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…
Brugada patternCT scanmyocardial contusiontrauma7 Min Read Steve SmithonNovember 25, 2022 Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L? A 30-something male was involved in a single vehicle crash and had multiple injuries. As a routine part of his critical trauma…
electrical alternansLow VoltagePericardial TamponadeSyncope11 Min Read Pendell MeyersonNovember 28, 2022 A woman in her 20s with syncope Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer. A woman in her late 20s with a past medical history of…
MINOCAprehospital ECGtakotsubo-NOT13 Min Read Steve SmithonNovember 30, 2022 Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said “Nothing too exciting.” This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS’s specialized…