re-occlusionRe-occlusion that is PainlessSilent Myocardial InfarctionST Segment Monitoring-continuousTransient OMI8 Min Read Steve SmithonDecember 7, 2025 Chest pain, resolved. Reperfusion T-waves. Should the patient go emergently to the cath lab? Written by Emily Dawra, one of our superb EM G3 residents, with a few edits by Smith. Case: A patient presented to the emergency…
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…