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Machine Interpretation Error
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Initial
Machine Interpretation Error
Subtle Inferoposterior MI
ECG FOAM
Pendell Meyers, Steve Smith, Brooks Walsh
Computer says "normal," troponin undetectable.
Dr Smith's ECG Blog
Up-Down T
Machine Interpretation Error
12-lead
Subtle Anterior MI
ECG FOAM
Brooks Walsh
Trust a computer read of "Normal ECG" at your peril!
Dr Smith's ECG Blog
Up-Down T
Machine Interpretation Error
Recip STD
STE
12-lead
Subtle Anterior MI
ECG FOAM
Brooks Walsh
Trust a computer read of "Normal ECG" at your peril!
Dr Smith's ECG Blog
Initial
12-lead
Accel Junctional
-AF
Benign Tinv
ECG FOAM
Isorhythmic Dissociation
Machine Interpretation Error
Sinus Arrhythmia
Dr Smith's ECG Blog
Initial
Machine Interpretation Error
Paced Inferopost MI
12-lead
Ventricular Pacing
ECG FOAM
Pendell Meyers, Steve Smith, Brooks Walsh
Cardiologists need to keep an open mind and be capable of listening to, and learning from, the Emergency Physician
Dr Smith's ECG Blog
A few min later
Anterior MI
Machine Interpretation Error
Serial ECG
12-lead
ECG FOAM
Robert Jones, Pendell Meyers, Steve Smith
A middle aged female with "heartburn" and a "normal ECG" per the computer
Dr Smith's ECG Blog
Initial
Anterior MI
Machine Interpretation Error
12-lead
ECG FOAM
Robert Jones, Pendell Meyers, Steve Smith
A middle aged female with "heartburn" and a "normal ECG" per the computer
Dr Smith's ECG Blog
Anterior STE
Hyperacute T MI - Tall
Machine Interpretation Error
Subtle Anterior MI
ECG FOAM
Steve Smith
Acute Chest pain in a 50-something, and a "Normal" ECG
Dr Smith's ECG Blog
Initial
Hyperacute T MI - Bulky
Machine Interpretation Error
Wraparound LAD MI
ECG FOAM
Cam Mosley, Steve Smith
The computer and the cardiologist called this a "Normal EKG"
Dr Smith's ECG Blog
Initial
Machine Interpretation Error
Subtle Anterior MI
ECG FOAM
Steve Smith
A 50-something male with acute chest pain
Dr Smith's ECG Blog
Initial
Hyperacute T MI - Tall
Machine Interpretation Error
ECG FOAM
Steve Smith
What happens when you don't recognize an OMI?
Dr Smith's ECG Blog
Arrival
Machine Interpretation Error
Subtle Anterior MI
ECG FOAM
Pendell Meyers
What will you do for this patient transferred to you who is now asymptomatic?
Dr Smith's ECG Blog
Initial
Machine Interpretation Error
Subtle Inferoposterior MI
ECG FOAM
Steve Smith, Brooks Walsh
The computer calls this a “normal ECG”. We'll just keep making this point.
Dr Smith's ECG Blog
De Winter T MI
Hyperacute T MI - Tall
Machine Interpretation Error
ECG FOAM
Steve Smith
Another Inadequate Paper Published on Triage ECGs, whose Conclusions Need Scrutiny.
Dr Smith's ECG Blog
Initial
High Lateral D1 MI
Machine Interpretation Error
ECG FOAM
Pendell Meyers
A "normal ECG" on a busy night
Dr Smith's ECG Blog
45min later
Machine Interpretation Error
Subtle Inferoposterior MI
ECG FOAM
Steve Smith
A 50-something woman with chest pain and 2 "normal" ECGs at triage
Dr Smith's ECG Blog
Initial
HyperT
Machine Interpretation Error
Subtle Inferoposterior MI
ECG FOAM
Steve Smith
Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once!
Dr Smith's ECG Blog
Initial
Machine Interpretation Error
Subtle Inferoposterior MI
ECG FOAM
Steve Smith
Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once!
Dr Smith's ECG Blog
Initial
HypoK (2.5)
Long QT
Machine Interpretation Error
Seizure
ECG FOAM
Steve Smith
A patient with a "seizure" and a completely "normal" ECG
Dr Smith's ECG Blog
Anterior STE
Hyperacute T MI - Tall
LAD occlusion
Machine Interpretation Error
~Terminal QRS Distortion
ECG FOAM
Steve Smith
"This is not a Subtle ECG, right?"
Dr Smith's ECG Blog
Delta Wave
Machine Interpretation Error
Short PR
WPW
ECG FOAM
Steve Smith
A 16 year old girl with altered mental status and possible overdose
Dr Smith's ECG Blog
Long QT
Machine Interpretation Error
Syncope
ECG FOAM
Steve Smith
An Alcoholic Patient with Syncope
Dr Smith's ECG Blog
Machine Interpretation Error
Subtle Inferoposterior MI
ECG FOAM
Steve Smith
Computer misses again -- two cases: one very obvious, one very subtle
Dr Smith's ECG Blog
Classic Inferoposterior MI
Machine Interpretation Error
ECG FOAM
Steve Smith
Computer misses again -- two cases: one very obvious, one very subtle
Dr Smith's ECG Blog
Classic Inferior MI
Machine Interpretation Error
RCA Occlusion
ECG FOAM
Steve Smith
Computer algorithms are not sensitive for STEMI
Dr Smith's ECG Blog
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