He has published widely in Emergency Cardiac Care, including dozens of articles on use of troponin for rule out of acute MI, but especially on the ECG in Acute MI, including a 38-chapter book and many other chapters and textbook sections, and over 60 peer-reviewed articles. In 2008, he began writing “Dr. Smith’s ECG Blog,” a free open access site now with over 1500 posts, most highlighting complex ECG cases. It has nearly 22 million pageviews from readers around the world. His ECG insights are sufficiently insightful and cutting edge that his site has 48,000 Twitter followers and 250,000 Facebook followers. Since 2014, he has been lecturing on the “False STEMI / NonSTEMI Dichotomy,” and most recently, he and colleagues introduced the Occlusion MI paradigm as its replacement. In promoting this new paradigm, he gave the Annual Keynote “Rijlant” Lecture at the 2021 International Society of Electrocardiology, the 2022 “Kenichi Harumi” Plenary Address at the International Society of Computers in Electrocardiology, and Grand Rounds at the Mayo Clinic Department of Cardiology.