Drparray Mohammad @DrparrayMD Twitter profile

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Drparray Mohammad

5 months

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

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Drparray Mohammad

@DrparrayMD

5 months

Here is a fascinating EKG of a 70 years male who was gasping and was intubated I! What’s your take? #CardioTwitter #ECG #FOAMed @EM_RESUS @amalmattu @smithECGBlog @DrRazi4 @EcgOxford @EcgsOnly @ecgandrhythmRoe @The_Nanashi_O @PendellM @emcrit @FaheemYounus

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Drparray Mohammad

@DrparrayMD

8 months

De Winter pattern with inferior wall involvement, likely a Wraparound LAD occlusion. Despite urgent need for cath lab intervention, STEMI criteria delayed treatment for hours. Tragically, the patient went into cardiac arrest and passed away.🥵Too many lives are at stake

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Drparray Mohammad

@DrparrayMD

8 months

1/"Time for Change: Elevating Cardiac Care by Embracing the OMI Paradigm Over STEMI" A 75-year-old woman arrives with chest pain. ECG is clearly suggestive of LAD occlusive MI. Pm cardio app echoes high-confidence occlusive MI. Initial troponin at 2845.

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Drparray Mohammad

@DrparrayMD

4 months

45-year-old male with chest pain. Ekg doesn’t meet STEMI criteria so no urgent cath .Day 3 angio ➡️LAD occlusion ✅ Let’s not calculate the mm,s of STE to diagnose occlusion—it’s an outdated practice.Embrace OMI paradigm! @smithECGBlog @EM_RESUS @ShrooqHawati @BasitMasoodii

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Drparray Mohammad

@DrparrayMD

7 months

52 years male with on & off chest pain for the past 12 hrs .Trops =240 .IC doesn’t want to cath him -Labelled NSTEMI ❤️ How sad that outdated STEMI approach blinds them to occlusive MI reality #cardiotwitter @BasitMasoodii @MirSuhayel @smithECGBlog @The_Nanashi_O @ECGwithReid

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Drparray Mohammad

@DrparrayMD

9 months

62 with cardiac chest pain . OMI on arrival however couldn’t go to cath only because of this STEMI paradigm . Time lost is muscle lost . #CardioTwitter #ecg #FOAMed @smithECGBlog @PendellM @EM_RESUS @EcgOxford

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Drparray Mohammad

@DrparrayMD

5 months

“An interesting EKG of a 64-year-old male presenting with chest pain. Think it’s only STE that indicates acute coronary occlusion ? Think again. 30% of occlusions are missed by the STEMI paradigm #ecg #cardiotwitter #foamed #Cardiology @smithECGBlog @EM_RESUS @ShariqShamimMD

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Drparray Mohammad

@DrparrayMD

4 months

“Check out this intriguing EKG of a 36-year-old female who comes to the ED with retrosternal chest pain radiating to both arms.. Would you activate the cath lab immediately? What’s your take on culprit vessel ? #Cardiotwitter @smithECGBlog @EM_RESUS @amalmattu @ShariqShamimMD

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Drparray Mohammad

@DrparrayMD

7 months

Ed dx :RCA OMI for urgent cath Queens verdict :OMI . Trops surged: 30→70→2170. Cardio : NSTEMI not for urgent cath Day 4 cath :critical RCA stenosis. "Why delay cath when there's ongoing occlusion? @PendellM @smithECGBlog @EM_RESUS @ShariqShamimMD @willyhfrick @DrRazi4

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Drparray Mohammad

@DrparrayMD

9 months

Computer says Acute MI Trainee reg says Troponin Med student says cath lab Patient says that she just doesn’t feel right What do you say ? #CardioTwitter #FOAMed #MedTwitter #ECG @DrRazi4 @amalmattu @drbasitmasoodi

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Drparray Mohammad

@DrparrayMD

6 months

62years female with chest pain for more than 14 hrs . Trops > 6000 and falling-off till 4800 . Culprit vessel? #Cardiotwitter @DrSiyabMD @DrRazi4 @MirSuhayel @EcgOxford @ECGWeekly @ShariqShamimMD @EM_RESUS @ECGWeekly @EcgsOnly @amalmattu

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Drparray Mohammad

@DrparrayMD

5 months

Two contrasting EKGs of a patient rushed in with chest pain who received a swift cocktail of aspirin, clopidogrel, and morphine from the EMTs. Upon arrival, his pain eased, prompting paramedics to ask: did aspirin/clopidogrel work their magic . What would you say? #cardiotwitter

