Trifascicular block6 Min Read Steve SmithonJuly 30, 2016 Symptomatic Bradycardia. So-called Trifascicular Block. Occum’s Razor and Hickum’s dictum. A middle-aged male with PMH significant for atrial fibrillation, cocaine use, DM, HTN, hyperlipidemia, and previous MI that was related to…
2 Min Read Steve SmithonJuly 24, 2016 ST Elevation. What is it? A young woman was found down, unresponsive, with legs crossed. She was intubated by medics. A prehospital EKG (not found, but…
fascicular VTPediatricposterior fascicular idiopathic VTverapamilWide complex tachycardia5 Min Read Steve SmithonJuly 20, 2016 A 12 year old with Wide Complex Tachycardia A previously healthy 12 year old presented to the ED with a “fast heart rate” that had started about 1.5 hours prior to…
4 Min Read Steve SmithonJuly 14, 2016 Dyspnea and Convex ST elevation, Marked LVH, with Bedside Echos Case 1. Chief complaint: A 60-something African American male with 5 days of increasing SOB with dyspnea on exertion. This male in his…
3 Min Read Steve SmithonJuly 8, 2016 A 65 Year Old Man with Chest pain and Precordial ST Elevation This case was sent by Sam Ghali (@EM_RESUS) A 65-year-old gentleman presented to the ED complaining of chest pain. He asked my thoughts…
1 Min Read Steve SmithonJuly 1, 2016 Middle-aged Diabetic with Syncope, Diaphoresis, Nausea, and Dizziness This middle-aged male with history of 3 previous stents, 2 in the RCA, had Syncope, Diaphoresis, Nausea, and Dizziness. He called 911 and the…