modified sgarbossa criteriaNew LBBBRate-related bundle branch block6 Min Read Jesse McLarenonMay 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…
NSTEMI is worthlessOcclusion MI/Non-Occlusion MI (OMI/NOMI) paradigmOMI in cardiac arrestSTEMI or NSTEMI DiagnosisSTEMI/NonSTEMI paradigm9 Min Read Willy FrickonMay 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…
echocardiogramInferior MI subtleultrasound6 Min Read Steve SmithonMay 10, 2025 ED Bedside Echo (in case one does not recognize the ECG). Images obtained and interpreted by a novice. This is a repost of a repost of a case from 2014. The original Case is here, and has many more details if you want to read…
hyperacute T-wavesHyperacute T-waves LADLAD occlusionOMI4 Min Read Pendell MeyersonMay 13, 2025 A woman in her 60s with acute chest pain and shortness of breath Written by Pendell Meyers A woman in her 60s had acute chest pain and shortness of breath. EMS arrived and recorded this ECG (no baseline ECG…
1 Min Read Steve SmithonMay 14, 2025 Artificial Intelligence Driven Prehospital ECG Interpretation for the Reduction of False Positive Emergent Cardiac Catheterization Lab Activations: A Retrospective Cohort Study 1. 2. 3. 4. 5. 6. 7. 8. 9.