Stephen W. Smith

EM Prof at Hennepin. Co-originator of #OcclusionMI (OMI) paradigm, ECG diagnosis of OMI, trained @PMcardioApp. #ECG

[Stephen W. Smith @smithECGBlog]

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[Stephen W. Smith @smithECGBlog]

@FloydECGs @PendellM @PMcardioApp Yes. The very K. Wang who published the study that I reference and who is my teacher.

[Stephen W. Smith @smithECGBlog]

Syncope with ST Elevation and T-wave inversion

https://t.co/Xp8sHnKvVr

@PMcardioApp

[Stephen W. Smith @smithECGBlog]

@AOC shows how sick America is

[Rick ☆ @RickChapterTwo]

Geez! This is incredible and AOC is brilliant in the way she presents this.

It also scares the hell out of me that this is possible.

[Meidas_Charise Lee @charise_lee]

Donald Trump doxxed this Wall Street Journal reporter in a lawsuit by including her home address in public court filings she and her family were forced to leave their home over safety concerns.

[Stephen W. Smith @smithECGBlog]

@HC_Richardson The whitewashing and bulldozing of our history and culture, created over centuries by the many people who have built the United States, in service to the small vision of Trump and his enablers.

Everything Trump touches dies.

https://t.co/vr4Tnv0g9c

[Stephen W. Smith @smithECGBlog]

@DrDave01 @PMcardioApp Dave, good point! That just means that the ST elevation is even more than it looks like. Anyone can have a negative atrial repolarization wave and this person apparently has a more profound one than most.

[Stephen W. Smith @smithECGBlog]

Chest discomfort. It looks very small but could have been a disaster.

https://t.co/NOJ4yJ95pT

@PMcardioApp

[Stephen W. Smith @smithECGBlog]

I would’ve activated immediately.

[Barb McQuade @BarbMcQuade]

Block Blanche because he negotiated self-dealing IRS gift for Trump, fired court appointed US attorneys, bragged about cleaning house of 200 DOJ employees who worked on cases involving Trump & J6, botched the Epstein case, oversaw cases targeting Trump’s perceived enemies, welcomes Trump’s control.

[Josh Farkas MD 💊 @PulmCrit]

This case illustrates common error in the treatment of drug-induced Torsades.

A patient presents with drug-induced Torsades, most commonly methadone or dofetilide.

They get treated with a bolus of 2-4 grams IV magnesium sulfate and get better.

What happens 4-6 hours later? The magnesium wears off (mostly excreted in the urine). Meanwhile, the methadone or dofetilide is still there (it has a much longer half-life than IV magnesium bolus). So the patient has another episode of Torsades. ☠️

I'm tempted to call this an "error" but it's so commonly done that it's basically the standard of care. So perhaps the term "mishap" is more reasonable.

Repeat episodes of drug-induced Torsades can be prevented using a protocoled magnesium infusion. We started using this about a decade ago. It's safe and easy to do. It makes these cases really boring. The patient sits around on a Mg infusion for 24 hours allowing Mg to soak into their cardiomyocytes while the methadone/dofetilide levels fall. (#1/2)

[Stephen W. Smith @smithECGBlog]

Recurrent Seizures in a 40-something woman

https://t.co/EdaHHzksAY

@ECGcases

[Stephen W. Smith @smithECGBlog]

Trump plots a "workaround" to use terror powers against his foes. His foes have a shield. https://t.co/txpdrtHbbm

[Stephen W. Smith @smithECGBlog]

Americans can't have good things because it would hurt the profits of the Oligarchs and the crypto tech bros.

But Brazilians get to have the good stuff.

And that enrages Trump.

Trump’s War on the Future, Monetary Edition https://t.co/b3kx5NJuIh

[Stephen W. Smith @smithECGBlog]

Now Todd Blanche can send Trump‘s political enemies to maximum security prisons.

https://t.co/zRjPA4w6z2

[Popular Liberal 🇺🇸 @PopularLiberal]

BOOM! TRUTH ALWAYS WANTS TO BE FOUND: This patriot climbed the crate, grabbed the mic, and swore the oath: "Nothing but the truth — so help me God."

Then he torched the whole game.

GOP governor. GOP legislature. GOP supermajority in both chambers. Alabama — Republican-run top to bottom — leads the nation in starving children. Counties with zero pediatric beds. Hospitals boarded up and dark.

Their solution? Cut SNAP. Cut Medicaid. Then point at brown skin in the city and scream "enemy."

That's not governance. That's a carnival act. Right-wing carnies invent monsters so they can pick your pocket while you're looking the other way.

Misled republicans still blaming Democrats?

Congratulations — you just earned an A in Conservative Gaslighting and an F in Reality.
REMEMBER BEFORE YOU VOTE!

[The Bulwark @BulwarkOnline]

Sen. Warren: “You’ve dropped 40-plus actions for companies; how many of those companies have donated to President Trump?”

Russ Vought: “I have no idea.”

Sen. Warren: “I have a list here…Apple, Bank of America, Capital One, JP Morgan...In 2025…the Trump administration has dropped cases against more than 50 companies that…have financial ties to the president or his inner circle.”

[Stephen W. Smith @smithECGBlog]

Let’s look back at this post from 16 years ago. How far have we come with these T waves?

https://t.co/kXZThSz0xP

@PendellM @PMcardioApp

[Stephen W. Smith @smithECGBlog]

The corruption continues: Trump firm plans to sell priority access to Truth Social posts, possibly his own.

@APNews

https://t.co/PQ9hd9ijie

[Jon Ossoff @ossoff]

Tonight I heard a failed and desperate president who as war spirals and prices rise is as always focused on his grievances, his shame, and above all his fear of the accountability that will come with defeat.

I also heard a president signaling his unmistakable intent to attack these elections and our voting rights, just as he tried to throw out our votes and seize the presidency in 2020.

Our answer will be overwhelming.

Across Georgia a wave of defiance is building to rebuke him so decisively that no president ever again dares such brazen corruption and abuse.

The power of the presidency is nothing compared to the power of the people.

[Stephen W. Smith @smithECGBlog]

Why are electricity costs soaring? Because of Trump admin’s hostility to inexpensive renewables.

https://t.co/Rd9kOXb5ap