When should you get a CT scan on a STEMI patient to rule out aortic dissection?
Answer: Almost Never 2 cases Case 1: This was sent to me by a reader whose partner managed the case: This was a 55 yo female non-smoker with a…
See Inflated Hyperacute T-waves deflate after thrombolytics
This was sent to me with no information (until later). The conventional computer algorithm says “Early Repolarization” The…
Chest pain, resolved. Reperfusion T-waves. Should the patient go emergently to the cath lab?
Written by Emily Dawra, one of our superb EM G3 residents, with a few edits by Smith. Case: A patient presented to the emergency…
4 patients with chest pain, LVH, and elevated troponin: which has Occlusion MI?
Written by Jesse McLaren Four patients presented with chest pain, an ECG showing LVH, and an elevated troponin. Which patient has an acute…
An 87-year-old with dyspnea and intermittent WCT
Written by Magnus Nossen The patient in today’s case is an 87 year old female with a history of dual chamber pacemaker and Afib. She…
Sam Ghali video: A 55-year-old woman complaining of “severe indigestion”
A 55-year-old woman presented to the ED complaining of “severe indigestion” with abdominal pain, nausea, and vomiting. Given her…