Altered mental status, seizure, extreme hypertension, and a bizarre ECG
A middle aged woman with few serious medical issues presented with altered mental status, had a generalized tonic clonic seizure, and was…
A young man with sudden chest pain
A 30-something with history of 2 pack per day smoking complained of sudden left arm and chest pain while working construction. It was…
The effect of targeted temperature management on QT and corrected QT intervals in patients with cardiac arrest
Just published online: Zachary Rosol a, David F. Miranda b, Yader Sandoval b, Bradley A. Bart b, StephenW. Smith c, Steven R. Goldsmith The…
2 different wide complex rhythms (rate about 60) in a patient with chest pain
A male in his 40s presented to the ED by ambulance with acute chest pain, possibly waxing and waning. He had been working out and felt…
Tachycardia, Dehydration, and New ST Elevation in a 20-something, then a Surprise.
A male in his early 20s presented intoxicated, with no CP or SOB. An ECG was obtained for tachycardia. First ECG: Sinus tachycardia at…
A 20-something with DKA and a regular wide complex tachycardia
Medics were called to see a 20-something type 1 diabetic with h/o DKA who had altered mental status. He was found to have…
Why did this patient have ventricular fibrillation?
A previously healthy 50-something collapsed while exercising. He underwent CPR and defibrillation and was brought to the ED. Here is his…
How unreliable are computer algorithms in the Diagnosis of STEMI?
A 61 year-old with chest pain arrived to the ED by ambulance with resolving chest pain. Here is his ED ECG: The computer interpretation…
Subtle Dynamic T-waves, Followed by LAD Occlusion and Arrest
This case was written by Sam Ghali: (@EM_RESUS). Thanks, Sam! Case A 42-year-old lady presented to the ED with complaints of…
Another 40-something with intermittent chest pain
I was sent this ECG by a resident from elsewhere, with the following information: “Young previously healthy man with several 10-20…