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Drparray Mohammad

@DrparrayMD

7 months

35 years male who just snorted some cocaine and now has chest pain .., QOH verdict : OMI - high confidence What do you say ? #cardiotwitter #ecg @PendellM @DrRazi4 @BasitMasoodii @EM_RESUS @PendellM @The_Nanashi_O @ShariqShamimMD @EcgOxford @willyhfrick @RobertHermanMD

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Drparray Mohammad

@DrparrayMD

4 months

Just got an intriguing EKG of a 20-year-old female with chest discomfort and SOB. Her haemoglobin is shockingly low at 2.8, and she's receiving packed RBCs. BP is 80/60.What could we be dealing with here? #MedTwitter #ecg #cardiotwitter @smithECGBlog @ShrooqHawati @ECGwithReid

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Drparray Mohammad

@DrparrayMD

7 months

Incredibly helpful and well-explained.I just wanted to add that while Doppler ultrasound is valuable, it's crucial to remember that a normal result doesn't always rule out testicular torsion. A thorough history and physical examination remain essential in the diagnostic process.

Sam Ghali, M.D.

@EM_RESUS

7 months

Here's a video I made breaking down this important case of a 14-year-old boy who presented to the ER with 'abdominal pain' #FOAMed

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Drparray Mohammad

@DrparrayMD

10 months

“Grateful for the insightful webinar on OMI 🙏 Thanks for sharing valuable knowledge and advancements in this critical field. Truly an enriching experience @smithECGBlog @RobertHermanMD @PendellM ! #Cardiology #CardioTwitter #EmergencyResponse

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Drparray Mohammad

@DrparrayMD

8 months

Elderly Female with palpitations. Haemodynamically stable . Your thoughts ? #CardioTwitter #ECG #FOAMed @DrRazi4 @ecgandrhythmRoe @EcgOxford @MirSuhayel @amalmattu

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Drparray Mohammad

@DrparrayMD

7 months

30 years male with palpitations What do you say? #Cardiotwitter @ECGwithReid @DrRazi4 @ecgandrhythmRoe @PendellM @

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Drparray Mohammad

@DrparrayMD

5 months

Rate ? Rhytm ? Axis ? 😀 Nail bed fibrillation or flutter ? #ecg @EM_ESUS @DrRazi4 @Drzafaralam786 @Asim_EMconsult @dr_jalilo @willyhfrick @ALiEMteam @EMBoardBombs @funnypage @emcrit

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Drparray Mohammad

@DrparrayMD

8 months

47 years male with Syncope. Has similar Ekg previously & was told to have Rbbb .He doesn’t have any chest pain or sob and is neither a PE nor ACS and his K is normal . Can he go home? #CardioTwitter @DrRazi4 @EM_RESUS @PendellM @ShariqShamimMD @EM_RESUS @ECGwithReid @EcgOxford

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Drparray Mohammad

@DrparrayMD

8 months

Diabetic,Hypertensive .Bp=180/100 No other clinical details provided . Just a random ekg from primary care physician asking for advice #CardioTwitter #EmergencyMedicine #ecg #ekg @EM_RESUS @willyhfrick @DrRazi4 @amalmattu @ecgandrhythmRoe

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Drparray Mohammad

@DrparrayMD

9 months

“Grateful for the dedicated healthcare professionals working in the emergency department this Christmas. Wishing everyone a Merry Christmas and a special thank you to those on the frontlines! 🎄 @Asim_EMconsult @Drzafaralam786 @ed_rli @aaroncumminsNHS @WaihaMughal7 @UHMBT

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Drparray Mohammad

@DrparrayMD

9 months

57 years male known Dm came in with symptoms of heart failure. Hx of chest pain 2 weeks back which resolved. What s the ecg pattern suggestive of ?what to expect in echo ? #CardioTwitter #FOAMed #ECG #CardioEd @DrRazi4 @ecgandrhythmRoe @MirSuhayel @EM_RESUS @drbasitmasoodi

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Drparray Mohammad

@DrparrayMD

9 months

55 years female with background of hypothyroidism is complaining of palpitations. Bp=140/80 . Spo2=98 No previous cardiac history ,: What would be the next appropriate step? #CardioTwitter #FOAMed #ECG @DrRazi4 @ecgandrhythmRoe @EM_RESUS @EcgsOnly @escardio

