Emergency Physician special interest in Critical care, Retrieval Medicine and Toxicology #Traveller#FOAMED#Educator#Emergency physician#ECG#MD
Australia
Joined September 2014
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Asanka Migelheva retweeted
🧵 Want to MASTER hyperangulated videolaryngoscopy?
This 3-step process will transform your (and your team's) first-pass success rate ⬇️
1/5
Asanka Migelheva retweeted
🔴Features of T wave inversion and diagnosis of cardiomyopathy: relevance for a cardiac screening programme in young individuals❤️⤵️
🔹T wave inversion is a relatively common ECG finding in young apparently healthy individuals.
🔹academic.oup.com/eurjpc/adva…
#Cardiology #FOAMed
Asanka Migelheva retweeted
We just published this in The Journal of the American College of Cardiology -- Advances (JACC Advances) "State of the Art Review". It is a REALLY interesting read, using quotes from Thomas Kuhn's book "The Structure of Scientific Revolutions" (the book that coined the word "paradigm" and "paradigm shift"). Here is the first quote: “Scientific revolutions are inaugurated by a growing sense, again often restricted to a narrow subdivision of the scientific community, that an existing paradigm has ceased to function adequately in the exploration of an aspect of nature to which that paradigm itself had previously led the way.” —Thomas Kuhn
Full text pdf: pdf.sciencedirectassets.com/…
From ST Elevation MI to Occlusion MI: the new paradigm shift in Acute Myocardial Infarction. New @JACCJournals #JACCAdvances state-of-the-art review with Jose Nunes de Alencar, @AslangerE, @PendellM and @smithECGBlog sciencedirect.com/science/ar…
Asanka Migelheva retweeted
Updated version of ECG Quick Reference
🔴 ECG Interpretation Basics Quick Reference
🔹 Rhythm and Rate
🔹 QRS / Blocks
🔹 Intervals
🔹 Axis
🔹 Chambers
🔹 ST/T/Q (Ischemia)
By Dr. Zaven Sargsyan @sargsyanz
#CardioEd #CardioTwitter #medtwitter #cvd #ecg #Medtwitter
Asanka Migelheva retweeted
Managing cardiogenic shock requires prompt identification and support of the ailing heart. Typical sepsis-type application of vasopressors worsens outcomes. Here’s a better strategy. I’d add hemodynamic monitoring using a PAC. 🎩 tip to the authors.
eddyjoemd.com/foamed/
Asanka Migelheva retweeted
🔴Can’t Miss ECG Findings for the Emergency Medicine Provider
aliem.com/cant-miss-ecg-find…
#Diagnosis #Cardiology #ECG #EKG #CantMiss #RedFlags #ALiEM #MustKnow #STEMI #equivalent #MedX #MedTwitter #CardioTwitter #medx #medEd #MedTwitter #MedEd #cardiotwitter #FOAMed #CardioEd
Asanka Migelheva retweeted
ST and T wave changes are complex but fascinating.
Advances over the past 20 years with computational models and empirical observations by top scientists.
There’s more to ST-T than ischemia.
Check our review in @JElectrocardiol 🧵 – at Sao Paulo, Brazil
Asanka Migelheva retweeted
An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?
hqmeded-ecg.blogspot.com/202…
Asanka Migelheva retweeted
How would you diagnose an #intraperitoneal #BladderRupture from a CT? The challenge is on!
Our friends at @medmastery have made their Abdominal CT Masterclass: Trauma free until June 2nd with a trial, go check it out: bit.ly/4bhjNTU
#FOAMed #Meded #MedTwitter #CTScan
ALT a close-up of an x-ray
Asanka Migelheva retweeted
#ACC24 REDUCE-AMI another blockbuster
Beta-blockers with NO reduction in myocardial infarction or death in pts with preserved EF post-MI
Massive finding likely with big implications for #Cardiology practice
Asanka Migelheva retweeted
(1/10) Pericardial tamponade is a clinical diagnosis supported by #echo (2D + quantitative). A 🧵of 10 confirmed tamponade cases (by drainage!) starting with obvious and ending with subtle ones that you could easily miss.. some PEARLS along the way 👇#medtwitter #foamed
Asanka Migelheva retweeted
ACLS has traditionally recommended chest compressions for PEA...does this need to be revised and re-taught? Listen to Dr. Alblaihed's lecture on emergent ECHO in cardiac arrest from ecs.umem.org Check out her lecture at bit.ly/3U1r1FA #FOAMed
Asanka Migelheva retweeted
Finally #MedTwitter and #MedX I found a way to remember antiarrhythmic classes without EVER forgetting or having to memorize. Read this thread to learn how:
Asanka Migelheva retweeted
Just published: ST elevation is only 43% sensitive for acute coronary occlusion. sciencedirect.com/science/ar…
Asanka Migelheva retweeted
Monosynaptic reflexes in Medicine:
1️⃣Fluid for ⬆️ Lactate
2️⃣B2-agonists for wheeze
3️⃣NEWS2 >7 = bleep
4️⃣Headache = CTH
5️⃣D-dimer = VTE
6️⃣CRP = sepsis
7️⃣Trop = ACS
8️⃣>80 = ward based ceiling
9️⃣Analgesia = IV paracetamol or IV morphine
1️⃣0️⃣COPD = target SO2 88-92%
Keep adding…
Asanka Migelheva retweeted
Reflections on propping for the exam, and your first job interview. Strategist, not perfectionist. #acem23
Asanka Migelheva retweeted
Landmark Day for Occlusion MI - Non-Occlusion MI (OMI/NOMI) paradigm, founded by Smith, @PendellM, and @AslangerE
@al_zaiti et al. (with @smithECGBlog among co-authors).
First published study (in Nature Medicine) to show AI solution to ECG OMI Diagnosis.
Excellent performance. nature.com/articles/s41591-0…