tag:blogger.com,1999:blog-549949223388475481.post1850620922633692673..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Just a few cases that the computer called "normal"Unknownnoreply@blogger.comBlogger14125tag:blogger.com,1999:blog-549949223388475481.post-51379718328845804632018-10-21T20:36:32.198-05:002018-10-21T20:36:32.198-05:00Interesting blog, your opinion is great, I hope yo...Interesting blog, your opinion is great, I hope you introduce more computer and ECG related knowledge.Annabelle O'Donnellhttps://www.tomtop.com/computer-stationery-10499/noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-14054999312044272852017-10-02T00:46:52.352-05:002017-10-02T00:46:52.352-05:00Get serial ECG if any doubt.Get serial ECG if any doubt.Anonymoushttps://www.blogger.com/profile/05680804172273705877noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-33017591166713850782017-10-02T00:44:53.716-05:002017-10-02T00:44:53.716-05:00This supports the value of repeat ECG in the chest...This supports the value of repeat ECG in the chest pain patient with some clinical suspicion.Anonymoushttps://www.blogger.com/profile/05680804172273705877noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-35792068291756772672017-09-30T17:22:13.532-05:002017-09-30T17:22:13.532-05:00Good case! Clearly acute LAD occlusion.Good case! Clearly acute LAD occlusion.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-1799041234814552112017-09-29T20:37:48.193-05:002017-09-29T20:37:48.193-05:00This is an example from my practice of LAD occlusi...This is an example from my practice of LAD occlusion where the ECG interpreted as normal<br /><br />https://imgur.com/a/FvgIEAnonymoushttps://www.blogger.com/profile/09140689026107196843noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-55193766890877270072017-09-29T10:10:49.605-05:002017-09-29T10:10:49.605-05:00Yes!Yes!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-61428564636486185962017-09-29T10:10:42.794-05:002017-09-29T10:10:42.794-05:00Exactly!Exactly!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-33849721217180844172017-09-29T06:38:17.036-05:002017-09-29T06:38:17.036-05:00Im absolutely delighted that you are developing a ...Im absolutely delighted that you are developing a DNN for ECG computer interpretation, maybe then when we hightlight these significant but subtle ECG abnormalities we will be taken more seriously by the medical staff. Please keep us posted on the developments of this tool Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-50426915472684774712017-09-28T17:24:25.139-05:002017-09-28T17:24:25.139-05:00Steve,
This is a great discussion topic for my me...Steve,<br /><br />This is a great discussion topic for my medics and group. Ty! Lillyhttps://www.blogger.com/profile/03039927976082775986noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-83725097213724730652017-09-28T17:23:09.413-05:002017-09-28T17:23:09.413-05:00We should always be looking for subtle findings. I...We should always be looking for subtle findings. It’s what distinguishes you from just a regular doctor. Lillyhttps://www.blogger.com/profile/03039927976082775986noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-10178897153789633122017-09-28T17:09:03.491-05:002017-09-28T17:09:03.491-05:00Amen!Amen!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-75723025581140568792017-09-27T13:09:16.366-05:002017-09-27T13:09:16.366-05:00Although this discussion does not really pertain t...Although this discussion does not really pertain to paramedics as myself, since we usually only have one patient at a time so reviewing each ECG is not a big deal, but I have activated cath lab a few times from the field with ECGs that the monitor read as normal. <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-70879336985816566082017-09-27T12:57:14.408-05:002017-09-27T12:57:14.408-05:00All of these patients looked clinically well. Mos...All of these patients looked clinically well. Most STEMI and ACS patients look clinically well, only complain of chest pain or SOB, like so many other patients. Furthermore, only 20% of ECGs are labelled normal by the computer. It will decrease the number of ECGs by 20%.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-18195982443101838462017-09-27T12:01:17.475-05:002017-09-27T12:01:17.475-05:00I have to disagree with you here. The constant int...I have to disagree with you here. The constant interruptions come at a huge cost in terms of attention. I am unlikely to pick up subtle findings during a shift. The question is not whether the computer misses things, but how many of those missed findings occur in patients who look clinically well? Ill appearing patients should be selected for scrutiny by the nursing staff anyway. Jordanhttps://www.blogger.com/profile/06006402070238977616noreply@blogger.com