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Drparray Mohammad

@DrparrayMD

7 months

60 years male with 3 days hx of chest pain . Spo2 88% . No other clinical details provided . What do you say ? Aslanger or inferio posterior? Rv infarction #EKG #CardioTwitter @EM_RESUS @DrRazi4 @ECGwithReid @smithECGBlog @PendellM @ShariqShamimMD @ecgandrhythmRoe @amalmattu

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Drparray Mohammad

@DrparrayMD

9 months

75 years Female with Ongoing chest pain radiating to jaw .. What do you say ? #CardioTwitter #FOAMed @EM_RESUS @smithECGBlog @RobertHermanMD @PendellM @amalmattu @drbasitmasoodi

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Drparray Mohammad

@DrparrayMD

7 months

What about this one ? #CardioTwitter #ecg @ecgandrhythmRoe @ECGwithReid @DrRazi4 @Drzafaralam786 @wardatajammal @Cardion_5 @EcgOxford @qalyheart @ekgpress

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Drparray Mohammad

@DrparrayMD

8 months

. Cath lab on day 4 reveals proximal LAD occlusion.Delayed intervention, a consequence of outdated STEMI paradigm, increases risk of early heart failure and mortality. It's crucial to shift towards OMI paradigm for more effective outcomes @smithECGBlog #Cardiotwitter #ECG #resus

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Drparray Mohammad

@DrparrayMD

11 months

Finally my module on Bifascicular block has been published . Thank you @RCEMLearning @RCollEM @Asim_EMconsult @UhmbtEdCentre @aaroncumminsNHS @ed_rli @rli_sdec @Drzafaralam786

RCEMLearning

@RCEMLearning

11 months

NEW: This module looks at the aetiology, diagnosis and management of bifascicular block in the ED. #LearningSession : #Reference :

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Drparray Mohammad

@DrparrayMD

7 months

Culprit Vessel ? #CardioTwitter @DrRazi4 @EM_RESUS @amalmattu @smithECGBlog @EcgOxford @ECGwithReid @ecgandrhythmRoe @ShariqShamimMD @EcgsOnly

Basit Masoodi

@drbasitmasoodi

7 months

Ouch! @smithECGBlog @PendellM @The_Nanashi_O @Arron_Pearce_ @DidlakeDW @BrooksWalsh @willyhfrick @DrRazi4 @EM_RESUS @FloydECGs @ecgandrhythmRoe

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Drparray Mohammad

@DrparrayMD

8 months

It’s time to embrace the OMI paradigm—saving lives demands a shift in perspective. Let’s prioritize patient outcomes over protocol. @DrRazi4 @smithECGBlog @drbasitmasoodi @amalmattu @RCEMLearning

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Drparray Mohammad

@DrparrayMD

9 months

@EM_RESUS Acute LAD occlusion and likely in cardiogenic shock

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Drparray Mohammad

@DrparrayMD

7 months

@wardatajammal @UlhasDr @DrRazi4 @syamkumarmd @Arron_Pearce_ @ecgandrhythmRoe @ECGEPSCADEVICE @ecgrhythms @drkeithsiau @drsamshuaibi @docxusofficial @DocSplain @EM_RESUS @FirstDoctor @Naeem_ch111 First ekg is diagnostic for OMI and warrants cath . STEMI paradigm misses around 30% of occlusion s .

OMI: Replacing the STEMI misnomer

The OMI / NOMI paradigm: Better recognising patients with acute ischaemia that will respond to Percutaneous Coronary Intervention (PCI)

litfl.com

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Drparray Mohammad

@DrparrayMD

4 months

@DrDave01 @EcgOxford @UlhasDr @DidlakeDW @ecgrhythms @IhabFathiSulima @DocNikko @DrPharmDMDTh @Vadeboncoeur_Al @smithECGBlog @EM_RESUS @iamritu @paomorejon @martinfd78 @estudiomedicina @OrlandoRPN @fxgodzeuss @akneton @ecgandrhythmRoe @PendellM QOH gets it right although with low confidence @RobertHermanMD @PendellM @smithECGBlog

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Drparray Mohammad

@DrparrayMD

9 months

85 years male with upper abdominal pain . No other clinical details provided . Sgarbossa vs Smith-modified Sgarbossa What next ? #CardioTwitter #FOAMed @smithECGBlog @EM_RESUS @PendellM @ecgandrhythmRoe @RobertHermanMD

