Pretest ProbabilitySilent Myocardial Infarction8 Min Read Steve SmithonMay 8, 2025 The Queen always asks (if she sees OMI) “Is there a clinical suspicion of acute coronary syndrome” This was sent by Asad Tasleem, an Emergency Medicine resident in Pakistan: “I am an ED Resident in a tertiary care Hospital…
Positive Predictive ValuePretest Probability6 Min Read Willy FrickonJuly 2, 2024 Concerning ECG from the patient in trauma bay 2. Activate the Cath Lab? Written by Willy Frick You are sitting at your desk, catching up on your charting, and a nurse hands you the following ECG for interpretation.…
GERD (reflux) diagnosishyperacute T-waves TallPretest ProbabilityQueen false negativesserial ECG8 Min Read Steve SmithonOctober 14, 2023 This ECG was texted to me after the fact with no information. What do you think? This ECG was texted to me with no other information, with this quote: “You will see this in the Queen of Hearts.” I assumed…
Positive Predictive ValuePretest Probability6 Min Read Steve SmithonSeptember 3, 2023 A 50-something with chest pain. This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4…