Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations — A Case from Salim Rezaie (R.E.B.E.L. EM)
This case is posted by Salim Rezaie (@srrezaie) Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations It has some peer review by me…
Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post!
Written by Pendell Meyers, with edits by Steve Smith: A 49 year old male with history of HTN suddenly complained of shortness of breath, and…
Cardiac Arrest — Is it STEMI?
A late middle aged male collapsed while walking and had immediate bystander CPR. He achieved ROSC at the door of the ED, 30 minutes…
A 33 year old male with acute back pain radiating to the chest
Written by Pendell Meyers, with edits by Steve Smith Case I was called to the EMS control room to answer an RMA (Refusal of Medical Advice).…
The blood sample is hemolyzed. Twice. Is there hyperkalemia on the ECG?
This patient presented from dialysis because his shunt was malfunctioning. He had no definite indication for dialysis unless his K was…
OMI Can be Diagnosed by “Pseudonormalization of ST Segments”
This post was written by Tarissa Lai, one of our outstanding EM residents at Hennepin County Medical Center, with comments by Steve…
T-wave inversions and dynamic ST elevation
Written by Pendell Meyers, with edits by Steve Smith I received a text message with no clinical information other than the following ECG, with…
Potato Poisoning (Not due to Solanine in greens!). With Positive Modified Sgarbossa Criteria.
A dialysis patient presented with progressive weakness over 3 days. He denied chest pain or shortness of breath. He also had a…
Is this just right bundle branch block?
This ECG was texted to me with the text: “There is a history of RBBB but we do not have an image to compare this with. I interpret…
Besides the Nonspecific T-wave Inversion in aVL, What Else is Abnormal on this ECG?
This case was sent by Laszlo Farkas, a paramedic from Hungary. He discussed it with Janos Borbas MD and Robert Sepp MD from…