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Drparray Mohammad

@DrparrayMD

4 months

First Ekg is a clear inferior OMI with posterior extension warranting urgent cath . We should stop the practice of calculating millimetres and squares to determine Acute coronary occlusion : STEMi/NSTEMi paradigm is outdated @smithECGBlog @PendellM

Diogo Persilva

@diogopersilva

4 months

43 yo male c/o CP 3 hrs prior the first ecg. Said NSTEMI by first doc. Trops elevated. Repeated ecg with 14 hrs of pain, now better, with slight disconfort. No cath available. Lytics not given. PCI after 2 days shows occluded RCA 😞. Would anyone give lytics in the second moment?

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Drparray Mohammad

@DrparrayMD

1 year

Among adult patients with penetrating chest trauma resulting in hemothorax or pneumothorax who undergo tube thoracostomy, antibiotic prophylaxis may decrease the risk of developing an empyema #emergencymedicine #Trauma @Asim_EMconsult @Drzafaralam786

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Drparray Mohammad

@DrparrayMD

11 months

@EMBoardBombs Genital ulcer +lymphadenoparhy =likely chancre (primary stage syphilis sore ) and single dose of penicillin should be fine .

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Drparray Mohammad

@DrparrayMD

9 months

@EcgOxford @smithECGBlog @PendellM @EM_RESUS Thanks for your response. My point is slightly different .its not about a particular case and it was never about troponin. It’s all about OMI vs STEMI . The STEMI/NSTEMI paradigm is not a reliable tool for diagnosing occlusion MI

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Drparray Mohammad

@DrparrayMD

5 months

@EM_RESUS @amalmattu @smithECGBlog @DrRazi4 @EcgOxford @EcgsOnly @ecgandrhythmRoe @The_Nanashi_O @PendellM @emcrit @FaheemYounus Thank you Dr Sam @EM_RESUS for your precise and wonderful interpretation. K =9.7 .. Would you be happy to do a video and quote with explanations especially regarding that sodium channel blockade ? Your explanations are most beautiful ones

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Drparray Mohammad

@DrparrayMD

7 months

@drbasitmasoodi @smithECGBlog @PendellM @The_Nanashi_O @ecgandrhythmRoe @Arron_Pearce_ @willyhfrick @DrRazi4 @EM_RESUS @DidlakeDW @BrooksWalsh Still ongoing LAD occlusion. With inferior involvement possibility of wraparound LAD type IV .I don’t think it’s a complete reperfusion

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Drparray Mohammad

@DrparrayMD

5 months

@AMigelheva Sensible to evaluate before pushing for cath . AF is rarely a first presentation of ACS and then widespread downsloping std and elevation in avr could be secondary to hypoxia .hypotension etc . Yea LMCA occlusion is still a possibility

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Drparray Mohammad

@DrparrayMD

9 months

@drbasitmasoodi @smithECGBlog @PendellM @EM_RESUS @The_Nanashi_O @Arron_Pearce_ @BrooksWalsh @DidlakeDW @ecgandrhythmRoe @DrRazi4 @FloydECGs @willyhfrick @amalmattu @RobertHermanMD Ekg looks like more of pericarditis morphology although I will be cautious if history is consistent with ACS .

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Drparray Mohammad

@DrparrayMD

7 months

@HuggettSuiteRLI @ed_rli @Drzafaralam786 @Asim_EMconsult Thank you so much

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Drparray Mohammad

@DrparrayMD

10 months

Elderly Female with underlying cardiomyopathy presented with acute SOB and features of Pulmonary edema Baseline ekg attached . What are we dealing with???Bidirectional VT #CardioTwitter #FOAMed @EM_RESUS @RobertHermanMD @smithECGBlog @PendellM

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Drparray Mohammad

@DrparrayMD

8 months

3/ Nitroglycerine infusion with morphine initiated. Subsequent ECG shows clear ST elevation, which was labelled as established anterior STEMI. Cath lab delayed

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Drparray Mohammad

@DrparrayMD

7 months

@FBAmif @smithECGBlog @PendellM @EM_RESUS @ShariqShamimMD @willyhfrick @DrRazi4 1. Subtle STE with hyperacute TW in inferior leads. 2. Reciprocal STD in aVL and Lead 1 suggest True Acute Inferior OMI 2. Flat/subtle STD in V2 suggest posterior involvement. Courtesy @DrRazi4

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Drparray Mohammad

@DrparrayMD

5 months

@wardatajammal @BrownJHM @docxusofficial @drkeithsiau @DrRazi4 @drsamshuaibi @ecgandrhythmRoe @ECGEPSCADEVICE @ecgotaku @ecgrhythms Looks flutterish with underlying Lbbb.

