Emergency Transvenous Cardiac Pacing
This case was provided by one of our fine 5th year EM/IM residents, Rachael Krob MD. The description of the method for inserting a pacing wire…
Palpitations in a Young Healthy Male
A previously completely healthy young man presented to the ED after an episode of palpitations, dizziness and weakness while at work today.…
Terminal QRS Distortion: Diagnostic of LAD Occlusion. Or is it Pericarditis?
A middle-aged woman presented with what is described as a burning feeling in her chest which the physician said was “very…
A 30 year old African American with Chest pain and T-wave Inversion
A 30 yo African American Male presented agitated and with active chest pain, thought to be on a stimulant. This ECG was recorded: There…
Diffuse ST Elevation. Diagnosis confirmed with Bedside Echo.
A male in 40’s with left sided chest pain since last night with associated shortness of breath. The pain worsens with turning on left…
Lateral Hyperacute T-waves in V5 and V6
A middle aged male with no significant past medical history complained of several hours of chest pain. Here is his initial ED ECG: The…
Long QT Syndrome with Continuously Recurrent Polymorphic VT: Management
A young woman presented with intermittent shocks from her implantable defibrillator. She was intermittently unconscious and unable to…
Diffuse ST Elevation and Chest Pain, What is it?
A male in his 40s presented by EMS with 24 hours of chest pain. The pain was central, anterior, dull and squeezing, and 5/10, not…
Giant R-waves. What are they?
This case was sent to me by my frequent co-author, Brooks Walsh, with some editing by me: An elderly patient was brought in by EMS from a…
Chest pain in the setting of Paced Rhythm: 3 minute ECG Video
I recorded this years ago, before the blog existed: