The World’s Okayest Medic Podcast

Saturday Coffee Talk (12/27/25)

Dec 27, 2025
Mike kicks off with holiday reflections and the new Stanley tumbler. He previews an intriguing discussion on medetomidine withdrawal. The podcast dives into Tiger Connect's role in improving STEMI communication and the surprising link between flu and heart issues. Mike shares insights on EKG interpretation and the importance of recognizing culprit arteries. A thought-provoking opinion piece argues that OB calls warrant advanced life support. He wraps up by addressing listener income questions and encourages engagement through social media.
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INSIGHT

Flu Season Raises STEMI Risk

  • Influenza can trigger acute coronary events by causing inflammation and plaque rupture.
  • Expect higher STEMI and stroke rates during flu season and pretest this link in local case patterns.
ADVICE

Use EKG Consult Apps

  • Use direct EKG consult apps like Tiger Connect to streamline prehospital-to-PCI communication.
  • Send EKGs to on‑call cardiologists to reduce relay delays and improve triage decisions.
ANECDOTE

V‑Fib Arrest Turned Anterolateral STEMI

  • Mike describes a recent V‑fib arrest that converted into an anterolateral STEMI and required cath lab transport.
  • The case highlighted fast prehospital cardiology communication and the need for serial ECGs after ROSC.
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