ER Bear's Heart NotesAn editorial notebook

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69 items ·Updated · Sep 17, 2026
No STE, so what makes you say it's occluded? (Six principles for reading the OMI ECG)
ECG

No STE, so what makes you say it's occluded? (Six principles for reading the OMI ECG)

Sep 17, 2026 · 60 min
Every ED Is Raising Pay, So Why Can't Anyone Find Staff? (Part 2): Patients Can't Get Admitted, and Money Can't Buy People Back
ER Life

Every ED Is Raising Pay, So Why Can't Anyone Find Staff? (Part 2): Patients Can't Get Admitted, and Money Can't Buy People Back

Sep 6, 2026 · 50 min
Goodbye, Type 1~5 MI? The Fifth Universal Definition of MI, and what everyone on X.com is fighting about
ECG

Goodbye, Type 1~5 MI? The Fifth Universal Definition of MI, and what everyone on X.com is fighting about

Sep 5, 2026 · 40 min
Every ED Is Raising Pay, So Why Can't Anyone Find Staff? (Part 1): The Misreported Number, and a Patient Population That Got Swapped Out
ER Life

Every ED Is Raising Pay, So Why Can't Anyone Find Staff? (Part 1): The Misreported Number, and a Patient Population That Got Swapped Out

Sep 1, 2026 · 32 min
Moving My Script Next to the Audience's Faces: I Built SlideCue, a G2 Glasses Plugin, and It's Live
Study Notes

Moving My Script Next to the Audience's Faces: I Built SlideCue, a G2 Glasses Plugin, and It's Live

Aug 28, 2026 · 15 min
The Sun Can Be Computed, the Clouds Can't: Using AI to Work Out Where to Stand to See the Sun Rise Over Guishan Island
Study Notes

The Sun Can Be Computed, the Clouds Can't: Using AI to Work Out Where to Stand to See the Sun Rise Over Guishan Island

Aug 18, 2026 · 17 min
The Casino Next to the Church: Three Talks From a 2026 Value Investing Conference in Taiwan
Study Notes

The Casino Next to the Church: Three Talks From a 2026 Value Investing Conference in Taiwan

Jul 19, 2026 · 20 min
SpO2 Drops to 72%. Do You Carry the Kid Off the Mountain? A High-Altitude Medicine Lesson with 21 Junior-High Students on the Jiaming Lake Trail
ER Life

SpO2 Drops to 72%. Do You Carry the Kid Off the Mountain? A High-Altitude Medicine Lesson with 21 Junior-High Students on the Jiaming Lake Trail

Jul 16, 2026 · 24 min
We were treating ACS, so how did it turn out to be aortic dissection? Two Type A Aortic Dissections disguised as STEMI
ECG

We were treating ACS, so how did it turn out to be aortic dissection? Two Type A Aortic Dissections disguised as STEMI

Jul 10, 2026 · 21 min
If the Source Isn't Cleared, the Best Antibiotic Won't Save You: Notes from an ED Antibiotics Seminar
Study Notes

If the Source Isn't Cleared, the Best Antibiotic Won't Save You: Notes from an ED Antibiotics Seminar

Jul 4, 2026 · 22 min
Datong, Yilan, Jiuliao River Nature Trail: Walking to Gaba Waterfall
Travel

Datong, Yilan, Jiuliao River Nature Trail: Walking to Gaba Waterfall

Jun 13, 2026 · 10 min
Hiking the Paoma Historic Trail in Jiaoxi
Travel

Hiking the Paoma Historic Trail in Jiaoxi

Jun 2, 2026 · 9 min
Aerial Footage of the Sanqi Meijing Trail, Dongshan
Travel

Aerial Footage of the Sanqi Meijing Trail, Dongshan

May 27, 2026
An ER doctor on the operating table too: my presbyopia + myopia laser surgery (post-op day 3 edition)
ER Life

An ER doctor on the operating table too: my presbyopia + myopia laser surgery (post-op day 3 edition)

May 10, 2026 · 18 min
Notes on Raising a Lobster: Building an Automated Knowledge-Management Workflow with WhatsApp + Discord + OpenClaw
Study Notes

Notes on Raising a Lobster: Building an Automated Knowledge-Management Workflow with WhatsApp + Discord + OpenClaw

Mar 18, 2026 · 3 min
59-Year-Old Man, Chest Pain, Severe Back Pain
ECG

59-Year-Old Man, Chest Pain, Severe Back Pain

Mar 1, 2026 · 14 min
Aerial Footage of the Luodong Flood Diversion Weir, Yilan
Travel

Aerial Footage of the Luodong Flood Diversion Weir, Yilan

Feb 22, 2026
Yilan Friendship Lettuce Log
Doctor's Gym

Yilan Friendship Lettuce Log

Feb 22, 2026
An MI, and Now This Rhythm: What's Going On? What Do You Do?
ECG

An MI, and Now This Rhythm: What's Going On? What Do You Do?

Jan 13, 2026 · 13 min
My fantastical journey through the courts: accused of aggravated bodily harm
ER Life

My fantastical journey through the courts: accused of aggravated bodily harm

May 6, 2025 · 11 min
An 82-year-old grandpa with chest pain
ECG

An 82-year-old grandpa with chest pain

Feb 19, 2025 · 10 min
The Angry 50-Year-Old Man
ECG

The Angry 50-Year-Old Man

Jan 30, 2025 · 10 min
41-year-old woman, IHCA within 30 minutes of arrival
ECG

41-year-old woman, IHCA within 30 minutes of arrival

Dec 30, 2024 · 15 min
A 67-Year-Old Auntie with Syncope
ECG

A 67-Year-Old Auntie with Syncope

Jul 24, 2024 · 12 min
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