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Drparray Mohammad

@DrparrayMD

8 months

@DrRazi4 @smithECGBlog @drbasitmasoodi @amalmattu @RCEMLearning De winter with wraparound LAD or inferior with posterior extension? Your thoughts #CardioTwitter #Cardiology #ECG @EM_RESUS @EcgOxford @smithECGBlog @RobertHermanMD @ShariqShamimMD @amalmattu @PendellM

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Drparray Mohammad

@DrparrayMD

8 months

These EKG changes hint at pericarditis, but a diagnosis requires additional clinical criteria as per ESC guidelines. Always prioritize ruling out ischemia with any ST elevations; other diagnoses should be considered as exclusions.. it’s all about the patient and not about ekg s

🫀EcgOxford

@EcgOxford

8 months

CP HsTn 3ng/mL Dx? @MaruanCarlos @yolyabreuh @UlhasDr @DidlakeDW @ecgrhythms @IhabFathiSulima @DocNikko @DrPharmDMDTh @Vadeboncoeur_Al @smithECGBlog @EM_RESUS @iamritu @paomorejon @martinfd78 @estudiomedicina @OrlandoRPN @fxgodzeuss #EPeeps #Cardioed #FOAMcc @ecgandrhythmRoe

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Drparray Mohammad

@DrparrayMD

5 months

@ecgandrhythmRoe @EM_RESUS @amalmattu @smithECGBlog @DrRazi4 @EcgOxford @EcgsOnly @The_Nanashi_O @PendellM @emcrit @FaheemYounus Thanks @ecgandrhythmRoe . k=9.7

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Drparray Mohammad

@DrparrayMD

7 months

Follow up ekg

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Drparray Mohammad

@DrparrayMD

1 year

@Drzafaralam786 @Asim_EMconsult @drcolinread @drcazz @RCollEM @UhmbtEdCentre Great job.keep it up

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Drparray Mohammad

@DrparrayMD

7 months

@drbasitmasoodi @smithECGBlog @PendellM @The_Nanashi_O @ecgandrhythmRoe @Arron_Pearce_ @willyhfrick @DrRazi4 @EM_RESUS @DidlakeDW @BrooksWalsh First ekg is STEMI and second one is OMI . Occlusion is a disease STEMI is not

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Drparray Mohammad

@DrparrayMD

9 months

@areebamaryam50 @Asim_EMconsult @Masaeed620Saeed @SaleemRiaz22 @Drzafaralam786 @UHMBT @UhmbtEdCentre @UHMBTCareers Stay focused, stay positive, and never give up on your dreams. You have what it takes to make them a reality. Best of luck

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Drparray Mohammad

@DrparrayMD

9 months

@WajihaMughal7 @aaroncumminsNHS @Asim_EMconsult @Drzafaralam786 @Masaeed620Saeed @SaleemRiaz22 Keep going, keep growing, and show ‘em what you’re made of!

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Drparray Mohammad

@DrparrayMD

8 months

@DrRazi4 @PMcardioBot @drharikrishrau @Eugene4463 Trifascicular block

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Drparray Mohammad

@DrparrayMD

7 months

@mandeep_mayo Correlate clinically keeping in mind that pericarditis will be a diagnosis of exclusion

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Drparray Mohammad

@DrparrayMD

5 months

@AMigelheva Rbbb ,Rad ,lafb =.. Bifascicular block Clinical presentation sounds like HF . Bed side echo +_ serial trops

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Drparray Mohammad

@DrparrayMD

5 months

@DrRazi4 @EM_RESUS @PendellM @drbasitmasoodi @SuhayelMir @amalmattu @The_Nanashi_O @willyhfrick @Asim_EMconsult Yea but it’s endogenous fibrinolysis rather than just an Aspirin magic .

