pulmonary embolism11 Min Read Magnus NossenonJune 5, 2026 Dyspnea, syncope and ST-elevation in a young female Written by Magnus Nossen A woman in her thirties contacted the ambulance service because of progressive shortness of breath. She reported…
arterial pulse tapping artifactFalse positive ECGRVH7 Min Read Mark HellermanonJune 2, 2026 An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think! Post by Dr. Mark Hellerman. = = = Two octogenarians with known extensive CAD presented to our ED the same afternoon with chest discomfort. In…
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…
Steve SmithonJuly 16, 2012 Electrical Alternans? From Archives of Internal Medicine. Here is a nice case from Archives of Internal Medicine. Surprisingly, one can read it without a subscription. For the ECG, page…
myocardial contusionPediatricRBBB4 Min Read Steve SmithonJuly 22, 2012 A Child with Blunt Trauma A 6 yo girl had significant trauma from an MVC, with head injury (initial GCS 10, but no intracranial bleeding) and mild orthopedic…
pacing3 Min Read Steve SmithonJuly 27, 2012 Paced Rhythm with Dynamic ST segments and Concordant T-waves – High Risk ACS A 77 yo woman with h/o pacer for unknown reasons (no medical records available) and no h/o coronary disease presented with 24 hours of…