Is this a wide complex rhythm? (And what is the etoliogy, after you hear the history)
This is NOT a wide complex tachycardia. This is atrial fibrillation with “Shark Fin” pattern, an OMI pattern, and this time it is…
“Non-diagnostic” (even in retrospect) according to an entire conference full of ED docs and cardiologists.
Subtitle: It’s not the ECG which is “Non-diagnostic” — it is the physicians who are “Non-diagnostic!” This…
A 50-something with chest pain. Look what happens if you don’t use the Queen of Hearts.
I came across this ECG while reading through all the ECGs on the system. The computer interpretation, confirmed by a cardiologist, is: = = =…
Will this patient get care of the past or care of the future? (NSTEMI is a worthless diagnosis)
Sent by anonymous A woman in her 40s presented with acute chest pain. Her vitals were within normal limits. Here is her triage ECG: Readers of…
A male in his 30s with cardiac arrest. What is the etiology?
Written by Magnus Nossen A man in his early 30s was found unresponsive in bed by his wife. She immediately initiated CPR. Upon arrival,…
Elderly F w h/o MI has nausea and vertigo, with RBBB. And what is the data on thrombolytics for patients without ST Elevation?
An elderly woman with h/o diabetes and prior MI with a stent presented with acute nausea and vertigo to a very remote hospital where acute OMI…
ED patient with esophageal cancer and need for G-tube replacement
An elderly male presented to the ED with need for G-tube replacement. This was done, and an abdominal X-ray was done to confirm placement.…
A man in his 60s with chest pain. Are these very small T-waves hyperacute?
Sent by Anonymous, written by Pendell Meyers A man in his 60s developed sudden chest pain, dizziness, diaphoresis, and shortness of breath…
STEMI positive by conventional algorithm in a high risk post operative patient.
A man in his late 60s was convalescing in the hospital following bilateral lung transplantation for pulmonary fibrosis. Medical history is…
Acute chest pain in a 50-something: resolves, recurs, resolves: Does the ED ECG show “Early Repol”?
My city of Minneapolis is being attacked and occupied by ICE right now and it is very frightening and anxiety provoking, especially for anyone…