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Drparray Mohammad

@DrparrayMD

1 year

Keep learning and believe in yourself -Thank you @RCEMLearning @RCollEM Proudly claiming victory in quiz today @UHMB_LOD @Asim_EMconsult @Drzafaralam786 @aaroncumminsNHS @ed_rli

RCEMLearning

@RCEMLearning

1 year

CONGRATS to everyone who got 100% on the Curriculum Cup: Cardiology Quiz, this includes: @SobiaAmbreen5 Nor Atiqah Sulaiman, @Mohamed93619601 @DrparrayMD Omar Al Jibouri and Dr Syed Shahbaz Ahmer! 🏆 Congratulations to everyone, and look out for the next topic!

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Drparray Mohammad

@DrparrayMD

7 months

@Siniruben @Asim_EMconsult @aaroncumminsNHS @PUhmbt @MrsSquidge21 Thank you Sini

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Drparray Mohammad

@DrparrayMD

11 months

@Drzafaralam786 @aaroncumminsNHS @Real_Bongi @Asim_EMconsult @drcazz @drcolinread @leannebenson81 @joannalumb1 @UHMBTUndergrad Great job .keep it up

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Drparray Mohammad

@DrparrayMD

1 year

@Drzafaralam786 @Asim_EMconsult @drcolinread @drcazz @RCollEM @UhmbtEdCentre Nice one .

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Drparray Mohammad

@DrparrayMD

11 months

@Drzafaralam786 @aaroncumminsNHS @Asim_EMconsult @drcazz @EducFgh @jabfay @UHMBTUndergrad @UHMBT Great job ..👌Keep it up

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Drparray Mohammad

@DrparrayMD

8 months

2/ Despite urgent insistence from the emergency physician, cath lab was delayed as the ecg didn’t met the STEMI criteria. Patient labeled NSTEMI. and admitted . Troponin rises to 5365 and 12800 in 12 hrs.

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Drparray Mohammad

@DrparrayMD

1 year

@drkeithsiau I fart because it’s the only gas I can afford 😀

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Drparray Mohammad

@DrparrayMD

5 months

@BrooksWalsh @EM_RESUS @amalmattu @smithECGBlog @DrRazi4 @EcgOxford @EcgsOnly @ecgandrhythmRoe @The_Nanashi_O @PendellM @emcrit @FaheemYounus Absolutely. K= 9.7 .Thanks for your beauteous comment

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Drparray Mohammad

@DrparrayMD

7 months

@ECGWeekly Smith’s modified sgarbossa positive. Urgent cath

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Drparray Mohammad

@DrparrayMD

7 months

@wardatajammal @FloydECGs @UlhasDr @DrRazi4 @syamkumarmd @Arron_Pearce_ @ecgandrhythmRoe @ECGEPSCADEVICE @ecgrhythms @DocSplain @docxusofficial @drkeithsiau @drsamshuaibi @EM_RESUS @Gazelle6849 ☑️irregular wide complex likely Af with abberant conduction ☑️Move to Resus and ask for help ☑️Look for adverse signs like shock.syncope .ischemia heart failure . If yes then synchronised cardioversion ☑️if no then look for duration to decide whether rate or rhythm control

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Drparray Mohammad

@DrparrayMD

7 months

@Asim_EMconsult @aaroncumminsNHS @PUhmbt @MrsSquidge21 Thanks for sharing 🙏

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Drparray Mohammad

@DrparrayMD

7 months

@JAK2M @drbasitmasoodi @The_Nanashi_O @EM_RESUS @PendellM @smithECGBlog @Arron_Pearce_ @ecgandrhythmRoe @FloydECGs @willyhfrick @DrRazi4 @DrLindaDykes @Asim_EMconsult @DidlakeDW @BrooksWalsh To label it as pericarditis you will need clinical criteria plus ecg findings .

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Drparray Mohammad

@DrparrayMD

8 months

@ShariqShamimMD @PendellM @RobertHermanMD @EM_RESUS @amalmattu @DrRazi4 @drbasitmasoodi @The_Nanashi_O No.its not an academic centre. Over here in UK they are hanging tough with NICE guidelines . No concept of OMI

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Drparray Mohammad

@DrparrayMD

5 months

@AMigelheva @EcgOxford @DidlakeDW @EM_RESUS @BrooksWalsh Typical bifascicular block. It’s sensible to rule out ACS initially with serial trop and echo . If ruled out then would still require holter and eps as out patient . I have written a good approach for bifascicular block in RCEM learning 👇🏼

Bifascicular Block - RCEMLearning

This session looks at the aetiology, diagnosis and management of bifascicular block in the ED.

