lead misplacement8 Min Read Hans HelsethonMay 29, 2026 The Right Decision for the Wrong Reason? An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…
modified sgarbossa criteriaNew LBBBRate-related bundle branch block6 Min Read Jesse McLarenonMay 25, 2026 65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion? by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…
NSTEMI is worthlessOcclusion MI/Non-Occlusion MI (OMI/NOMI) paradigmOMI in cardiac arrestSTEMI or NSTEMI DiagnosisSTEMI/NonSTEMI paradigm9 Min Read Willy FrickonMay 22, 2026 STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis. A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…
saddleback STESaddleback STEMIserial ECGSubtle LAD3 Min Read Steve SmithonApril 1, 2015 A Very Subtle LAD Occlusion….T-wave in V1?? This was sent by a former resident. Our residents get a 34 hour ECG course from me over their 3 years, and they often see things I…
1 Min Read Steve SmithonApril 5, 2015 The Effect of Calcium on Severe Hyperkalemia This patient had a K of 8.1 mEq/L and a very low ionized Calcium of 2.4 mg/dl (normal: 4.4 – 5.2). Both were from a blood sample drawn…
Steve SmithonApril 7, 2015 A Patient With a Biventricular Pacemaker Presenting With Chest Pain This is a paper authored by Brooks Walsh (a brilliant ECG enthusiast and emergency physician at Yale), with a little help from me and our…