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…
High Risk NSTEMINonSTEMI-OMIPay now or pay later with Interestposterolateral OMIspontaneous reperfusion6 Min Read Steve SmithonMarch 1, 2025 Pay now (in the evening) or pay later with interest (in the middle of the night). A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He states that it feels like burning and…
aortic stenosispulmonary edemasinus tachycardia10 Min Read Hans HelsethonMarch 3, 2025 Pulmonary edema, with tachycardia and OMI on the ECG — what is going on? This was written by Hans Helseth. A 69 year old woman with a history of hypertension presented to the emergency department by EMS for…
idiopathic ventricular tachycardiaventricular tachycardiaWide complex tachycardia10 Min Read Pendell MeyersonMarch 6, 2025 What is this rhythm? And why rhythm problems are easier for the Emergency Physician than acute coronary occlusion (OMI). Written by Pendell Meyers Don’t miss Ken Grauer’s excellent assessment at the bottom. With no context, what do you think this…