You are interested in expert opinions about how to manage a patient with a valve abnormality and an arrhythmia. So, you post a snippet about the patient and their echo image to the Valvular Heart Disease, Echo and EP channels asking what you would do. Discussion ensues and all (including the fellows) are able to learn from the interchange.

Dr. Fung comes across a very interesting ECG and wants to share it, especially so the fellows could see a classic example of an HCM ECG. He snaps a picture on his iphone, imports into the Spark Image Library (see below), de-identifies it within the app and posts it the Interesting ECG and the HCM channels.

Dr. Gerstenfeld has a library of ECGs with PVCs, the site of which is known from ablation. He posts an ECG every week in the EP Channel for the fellows to identify the location of the PVC.

Dr. Shannon Walker is seeing a patient at ZSFG with digoxin toxicity and has a concerning ECG she wants to share with colleagues and get feedback on. She posts the image to the Interesting ECG Channel.

You come across a classic anterior wall STEMI ECG that you want to keep in your library for teaching purposes. You snap a photo, tag it as STEMI and put in your Collection called Teaching ECGs.

You just finished doing your first emergent pericardiocentesis in the CICU on someone who was hypotensive. You snapped a picture of the art-line tracing before and after for comparison and wanted to share with your colleagues. After de-identification, you post to the CICU channel and brag about your first successful (and emergent) pericardiocentesis.

There is a great example of a myxoma on Echo that was posted to the Echo Channel and you want to use it in a talk. You save the image to your Images archive, tag it and export to your Box folder.

You want to see if your fellow colleague is free and able to meet for lunch.

You want to remind the first-year fellows that teaching session is cancelled today.

You have a copy of a textbook and you want to see if one of the first year fellows wants it.

You know your colleague had a rough day, so you want to send them a joke to cheer them up.

You are on the CCU service at ZSFGH and you have a patient you want to send to UCSF Health for an ICD implant. From Team Chats, you start a Team Chat with ZSFG and let the EP service know about the patient.

You are on the inpatient service and you have a patient who needs a cath urgently. You start a Team Chat with the Interventional Team and your Team (Cards A) about the patient.

You are on the EP service, and you saw Mr. T on the Cardiology inpatient service (Cards A). You want to let the Team know that you have scheduled a pacemaker for tomorrow, so you send a Team Chat to Cards A and EP teams.

You are attending on the CICU and you want to let the APPs, Fellow and Residents know that you are going to round on 6 ICU in 5 minutes.

You are an interventional faculty at the VA and were on call last night. You wanted to let the Interventional Team know that you cathed a patient urgently overnight and they need to keep an eye on them in the morning to see they need to go back to the lab. You send a Teams Chat to the Interventional Team. In the morning you leave the Interventional Team, but the message is there for the new team to see. You can monitor the conversation since you started the Team Chat.

You want to invite the resident and medical student who just rotated onto the CICU service so that they can communicate across teams and monitor teaching in the Channels.

You need to speak to Dr. Olgin urgently about his patient, so you use Contacts to directly dial his phone.