I’m so sorry when medics get abused for activating the cath lab
Cortland Ashbrook from Spokane County, Washington, sent this message: Hey doctor Smith, I wondered if you’d give me your opinion on these ECG…
Back to basics: what is this rhythm? What are your options for treating this patient?
Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for…
30 yo woman with trapezius pain. HEART Pathway = 0. Computer “Normal” ECG. Reality: ECG is Diagnostic of LAD Occlusion.
This is a repost of this amazing case: Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG…
What is this rhythm? Back to basics.
Submitted by Dr. Arjun J V in India, An elderly patient presented to the ED with multiple complaints. An ECG was recorded in triage:…
Emergency (ED placement) Transvenous Pacer appears to be working perfectly. What might go wrong?
Thanks to our Electrophysiologists Omar Iqbal and Rehan Karim for the below strips and the explanations I will be giving on this post. A…
Is there Terminal QRS Distortion?
This ECG has ST Elevation in multiple leads. Is it normal STE? Or is it ischemic STE? What do you think? This ECG is…
Precordial Swirl — 20 cases of Swirl or Look-Alikes
Pendell (Pendell Meyers, of course), with a little help from Smith, coined a new LAD Occlusion pattern “Precordial Swirl,” in…
Chest pain and anterior ST depression. What’s the cause(s)?
Written by Jesse McLaren, with edits from Smith and Grauer A 60 year old with no past medical history presented with two hours of chest pain…
A man in his 30s with cardiac arrest and STE on the post-ROSC ECG
Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chest…
Acute chest pain: “Activate the Cath Lab!!!!!” Or not?
I was called to the resuscitation room to manage a STEMI patient. I walked into the resuscitation area and was handed this ECG: What did I…