A Male in his 40’s with Decreasing Chest pain – what do you think?
A male in his 40s presented with decreasing chest pain. Here was his first ECG: There is sinus rhythm. The QTc is 379 ms. There is ST…
More Evidence that Inspiratory Threshold Device Improves CPR
More evidence that inspiratory threshold device improves CPR (but only when CPR is done right!): Resuscitation online…
Cardiac Arrest and ST Elevation: You Should Learn to Recognize This!
The following case was incredibly interesting for other reasons, but in order to maintain confidentiality and also to allow for a subsequent…
Early Repolarization, Anterior MI, or Other?
A 30 something presented with atypical chest pain. Here is the ECG: –There is huge ST elevation in V2 and V3, approximately 5 mm.…
Four Great Instructional SMACC Videos from Hennepin
These great procedural videos on online at SMACC. All done at Hennepin County Medical Center’s Emergency Department by my…
Emergency Physicians Must Make the Tough Decisions
This recent case, which occurred within the past year, was sent to me by an unnamed 2nd year EM resident. She says she is a believer in all…
Unstable angina still exists. Beware.
A middle aged male with h/o one stent 5 years prior presented with 7 hours of continuous vague chest pressure. During this, while he got…
Very Wide and Very Fast, What is it? How would you treat?
This was contributed by one of our EM residents, Lauren Klein, with some editing by Smith. Case: An elderly male who missed dialysis…
Wide Complex Tachycardia Refractory to Anti-dysrhythmics and Cardioversion.
This was contributed by Rebecca Kornas, MD, one of our EM Residents. Edited and commented upon by Smith. A middle-aged male with a…
A Young African American Woman with Chest Pain and Precordial T-wave Inversions.
An African American woman in her late 20’s presented with sudden onset of dull/aching left chest pain, with associated SOB and dyspnea…