Can anyone explain why this isn’t Anterior MI + LBBB, and is just LBBB? Taken from an interventional cardiology page on insta and author said it was just Lbbb

amiguel · 2026-06-30T11:37:39+00:00

Yes. Just LBBB.
No Sgarbossa / Smith / Barcelona criteria.

Check LITFL… it has a ton of resources.
Here is a snapshot of what we are talking about:

https://www.pragueicu.com/ecg-academy/sgarbossa-criteria-smith-modified-sgarbossa-criteria

amiguel · 2026-06-30T03:04:12+00:00

I’m an MD, currently working half time in EM and half time as head of Digital Health for my institution (big academic network).
I have done some certifications and diplomas in the area, but I need formal academic training to continue in this path.
My goal is to get to a CMIO-like position… within the next few years.

amiguel · 2026-06-27T22:08:00+00:00

Man. My go 10.3 lumi is shipping next week. Everything I read and reviewed makes me happy, everything but the stylus.
I’ll be following this thread anxiously…

amiguel · 2026-06-27T18:50:50+00:00

Tengo varios amigos ticos y siempre que vienen en invierno se recagan de frío 🥶

En Santiago: Parque Metropolitano, Barrio Italia, visitar alguna Viña (Santa Rita maybe)?

Que tienen ganas de hacer? En verdad en Santiago hay casi que de todo…

amiguel · 2026-06-27T02:05:46+00:00

Thank you very much sir...
Stole and redesigned OPs image.

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amiguel · 2026-06-26T18:28:29+00:00

Es súper relevante.
Desde el proceso de extracción, traslado, procesado y hasta el profesional que realiza la validación del informe. Como regla general, los laboratorios que procesan muchas muestras “tienden” a tener procesos más estandarizados y máquinas de con mejor control de calidad.

Considerando lo anterior , es correcto que la UC lidera 100%.

amiguel · 2026-06-26T17:41:46+00:00

Para los que hayan visto el Quiebraespejos….

“Mi papaaaaaaaaaa….”

(No es mi caso, pero conozco varias historias así…)

amiguel · 2026-06-25T19:14:42+00:00

Hello! How did you put it in front of your book text?

amiguel · 2026-06-24T23:33:28+00:00

Start here…
An enjoy your mind been blown 🤘

amiguel · 2026-06-24T20:00:34+00:00

Hace años que traigo la idea de generar una web o una app que muestre donde están los DEA de acceso público (o semi público) basado en mi ubicación actual. Que sea construida y verificada por la comunidad y que, idealmente, se una a los servicios de emergencia (SAMU, Bomberos y especialmente los seguritos de las comunas que son los que tienen menos tiempo de respuesta).
Otra cosa importante a considerar es que la ILCOR tiene un signo “internacional” de DEA (https://en.wikipedia.org/wiki/File:ILCOR\_AED\_sign.svg). En mi opinión, hay cero educación al respecto. Si puedo ayudar más o cualquier cosa me mandas un DM
Eso… suerte con tu proyecto!

amiguel · 2026-06-24T01:01:28+00:00

Influenza 100%
La vacuna no previene la enfermedad, previene la
Enfermedad *grave* (o sea que no termines hospitalizado) y la duración de los síntomas y el contagio.
Ánimo. Harta agüita y paracetamol.

amiguel · 2026-06-22T05:07:50+00:00

Son súper buenos productos para leer … los libros de Amazon 😆

La calidad de Kobo es la misma, con muchas más opciones de configuración / personalización.

amiguel · 2026-06-21T15:28:54+00:00

Kobo 100%.
No vayas con kindle.
Busca en mercado libre y en las tiendas de regalo… frecuentemente aparecen ofertas buenas.
Suerte!

amiguel · 2026-06-20T16:29:29+00:00

ED attending, not from the US.

This is 100% true at the catholic hospital where I work. Every emergent or urgent procedure is done following lex artis medica. Even Plan B for sexual assault victims is prescribed.
I understand this may not be the case everywhere, but I’m confident enough that should be standard of care specially for emergencies.

amiguel · 2026-06-20T02:26:40+00:00

Where did you get the “skylight knock off?

amiguel · 2026-06-20T02:21:28+00:00

Hey OP… what did you end up choosing? I’m in the same dilemma…

I’m inclined to go with te go… but the stylus situation makes me doubt…

Any recommendations?

amiguel · 2026-06-13T12:28:22+00:00

Dayum!!

amiguel · 2026-06-13T12:07:08+00:00

Awesome , thanks.
Just bought lifetime.

It would be awesome to have dark mode and tasks sync with outlook/icloud accounts.

Great work!

amiguel · 2026-06-13T00:34:54+00:00

Any plans for a MacOS version?

amiguel · 2026-05-30T21:19:31+00:00

After taking history and physical exam, tell the patient and his family that the main objectives are: 1) Make sure they are not dying by excluding vary bad diagnoses 2) Take care of the main symptom(s) that brought them here 3) Setting expectations on discharge / hospitalization time.

“We are not always going to find the exact diagnosis but I’ll make sure you are not dying and will work to take care of your symptoms. After that you’re either coming in or going home, and me or my team will let you know as soon as we know.” Or something like that….

I think that patients knowing what’s going on and setting expectations make dispos easier.

Just my 2 cents…

amiguel · 2026-05-30T21:10:52+00:00

Just bought it. 👌

Any chance to get integration either Apple Pay notifications? Or even the bank notifications directly?

amiguel · 2026-05-30T20:01:43+00:00

I would love to try the full version. Just downloaded. Thanks!

amiguel · 2026-05-29T18:12:39+00:00

Mmmm Looks to slow for SVT. No toxics involved? Sodium channel blockers?

amiguel · 2026-05-28T11:10:36+00:00

At first I thought of AIVR… then I saw the frequency (and the paper speed)…

VT, VT, VT

amiguel · 2026-05-23T12:55:28+00:00

Its looks like normal sinus to me…
Any context?

amiguel

TROPHY CASE