MD/Mrcem/Frcem/Emergency-medicine /Acute medicine/Cardiology/EKG /Resuscitation/Pocus /Kashmiri #Unitedkingdom
United Kingdom
Joined June 2023
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84 years with ,right sided hemiparesis. Aphasic ,GCS=11. Ct-Hyper dense left MCA ?thrombosis. Ekg - inferior wall MI . What the priority here ? Brain or heart ? Thrombolysis,PPCI or thrombectomy ?@EM_RESUS @amalmattu @smithECGBlog @emcrit @EMBoardBombs @ALiEMteam @MedTrivias
ST elevation is always scary but this ECG pattern is terrifying ⛔️Thoughts ? #cardiotwitter #MedTwitter #Ecg #@smithECGBlog @EM_RESUS @amalmattu @ShariqShamimMD @PMcardioApp @PendellM @The_Nanashi_O @DrRazi4 @ecgandrhythmRoe @EkgHacks @EcgOxford
56M, chest pain + palpitations. Pain-free after electrical cardioversion. hs-Trop 160 and 650. Just keen to hear thoughts: is this VT ischaemic, and why/why not? Not a quiz — interested in your reasoning @smithECGBlog @EM_RESUS @amalmattu #cardiotwitter
58M | Intermittent chest pain
Referred from UTC after recurrent episodes of chest pain, resolving in between.
📈 hs-cTnI :1,623 → 2,367 → 3,120
Someone admitted as NSTEMI.⚠️ An ECG pattern they keep missing . Why?@smithECGBlog #medtwitter #ecg #cardiotwitter #Cardiology
81-year-old woman with an out-of-hospital VF cardiac arrest, achieving ROSC after multiple defibrillation shocks. Below are her baseline ECG and post-ROSC ECG. 👀 Keen to hear how the ECG experts here would interpret this one. @smithECGBlog #cardiotwitter #ecg #MedTwitter
66F post-VF cardiac arrest with ROSC. 🫀🚨
Immediate post-resuscitation 12-lead ECG showing a critical, high-mortality pattern.
Recognise this deadly pattern and share your thoughts. 👇@smithECGBlog #MedTwitter #cardiotwitter #Medx #Cardiology
84-year-old female OOHCA . ROSC but unfortunately suffered cardiac arrest shortly afterwards and died despite maximal resuscitative efforts. The post-ROSC ECGs below tell an important story. Thoughts ?#cardiotwitter #ecg #@smithECGBlog
Here is an Interesting ECG of a 60-year-old male who had two collapses at home and then another syncopal episode while sitting in a chair in triage . Thoughts ? #cardiotwitter
@smithECGBlog @EM_RESUS @amalmattu
43yo male presents to the ED with 60 mins of retrosternal chest pain described as heavy pressure radiating down the arm. 🫀
What is your immediate next move? ⏱️
A) Activate Cath Lab
B) Order Trops + treat as NSTEMI
c)Get posterior leads EKG
@smithECGBlog
67M, handed over from nights. Woke up with retrosternal chest pain 8/10 .. ECG attached. hs-ctn= 300 → 1700. Registrar says NSTEMI .My finger’s hovering over the cath lab button 😬What would you do ? #MedTwitter #cardiotwitter @smithECGBlog @ShariqShamimMD @IhabFathiSulima
67-yo male with retrosternal chest pain starting Thu midnight, ignored it and slept; Fri morning pain worsened and improved gradually; Sat evening mild recurrence — brought in only because his wife forced him. 🫀 #MedTwitter @smithECGBlog @ShariqShamimMD @amalmattu @EM_RESUS
34F with chest pain .Given aspirin + morphine, troponin pending. Suddenly went into VF cardiac arrest → ROSC after CPR/defib. ECG attached. Thoughts? What was missed, and what could have been done better? #ECG #MedTwitter #FOAMed @smithECGBlog @ShariqShamimMD @EM_RESUS
42 years male with Palpitations. Thoughts ? #cardiotwitter #ECG #MedTwitter #Cardiology @smithECGBlog @ecgandrhythmRoe @EcgOxford @The_Nanashi_O @PendellM @DrRazi4 @Ecgloverr @EM_RESUS @amalmattu @PendellM @ecgchallenge
58M at a remote center with chest pain → collapses, cardiac arrest. Spot & remember this killer ECG pattern .Recognise the features that make it immediately life-threatening. #MedTwitter #ECG .@smithECGBlog @EM_RESUS @amalmattu @DrRazi4 @ecgandrhythmRoe
49-year-old man presented with chest pain to a peripheral hospital without cath lab access. Within minutes,collapsed, and went into VF cardiac arrest. Despite 45 minutes of advanced resuscitation, no ROSC.Thoughts ? #cardiotwitter #MedTwitter @smithECGBlog
Drparray Mohammad retweeted
Here's a video I made breaking down this absolutely WILD Chest X-Ray you don't see every day
#FOAMed
65-year-old man, chest pain. hsTnI rising: 2900 ➡️ 3952.Labelled NSTEMI by the initial team.Would you agree with that diagnosis? Why or why not? 🤔 #CardioTwitter #ECG @AslangerE @smithECGBlog
Drparray Mohammad retweeted
He was a heavy smoker even in the OR. He would look around and sometimes the ash from the cigarette would fall on the table and he would say, "Don't worry, it is sterile."He spent entire day in the OR and sometimes he wouldn’t change his sterile gown for hours. Source:
62 y/o male presented with acute chest pain & SOB, later went into cardiac arrest. Despite all measures, couldn’t be revived.Thoughts ?
#cardiotwitter #MedTwitter #ECG @smithECGBlog @amalmattu @DrRazi4 @willyhfrick @EM_RESUS @ecgandrhythmRoe @DrSiyabMD
“37M collapses after snorting cocaine. PEA arrest, ROSC after 10 min CPR. Two post-ROSC ECGs from EMS . Machine flags STEMI criteria..Cath lab? Troponins? Any other thoughts ?#CardioTwitter @smithECGBlog @ECGwithReid @EM_RESUS @ShariqShamimMD @PendellM @DrRazi4 @willyhfrick
