70s male w/ chest pain. Clear-cut anterior STEMI to De Winter T-waves! Although last ECG is diagnostic for LAD occlusion it does not (technically) meet STEMI criteria. Hopefully, you would activate the cath lab, even if this was the only 12-lead ECG! #MedTwitter #CardioTwitter Here's the angiogram.

🧵1/ How to provide constructive feedback to paramedics following a bad call or patient safety event. I don't claim to be an expert on this topic but I have some thoughts after 25-years as a front line paramedic, field supervisor, and chief officer. Your mileage may vary. 2/ Control your emotions. If you're angry, do not provide feedback. Be nice, because you don't have all the facts yet. Breathe in, breath out. This is a good time to remember that you're not perfect. Moments like these make or break your reputation.

THREAD: 1/ I would like urge all of my colleagues in EMS to become vaccinated for COVID-19 as soon as possible. Here are some basic talking points. You are welcome to use them for whatever purpose. No credit or attribution required. We're all in this together! 2/ What is a vaccine?
· Vaccination is the most effective tool that has ever existed to prevent infectious diseases
· Vaccines are largely responsible for the world-wide eradication of smallpox and prevention of polio, measles, and tetanus

THREAD: Differential diagnosis of tachycardias can be tricky business! Here are some strategies to help keep you between the ditches. Hope you will like and share. #FOAMed #FOAMems #MedEd #CardioTwitter 1/ First let's look at the 2015 AHA ECC Guidelines tachycardia algorithm. It's fairly straight forward but there are some important concepts here that deserve some elaboration.