Chris Foster

Paramedic 🚑| BSc | MSc student. Family man. Blue Belt in Brazilian Jiujitsu 🥋White belt in ECG’s.

[Chris Foster @ChrisFoster82]

@tbouthillet Thanks, Tom! Knuckle sign, that’s it! 🤣 And thanks for the teaching point 🙏 Hope you’re well.

[Chris Foster @ChrisFoster82]

Hi all…. What is the name for aVR ST depression in pericarditis? I could swear it has a name like fish hook 🙈🤣

[Chris Foster @ChrisFoster82]

@tbouthillet Hi Tom.. thanks for the reply. I knew it wasn’t fish hook, but could have sworn it had a name 🙈 Think I’m getting confused with the ST depression and PR segment elevation in aVR 🤦🏻‍♂️ Does it have a name this phenomenon? Trying to talk about it in a Uni assignment.

[Chris Foster @ChrisFoster82]

@TheECGMedic It’s nice to hear you have a high regard for us prehospital clinicians 😊 It’s such an enjoyable role, and I really like helping people. But what I love most is I’m always learning. My wife thinks I’m a bit obsessed when she keeps catches me reading up on ECGs on my days off 🤣🤣

[Chris Foster @ChrisFoster82]

@TheECGMedic And thanks for the kind words 😊 I have a massive respect for Doctors, alongside other HCPs of course. Doing this job makes me realise how much Doctors are at such a higher level of knowledge and education. Makes me wish I’d tried harder at school 🤣 where do you volunteer?

[Chris Foster @ChrisFoster82]

@TheECGMedic Thanks again for your thoughts and understanding on the subject. I appreciate people taking their time to explain things to me, especially on this minefield of a topic 🤣 I feel like I’m just getting a grasp on it, and then it all just gets turned upside down ha.

[Chris Foster @ChrisFoster82]

@TheECGMedic Thanks for your reply 😊 So, what you are saying is, the S1Q3T3 is less likely to identify patients with a PE who are also presenting with RBBB? I’m aware there is a low percentage of patients who have a PE present with the S1Q3T3 ECG changes. Just for my learning 😊

[Chris Foster @ChrisFoster82]

@_Valsalva_ @DrRazi4 @ecgandrhythmRoe Sinus rhythm with RBBB + strain pattern

[Chris Foster @ChrisFoster82]

@RosaViggo Yes, I (kinda) agree with you… however, I don’t have that kind of autonomy as a paramedic, and there are guidelines set out I have to follow, which include witness arrests with someone who doesn’t have any kind of life limiting illness or advanced decision making plan in place.

[Chris Foster @ChrisFoster82]

@tbouthillet Thank you 🙏 What do you think about the ST abnormalities in the inferior leads with the reciprocal changes? Due to an occlusion or ischemic changes due to the arrest?

[Chris Foster @ChrisFoster82]

@chi_no_usagi What do you think about the ST abnormalities in the inferior leads with the reciprocal changes? Due to an occlusion or ischemic changes due to the arrest?

[Chris Foster @ChrisFoster82]

@XkeiT5stoD53218 👏🏻👏🏻 Thank you 🤩

[Chris Foster @ChrisFoster82]

@TheECGMedic Thank you 🙏 🙂

[Chris Foster @ChrisFoster82]

Male 88 years old, known AF and pacemaker. Pain on inspiration.

Would V6 qualify as Sgarbossa positive?

Concordant ST elevation of 1mm in leads with positive QRS complex = 5 points.

Interested in your thoughts 🙂 thanks.

[Chris Foster @ChrisFoster82]

Followed up, bloods were fine. Muscular cause 👌🏻😎 Thanks for your thoughts 🙏

[Dr Razi @DrRazi4]

2025 ACC AHA Guideline on Acute Coronary Syndromes | JACC https://t.co/pCS3J7HQj1

#CardioTwitter
#Cardiology

[Chris Foster @ChrisFoster82]

Thanks for your input, people. I was told it was interpreted as SVT, but the obvious some p waves/fibrillation waves present, and it’s slightly irregularly irregular. So thought it was AF. Depression/ischemia due to the rate.

[Chris Foster @ChrisFoster82]

79 male
Chest pain
Took 2 x GTN and passed out
GCS15 on scene
Pain gone but SOB

Thoughts? 🙂

[Chris Foster @ChrisFoster82]

@TheECGMedic @Ecgloverr Thanks for the reply and I’ll be sure to have a look at suggested materials 🙂🙏