What can you find with continuous ST monitoring in the ED?
This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a…
What makes a T-wave Hyperacute? And: 30 Examples of Hyperacute T-waves, 10 in each of 3 myocardial territories.
Pendell and I and the geniuses at Powerful Medical (Producers of the PMCardio Queen of Hearts OMI AI app) are working on an objective,…
Chest (or abdominal?) pain and ECG artifact.
An elderly woman presented with one day of chest and right arm pain, and also abdominal pain. There was associated tingling and numbness…
Is this OMI reperfused or active?
These ECGs were texted to me by one of our previous ultrasound fellows, Will Smoot An elderly male arrived via EMS for acute substernal chest…
Prehospital Cath Lab Activation. What happened when the medics and patient arrived at this Academic ED?
This was texted to me by a paramedic while I was out running one day: “54 yo male chest pain started at 1pm. History of diabetes type II…
Can you treat Non-STEMI with thrombolytics if it is OMI (Occlusion MI)? Of course!
This case was sent by an old residency friend, Kirk Lufkin. He works in a small hospital in Northern Michigan. Case A 61…
Prehospital activation: De-activated on ED arrival by Cardiologist because “It’s not a STEMI”
This was submitted by a paramedic, Hailey Kennedy A late 50s male called 911 following 2 hours of chest pain that started while working at his…
Why you should use the Queen of Hearts and record serial ECGs more often. If you wait for troponin…..
This was sent to me by a French colleague, Olivier Peyronie “Yesterday we received a 62 yo man with diabetes, hypertension and smoker.…