heeday shafie

[Dr Razi @DrRazi4]

Somebody sent the Ecg. Gentleman with chest on exertion relief by rest. Which one is the culprit? @BrooksWalsh @drharikrishrau @EM_RESUS @smithECGBlog @The_Nanashi_O @Jagdish26039718 @ecgandrhythmRoe @PMcardioBot @ECGEPSCADEVICE @ecgrhythms @Arron_Pearce_

[Dr Ulhas Pandurangi @UlhasDr]

Wide or Narrow?
SVT or VT?

[Ryan O'Keefe @ROKeefeMD]

As a senior resident, I thought I had a pretty strong understanding of sepsis and septic shock.

But after doing a deep dive, I realized there's so much nuance.

Here's my approach to workup and management, along with some key pearls and lessons.

- Thread -

1/26

[Sam Ghali, M.D. @EM_RESUS]

Here’s an impressive #ECG recorded in a 65-year-old man after crashing his truck into a tree. He has severe chest pain and no memory of the event.

What’s the diagnosis?
How would you proceed?

[Intensive Care Medicine @yourICM]

Recent guidelines published 🔓 by @yourICM

🫁 #ARDS: definition, phenotyping, support @ESICM
📖 https://t.co/AXUfCohCuN

🫁 Managing severe CAP @EuroRespSoc ESICM @ESCMID @ALATorax
📖https://t.co/a4H0CD7oEr

🫁 Managing severe bronchiolitis in #PedsICU
📖 https://t.co/ooThhlUqk0

[Tas Kapetanos MD @TKapetanos]

Outstanding snippet of teaching on a can’t miss diagnosis. Clear and concise.

[Stephen W. Smith @smithECGBlog]

Chest pain and T wave inversion, NSTEMI? @ECGcases

https://t.co/ZsEJBYeCXx

[Robert Herman, MD, PhD @RobertHermanMD]

Another reminder of why we need to change how we triage ACS patients!

48yo male presents with chest pain and a minimally elevated hs-cTnT of 24.9 ng/L. Is his #ECG diagnostic?

(Original Marquette 12SL interpretation— ECG quality enhanced by @PMcardioBot)

#FOAMed #MedTwitter

[Willy Frick @willyhfrick]

Tell me everything you can about this ECG.

[the EMCrit Crew @emcrit]

EMCrit 321 - CV-EMCrit - Acute Valve Disasters - Critical Aortic & Mitral Regurgitation and Bonus: VSDs. You'll also meet the newest member of the EMCrit Team: Katrina Augustin. [#Free4everEp #FOAMed] https://t.co/3J4mphcoWD

[heeday shafie @heeday]

@SPRMMalaysia Out of all professions, why doctors? This is soo degrading! Why dont u give examples of your own staff?

[heeday shafie @heeday]

@DGHisham the ground zero is breaking apart.. awaiting to sink. We have no more beds, space or even O2 ports in HKL

[Stephen W. Smith @smithECGBlog]

Getting It Right Despite the Wrong Paradigm

https://t.co/F1IbnmpobD

[Stephen W. Smith @smithECGBlog]

Just published online today. @PendellM

This is our best and most important work ever.

Another nail in the STEMI/NonSTEMI coffin.

Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute OMI.

Full text: https://t.co/sw0StY6FWg

[heeday shafie @heeday]

@PDRMsia petugas kesihatan terpaksa queue berjam2 untuk melepasi roadblock utk ke hospital. Bagaimana @PDRMsia boleh menyaring petugas kesihatan yg queue dlm 2km panjangnya... #petugascovid19

[Stephen W. Smith @smithECGBlog]

Here are 6 cases of young women with chest pain -- MI in 5, myocarditis in one.

https://t.co/jHebqIRvnb

https://t.co/5Ez22j3frR

https://t.co/rc5HzpTwdm

https://t.co/2Sobo0g0up

https://t.co/WwDXbzPFOY

https://t.co/rc5HzpTwdm

[Haney Mallemat @CriticalCareNow]

Patients w/ life-threatening asthma are challenging. Every second counts and many things must be done quickly & early. Remember:

Summary:
1. Don’t intubate
2. Epinephrine IM, then IV
3. BPAP
4. If you intubate, avoid too fast of a rate

Watch the video: https://t.co/sfozNkfg0z

[Journal of Electrocardiology @JElectrocardiol]

#NewOnline: Tumor infiltration to the heart can lead to ST segment elevation on the ECG similar to myocardial infarction. There are some ECG characteristics that can be used to differentiate these two entities. Learn more from this new study in #JECG: https://t.co/3J0mwCPjr6

[Intensive Care Medicine @yourICM]

Free read on @yourICM
Effect of lung recruitment maneuver on oxygenation, physiological parameters and mortality in acute respiratory distress syndrome patients: a systematic review and meta-analysis
https://t.co/ABA8Mz0Q6n

[Robert Jones, DO @RJonesSonoEM]

Cirrhosis with fever/abd pain-?SBP. POCUS for win. Secondary bacterial peritonitis. Diverticular abscess with necrotic segment. Note gas bubbles and pneumoperitoneum. #FOAMed #POCUS #IMPOCUS #FOAMus #FOAMcc #MedEd #Medtwitter