EMR OR STEMI 
Dr. Smith's ECG Blog
DECEMBER 22, 2022
by Emre Aslanger Dr. Aslanger is our newest editorial member. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. Take home messages: 1- In STEMI/NSTEMI paradigm you search for STE on ECG. He is an interventional cardiologist in Turkey. He has 40 packs-year of smoking history. He denies taking any medication.
Dr. Smith's ECG Blog
JULY 31, 2020
Their OMI Manifesto details how use of standard STEMI criteria results in an unacceptable level of inaccuracy, in which an estimated 25-30% of acute coronary occlusions are missed! The article by Aslanger, Smith et al that is featured above in today’s post has just been published.
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The Skeptics' Guide to EM
SEPTEMBER 11, 2021
He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP). Five Rules of the SGEM Journal Club Case: A 70-year-old woman is found unresponsive and apneic at home by her partner.
Dr. Smith's ECG Blog
MARCH 3, 2023
Furthermore, some ECGs may not meet the STEMI criteria but may still be diagnostic for acute coronary occlusion (ACO). Smith and Emre Aslanger, but we also thank external researchers for their demonstrative ECGs (thanks to Philip L. The majority of the ECGs are from Stephen W. Mar for atrial activity ECG). For download: Enjoy !
Dr. Smith's ECG Blog
APRIL 21, 2023
Now let’s compare this with the existing paradigm to identify multiple preventable delays to reperfusion, which can be improved through the paradigm shift from STEMI to OMI. In the STEMI paradigm, patients with ischemic symptoms and ECGs that don’t meet STEMI criteria get serial ECGs.
Dr. Smith's ECG Blog
DECEMBER 13, 2023
I published, and Emre Aslanger externally validated, the 4-Variable formula for differentiating the ST Elevation of LAD OMI from Normal ST Elevation. Let's stretch out the QRS vertically so it is not so tiny: On upper left is the original. On the right are the precordial leads stretched vertically, so that the QRS is not tiny.
Dr. Smith's ECG Blog
JUNE 11, 2021
The patient was brought to the ED as a possible Code STEMI and was seen directly by cardiology. Similarly, STEMI guidelines call for urgent angiography for refractory ischemia or electrical/hemodynamic instability, regardless of ECG findings. On arrival, GCS was 13 and the patient complained of ongoing chest pain. Learning points 1.
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