Chest Pain Diagnosed as Gastroesophageal Reflux
A 50-something male presented to a clinic for one day of intermittent substernal chest and jaw pain. He had had several episodes of pain…
You’re busy at triage and another ECG is flashed before your eyes…..
4 second video EKG from Stephen Smith on Vimeo. Here is the computer read: MODERATE T-WAVE ABNORMALITY, CONSIDER LATERAL ISCHEMIA …
Chest pain, Dynamic ST Elevation and T-waves, and High Voltage
A 20-something had sudden severe chest pain while smoking marijuana at a party. After approximately 40 minutes, other people there…
Refractory V FIb Arrest, put on ECMO, regains an organized rhythm, and a 12-lead is recorded.
I received this case from: Dominic Larose MD CCFP(EM) FACEP Alain Vadeboncoeur MD CSPQ Montreal Heart Institute Hi Steve, Here is a case I had…
Hours out of the OR for valve replacement surgery: patient with paced rhythm becomes hemodynamically unstable
This case was sent to me yesterday, coincidentally on the same day we presented data at SAEM on the Utility of the Smith-Modified Sgarbossa…
Weakness and Hypotension, with Bradycardia.
This dialysis patient called 911 for weakness. Medics found the patient to be hypotensive and bradycardic. The patient was taking…
An intoxicated, agitated, 29 year old with chest pain
Here is a one hour lecture on the topic of subtle coronary occlusion, especially on the left anterior descending coronary artery. Case…
Massive caffeine overdose: How does the ECG fit in?
This is the ECG of a patient with a massive caffeine overdose: What do you see? There is sinus tachycardia. There is some right axis…
Unusual ST Elevation in V1 and V2, and LVH, in a Patient with Chest Pain
This ECG was texted to me: Computerized QRS is 114 ms What do you think? There is an rSR’ in V1 and a qR in V2, suggesting incomplete…
Is it important to recognize LVH Pseudo-infarction patterns?
A middle-aged male called 911 for sudden severe chest pain. The medics were very worried about acute MI and recorded a prehospital ECG.…