“How could I convince my interventionalist to come do a cath in the middle of the night?”
I just received this email today. I receive these fairly frequently: Dear Dr. Smith: I am an Emergency physician working in an outlying…
Sudden Severe SOB and ST Segment Elevation: What is the Diagnosis and Treatment?
A middle aged man with history of MI presented by EMS for the sudden onset of difficulty breathing. Prehospital, he was in respiratory…
Pediatric Drug Dosing Book – Indispensable! Far better than any App. Nearly FOMAed: only $25.00.
I don’t usually deviate from ECGs and Cardiology, but I must for this. My partner, Albert Tsai, our director of pediatrics, has written…
2 weeks of chest pain, weakness. Presents with tachycardia.
A middle-aged male with no significant past history complained of chest pain for 2 weeks. He stated that it was intermittent and there…
A very elderly woman with a pacemaker and minimal symptoms
This was a very elderly woman with a pacemaker and minimal symptoms: What are these broad complexes superimposed on the native QRS? Are…
Right Bundle Branch Block. What else?
This is complementary to a recent previous post. A dialysis patient presented with pedal edema. As a screen for hyperkalemia, an…
A young healthy male with epigastric pain and tachycardia
A young previously healthy man with no past medical history presented with a complaint of epigastric pain for a few days. He had no…
What is the culprit vessel?
A patient presented with chest pain and had this ECG: There is obvious ischemic ST elevation with reciprocal ST depression. What is the…
This ECG is NOT Pathognomonic of Brugada Syndrome
This was contributed by a friend and colleague from a Yale affiliated hospital, Brooks Walsh. Here is Brooks’ case I had a great…
Is this Saddleback a STEMI??
I saw this Middle-aged patient with no previous cardiac disease who presented with worrisome substernal chest pain: Sinus rhythm with…