Julius Gruber

@ecgandrhythmRoe typical AF, counter-cw, 2:1 conduction

What rhythm does the administration of adenosine unmask here?

@anaesthemergmed Wenn ein VL verwendet wird mit dem man aufgrund Vearbeitung, Form, Material genauso gut direkt intubieren kann dann führt sich die Diskussiom ad absurdum - Bsp.: C-Mac vs. McGrath.

Vor- und Nachteile (?) der Videolaryngoskopie link.springer.com/article/10.100…

@minhaj_areeba Bifascicular Block with 2:1 AV-Block. QRS 110-120ms indicating an infra-his Block - so most likely Mobitz-II.

@DrRazi4 @PMcardioBot That said. In a 60yo woman with a weird looking ischemic ecg with a qtc that long and preserved R-Waves - takotsubo is high on my differential.

@DrRazi4 @PMcardioBot If Pt. is NRS 0/10 now the terminal neg. tws in the ant. leads depict reperfusion of the pLAD. The hyperacute tws in the inferolat. leads most likely are reciprocal those changes. Reperfused anterior OMI it is.

60+ y.o lady HTN, DM; reported to have chest pain for few days; upon arrival pain score 0/10; VS stable; Trop T 1086ng/dL (N<40). What do you think🤔🤔❓💭 Which one is the culprit❓ #ecg #ECG #ecgchallenge @PMcardioBot

@EMSwami @ResusOne But its good that there now is evidence to support this practice.

@EMSwami @ResusOne Never Intubated comatose drunk Pts with Spo2 >90%, no vomiting and otherwise unremarkable vitals in the first place🤷‍♂️

Acutely poisoned patient w/ AMS Old: GCS < 8, Must Intubate New: Withhold intubation Why? Lower ICU utilization, lower adverse event rate bit.ly/417ezWy w/ great editorial @resusone

@ecgandrhythmRoe … and even less in a 12-Lead ECG😅

A rhythm that you would never want to see on a monitor!

@ecgandrhythmRoe Sinusrhythm with interpolated PVCs

72 yo woman, asymptomatic; rhythm?

Please just watch and share the word - a paradigm shift is needed now!🫀

🔥 Off the press: First Deep Learning #ECG detecting acute coronary occlusion (OMI) regardless of ST elevation! 🌎 International cohort of 2,222 consecutive ACS patients 🎯 2x higher sensitivity compared to standard of care ⏱️ 3h faster diagnosis of OMI academic.oup.com/ehjdh/advance-…

@ecgandrhythmRoe @anais_dahoumane @IrmaMDv @The_Nanashi_O @capuzzi_luciano @MunjedSnowber @willyhfrick @DrRazi4 @ECGEPSCADEVICE @ecgrhythms @MergencyFe Clear inferior OMI (STEMI+). Many findings atypical for Pericarditis including reciprocal change in aVL, T-Wave Axis ~90 degrees, absence of Spodick-Sign.

Chest pain; this ECG was read as "Perimyocarditis". What do you think? @anais_dahoumane @IrmaMDv @The_Nanashi_O @capuzzi_luciano @MunjedSnowber @willyhfrick @DrRazi4 @ECGEPSCADEVICE @ecgrhythms @MergencyFe

@drearylunette @ecgandrhythmRoe The Sens/Spec of ST-Depression in the ant. Leads (esp. V1-4) for posterior MI is higher than the Sens/Spec for ST-Elevation in the post. Leads. Therefore post. Leads ad no diagnostic benefit. (Although it can help in discussion with Interventionalist) doi.org/10.1161/jaha.1…

@ecgandrhythmRoe Standard ecg already suggested posterior MI. Posterior leads can be done in minutes during the preparation and will confirm the diagnosis. I'd still send her to cathlab asap.

72 year old woman with typical angina since 40 min. Do you need more information for the diagnosis?

@DrRazi4 @PMcardioBot Strip#1: aFib with Ashman-Phenomenon Strip#2: atrial Flutter with 2:1 Conduction Strip #3: aFib vs. Flutter with alternating conduction

Holter strips for 35 y.o gentleman with recurrent episodes of palpitation; Event recorded 1600H-1700H; First strip- NSVT or aberrancy❓❓ #ecg #holter #ecgchallenge @PMcardioBot

@ecgandrhythmRoe Sponatneous Reperfusion of the inferolateral myocardium depicted by Wellens-Morphology on I/aVL an V5/6. Most likely CX-Lesion. Alternatively big D1 or big RCA.

This ECG (25 mm/s) was sent to me with the only information: chest pain; diagnosis?

Patient presents with abdominal pain and intractable vomiting. What's the diagnosis? #POCUS

Defibrillation pad placement matters! If you work in prehospital or hospital medicine, and may be responsible for defibrillating someone, here's some important take-aways from the DOSE-VF trial 🧵 #resuscitation #emergencymedicine #ems #defib #cpr

WHAT ARE THE FINDINGS OF CAG AFTER OHCA?🫀 We performed a SRMA of 128 studies (>62k pts) to describe angiographic features in resuscitated and refractory OHCAs We found that 🔸 significant CAD is present in 75% 🔸 CAD is more severe in refractory OHCA 🔸 CAD is common also in pts with non-shockable rhythms and without ST↑ 📄 Just published @ResusJournal resuscitationjournal.com/article/S0300-… 🧵 Learn more in the thread 👇 #ResusTwitter #CardioTwitter #FOAMcc

@IM_Crit_ pLAD (Type III LAD)

Live coverage from the trenches: Diagnosis? If you think it’s MI, which vessel(s) is(are) occluded? Answer is coming tonight

If you found the post from yesterday (👇) potentially useful, please keep reading for a few - random - additional points regarding pleural procedures: