Dr. Smith's ECG Blog

NOVEMBER 27, 2024

Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app ) are working on an objective, mathematical definition of hyperacute T-waves , based on real OMI outcomes and hyperacute T-wave annotation that has excellent interrater agreement (between me and Pendell), and it will end up being a logistic regression using these 3 variables: 1) area under the curve (AUC) relative to the QRS size 2) increased symmetry , as defined by time from T-wave onset to

STEMI 136

STEMI OR 136

Don't Forget the Bubbles

NOVEMBER 27, 2024

Imagine this – a six-week-old infant with a fever of 38.3⁰C presents to your emergency department. They look well and, apart from fever, have no other symptoms. There are no sick contacts at home. Although they look well, you don’t want to miss a serious diagnosis, so what do you do? You’ve so many questions. Which of the many febrile infant clinical decision tools should you use?

E-9-1-1 80

E-9-1-1 Emergency Department ED Ambulance 80

Peter Canning

NOVEMBER 27, 2024

I was giving a data presentation to the statewide Harm Reduction Advocacy Group and after reviewing the EMS data I had, I touched on the latest CDC numbers that show a 24.1% decrease in overdoses in Connecticut since November 2021 based on rolling 12-month averages with the latest 12-month period ending June 2024. After the presentation I saw in the chat a comment about white overdoses being down, but minority overdoses still rising.

Overdose 52

Overdose EMS 52

Core Ultrasound

NOVEMBER 27, 2024

In part two of this interview, Dr. Longino, a hospitalist researcher, and Dr. Riscinti, an emergency medicine physician—both from Denver Health—explore the future of the VExUS (Venous Excess UltraSound) exam. We discuss ongoing and future research, emerging applications, and strategies to expand the accessibility and adoption of this important tool.

100

100

California Casualty

NOVEMBER 27, 2024

As the temperature drops, uninvited guests may view your home as the perfect winter retreat. Small critters like mice, squirrels, bats, and raccoons are experts at finding cozy nooks to ride out the chill. But don’t worry—keeping your home critter-free this winter is easier than you think.

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130

Pulsara

NOVEMBER 27, 2024

NOVEMBER RECAP After a whirlwind November with Team Pulsara exhibiting at eight conferences, our exhibit schedule is slowing down as the year draws to a close. As we wrap up 2024, take a look to see where you can catch us next month!

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105

Critical Care Scenarios

NOVEMBER 27, 2024

We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here! We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls.

ICU 118

ICU Critical Care OR 118