ER Bear's Heart NotesAn editorial notebook
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An Editorial Notebook · Since 2022

ER Bear's Heart Notes agoodbear.com

A working physician's notes on ECG, AI workflows, and the cold reality of the emergency department — written in Taiwan, read with care.

69 posts in English Friday, October 9, 2026 Readers · — Taipei · Taiwan
No STE, so what makes you say it's occluded? (Six principles for reading the OMI ECG)
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No STE, so what makes you say it's occluded? (Six principles for reading the OMI ECG)

STEMI criteria ask if this ECG meets a threshold; the six principles ask if this heart is ischemic now. Smith et al.'s 2026 OMI principles, one by one: how to use each in the ED, what to watch for.

Sep 17, 2026 · 60 min · ECG

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Guideline Hub

The guidelines I reach for most on ER shifts — 57 documents in an in-site reader, arranged on a timeline by year. Pick a topic to dive in. (Interface in Chinese; most documents are in English.)

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AMI / ACS 心肌梗塞定義 Ischemic Stroke ACLS / Resuscitation PALS / 兒童急救 Trauma / ATLS Sepsis POCUS 困難呼吸道
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