EMCrit Wee - ECGs in Acute Pulmonary Embolism
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Scott D. Weingart, MD FCCM
4.8 • 2K Ratings
🗓️ 2 February 2026
⏱️ 32 minutes
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| 0:00.0 | Hey, folks, Scott Weingard here, and this is an M-Crit Wii. |
| 0:03.0 | This would have been a podcast, but my guest has conflicts of interest, so I can't give CME, so it's not a podcast. |
| 0:07.8 | It's a we, but damn, it is a good we. |
| 0:10.2 | So we did a malpractice case last year on a patient with like Stone Cold Normal Vitals, who presented and turned out to be a PE, and the doctor was sued, and the main crux of the case was the ECG showed |
| 0:22.7 | a pretty significant T-wave inversions anteriorly and inferiorly, and that was missed by the doc involved |
| 0:29.2 | as a sign of P. And I made a mental note to myself, get the ECG cyborg named Pendle Myers on the show |
| 0:36.0 | to discuss ECGs in pulmonary ambulism. Now, Jeff Klein also mentioned this topic when we were talking about that malpractice case, and he said, if you're not screening the ECG, then that is below standard of care. And so that was even more impetus to get this done. Now, if you don't know, Pendle, he's been on the show before. He's basically the creator of the Omi paradigm, the replacement for the Stemmy, and it can't come soon enough. Stemmy's got to go. And he is brilliant. He was my resuscitation fellow. He was my resident. And from day one, he was just like a maven of all things, cardiology and ECG. So brilliant. Love the guy. Real soft-spoken. Nice. You're going to love |
| 1:12.8 | him too if you haven't heard him before. We'll get right into it in just a sec. Very quickly, |
| 1:17.6 | the out on time asynchronous course has just been released. And we had done the synchronous |
| 1:23.3 | beta version of the course to test out the ideas. And we got fantastic feedback. We went back |
| 1:29.1 | for, I think, a year and actually took all the recommendations and then put them into this new |
| 1:34.1 | course. Now, the purpose of this course is, as the name says, to get you out on time. And not |
| 1:39.3 | out on time rush, not on time, frazzled and miserable, but out on time relaxed and joyful |
| 1:43.8 | so that you can get home to |
| 1:44.9 | your family, your friends, and your life, and not stay two hours after your shift. But at the same time, |
| 1:50.9 | we want you to have perfectly supportable, billable charts, and we want you to have medical, |
| 1:58.0 | legally defensible charts. And we want you to be able to do it without |
| 2:01.1 | losing the income from seeing patients so it's it's a tall order but i think we succeeded we're going to |
| 2:06.9 | get you out on time or damn close to it your charts are going to bill beautifully and you're going to be |
| 2:12.7 | safe if anyone takes a look at those charts with the desire to sue you in In addition to that, we have things like managing interruptions, managing flow, all the things that keep you efficient and happy on shift. |
| 2:25.3 | It's all the stuff they should have taught you during your residency, and they never did. |
| 2:30.2 | And I know they didn't because every time I talk to a residency and I just mentioned charting, they're like, oh, no one ever taught us charting. And I'm like, oh, God. Well, now there's a course for it. And if you want to check it out, it's out on time, all one word, out on time course, all one word, outontimecourse.com. Out on timecourse.com. Check it out. |
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