www.rcemlearning.co.uk

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Drparray Mohammad

@DrparrayMD

8 months

73 years male had a fall from standing with no concerns of any major trauma . He says that he just doesn’t feel right . Baseline ekg attached . What’s do you say ? #CardioTwitter #FOAMed @DrRazi4 @drbasitmasoodi @EM_RESUS @EcgOxford @ecgandrhythmRoe @ECGwithReid @Asim_EMconsult

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Drparray Mohammad

@DrparrayMD

6 months

@AMigelheva Wellens syndrome is not an ekg diagnosis ( ekg +resolved chest pain ) . While wellens could be one of the differential s it’s sensible to rule out PE at first instance

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Drparray Mohammad

@DrparrayMD

11 months

Got this free dairy from Royal college of emergency medicine 🙏🥰 You made my day ❤️Thank you @RCollEM @Asim_EMconsult @Drzafaralam786

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Drparray Mohammad

@DrparrayMD

5 months

@RichardAFerraro @smithECGBlog @EM_RESUS @ShariqShamimMD @PendellM @The_Nanashi_O @RobertHermanMD @DrRazi4 @ecgandrhythmRoe @amalmattu Because it s not fitting that criteria I believe

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Drparray Mohammad

@DrparrayMD

7 months

@Drzafaralam786 @aaroncumminsNHS @Asim_EMconsult @drcazz @joannalumb1 @claretwiggpeckh @UhmbtEdCentre @UHMBTUndergrad Great job . Keep it up

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Drparray Mohammad

@DrparrayMD

9 months

@drbasitmasoodi @The_Nanashi_O @willyhfrick @DrRazi4 @ecgandrhythmRoe @DidlakeDW @reverendofdoubt @Arron_Pearce_ LAD OMI likely unstable patient either in cardiogenic shock or in pulmonary edema .

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Drparray Mohammad

@DrparrayMD

7 months

@aaroncumminsNHS @UHMBT @LSC_ISNDN Great news & congrats stroke team @Siniruben

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Drparray Mohammad

@DrparrayMD

4 months

@DrRazi4 @smithECGBlog @EM_RESUS @ShrooqHawati @BasitMasoodii @PendellM @willyhfrick @The_Nanashi_O @ecgandrhythmRoe @RobertHermanMD @IFEM2 @ShariqShamimMD @EMBoardBombs @drharikrishrau I wonder if one would follow AHA definition of ST elevation & see whether it fits there

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Drparray Mohammad

@DrparrayMD

8 months

@drbasitmasoodi @The_Nanashi_O @Arron_Pearce_ @willyhfrick @DrRazi4 @ecgandrhythmRoe @EM_RESUS @DidlakeDW @BrooksWalsh I go with D-winter .

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Drparray Mohammad

@DrparrayMD

4 months

@willyhfrick @smithECGBlog @ShrooqHawati @ECGwithReid @EM_RESUS @The_Nanashi_O @PendellM @amalmattu @EMBoardBombs @ALiEMteam @DrRazi4 @ShariqShamimMD @RobertHermanMD Yup . Supply demand mismatch

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Drparray Mohammad

@DrparrayMD

4 months

@caseyalbin @emcrit @drdangayach Sudden Change in consciousness has vast differentials . From Tox and infective to metabolic it could be anything . We won’t CTA everyone only because there’s sudden change in consciousness

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Drparray Mohammad

@DrparrayMD

9 months

@EM_RESUS @smithECGBlog @PendellM @EcgOxford They started him on Gtn infusion and morphine masking his symptoms .Trops 754 and labelled as NSTEMI . Ekg repeated only when he went a bit hypotensive

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Drparray Mohammad

@DrparrayMD

7 months

@ShariqShamimMD @Magl87 And Q waves aren’t always subacute as taught .In context with acute chest pain Q waves can develop after as little as one hour of ischemic symptoms, and are associated with larger infarcts, lower EF and higher mortality . Correct me if I am wrong 😑

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Drparray Mohammad

@DrparrayMD

4 months

@MerajAnwar7759 @DrRazi4 @DrRajeshG1 @Beingmediccoo @drkeithsiau @DrPharmDMDTh @ecgandrhythmRoe @DrV_Mann @EM_RESUS @MaruanCarlos Most likely Sinus tachycardia

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Drparray Mohammad

@DrparrayMD

9 months