it’s in the cards 🫀

back in my day, every P wave had a corresponding QRS complex

[it’s in the cards 🫀 @notkillingeve]

@HumeralO call that liminal spacing

[it’s in the cards 🫀 @notkillingeve]

@Ecgloverr @ecgandrhythmRoe @ECGwithReid @ecgrhythms QRS is positive in aVR…any idea why? (correct lead placement)

[it’s in the cards 🫀 @notkillingeve]

Anything interesting about how myocardial depolarization is happening in this patient? @ecgandrhythmRoe @ECGwithReid @ecgrhythms

[it’s in the cards 🫀 @notkillingeve]

@forrestbohler @compactmag @matthewschmitz do you anticipate that the community you’ll soon serve will want a proud champion for white male doctors operating on them?

[it’s in the cards 🫀 @notkillingeve]

Middle-aged male on day 2 of withdrawal from opioids. What’s your diagnosis? (1st EKG prior to admission, 2nd at time EKG changes noticed, 3rd 6 hours later w/ acute hypotension) @ecgandrhythmRoe @ECGwithReid @emcrit @cliffreid

[it’s in the cards 🫀 @notkillingeve]

Pulsatile IVC on #POCUS ? Or fakeout?
@NephroP @PulmCrit

[it’s in the cards 🫀 @notkillingeve]

who is willis and why are you in his circle

[it’s in the cards 🫀 @notkillingeve]

@HumeralO to be fair, this specific divide is pretty necessary (looking at you, ventricular septal defects)

[it’s in the cards 🫀 @notkillingeve]

@molsjames hey so do you think a med student with a disability that affects manual dexterity, for example, is going to choose to pursue trauma surgery?

[it’s in the cards 🫀 @notkillingeve]

@amiautoimmunex my ferritin was less than 2 and in my case it led to my eventual diagnosis of celiac disease! perhaps worth ruling out

[it’s in the cards 🫀 @notkillingeve]

33F with severe Group I PAH, in ICU on three vasopressors and CRRT. You see this CVP waveform on the bedside monitor. Look closely- what do you see? @emcrit #pulmcrit #criticalcare (CVP as an entity aside)

[it’s in the cards 🫀 @notkillingeve]

@DrNickDalmon “They will carry ultimate clinical responsibility” In my state, nurse practitioners can and do practice independently with no physician supervision. This very much includes ICU bedside procedures. And don’t worry; they will also later supervise NPs in training :)

[it’s in the cards 🫀 @notkillingeve]

@LostDazes @ecgrhythms @ecgandrhythmRoe @emcrit @smithECGBlog @PulmCrit Patient was indeed symptomatic at time of EKG!

[it’s in the cards 🫀 @notkillingeve]

27F with palpitations and hx IST, now acutely bradycardic as low as 40s. Trop neg, lytes WNL. Thoughts? @ecgandrhythmRoe @emcrit @smithECGBlog @PulmCrit

[it’s in the cards 🫀 @notkillingeve]

@PulmCrit i’m imagining it now:
“well team, the MAP is barely hitting 50….how long until we can titrate the norepi?”
“3 hours, 32 minutes, and 49 seconds.”
*looks at family member* “well, we’re doing everything in our power to save him.”
*kidneys screaming*

[it’s in the cards 🫀 @notkillingeve]

#POCUS/#TTE of parasternal short axis at level of aortic valve. What’s the diagnosis? @NephroP #cardiacpocus

[it’s in the cards 🫀 @notkillingeve]

#POCUS of the LIJ. Spontaneous echo contrast/#smokesign ? @NephroP @emcrit

[it’s in the cards 🫀 @notkillingeve]

68F with AML and AHRF. Intubated and sedated, so unable to confirm/deny chest pain. Ischemic or no? @ecgandrhythmRoe @EM_RESUS @ecgrhythms @emcrit @EcgsOnly

[it’s in the cards 🫀 @notkillingeve]

@ecgandrhythmRoe Hmm, could be similar to this tracing? Poor R wave progression/persistence of precordial S waves, small amplitude in aVL (not as much lead I), rightward axis @ecgandrhythmRoe

[it’s in the cards 🫀 @notkillingeve]

@RobertHermanMD @ecgandrhythmRoe @ecgrhythms @Ecgloverr @EcgsOnly @EM_RESUS @DidlakeDW @DemolderAnthony Bit of a clearer view #POCUS

[it’s in the cards 🫀 @notkillingeve]

27F with weakness, no cardiac history. PM cardio thinks reduced EF (<40%)- any idea why? @ecgandrhythmRoe @ecgrhythms @Ecgloverr @EcgsOnly @EM_RESUS