A comatose patient with a carbon monoxide level over 50%
A young man had an accidental exposure to carbon monoxide (CO). He was comatose and intubated and his initial Carboxyhemoglobin level…
A 40-something without past history presents with wide complex tachycardia and crushing chest pain
See Ken Grauer’s important and detailed ECG analysis at the bottom. Case A 40-something with no PMH presented with palpitations,…
Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.
A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation. Chest compressions and ventilation were begun. On…
This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??
A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any…
Subtle ECG Signs of OMI in LBBB
A 70 yo F with no previous cardiac history, but with a h/o hypertension, hyperlipidemia, and strong family history of ACS, presented with one…
Acute aphasia. What is the likely etiology?
A 60-something man without significant past history presented after sudden onset of aphasia 45 minutes prior. There was also a…
Would your radiologist make this diagnosis, or should you record an ECG in trauma?
A very young man had severe blunt trauma with severe head injury. As part of his evaluation, he had a “pan-scan” which of course…
Wide Complex Tachycardia with Huge ST Elevation. What is going on?
This 70-something woman with no significant past history (no previous ECGs or cardiac history) presented by EMS with fairly acute chest…
What does LBBB look like in severe hypothermia? Is there a long QT? Is the QT appropriate for the temperature?
This patient was found down in a Minneapolis winter. He was very cold with frostbitten fingers and toes. He was alert but…
Hyperacute T-waves — missed. Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) may be due to transient thrombotic Occlusion MI.
Coronary thrombosis (twice in the same patient!!) without a stenosis or even a culprit Do not miss the last image at the bottom that shows the…