolis winter. He was very cold with frostbitten fingers and toes. He was alert but…

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CJEM Open Access OMI Quality Improvement Publication

From STEMI to occlusion MI: paradigm shift and ED quality improvement

Hyperacute T-waves -- missed. Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) may be due to transient thrombotic Occlusion MI.

Should we activate the lab? A simple but important lesson

Read Next

The Right Decision for the Wrong Reason?

65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?

STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.

Should we activate the lab? A simple but important lesson

7 steps to missing posterior Occlusion MI, and how to avoid them

What does LBBB look like in severe hypothermia? Is there a long QT? Is the QT appropriate for the temperature?