1 hour of CPR, then ECMO circulation, then successful defibrillation….
An elderly woman had sudden ventricular fibrillation. She was unable to be defibrillated but was cannulated and placed on ECMO in our…
Syncope and Chest Pressure, then an Unusual Bradycardia with Shock
This comment on this case is from Jerry Jones, and is so good that I am pasting it at the top of this post so everyone can read it:…
What do you think the echocardiogram shows in this case?
A 60-something man presented by EMS with 5 hours of fairly typical sounding substernal chest pain. Here is the EMS ECG: Obviously…
Adding to the many faces of Hypokalemia….
These 2 cases came in on one shift: Patient 1 This patient was weak with a K of 2.4 mEq/L See the U-waves that are most prominent in V2 (which…
Looking through a stack of ECGs for a troponin study…..
And I came across this one while reading EKGs for a high sensitivity troponin study: what do you think? Normally, if one sees STE in aVL with…
A young woman with vomiting
A 20-something presented with vomiting. An ECG was recorded: HR is 101 The prior ECG was normal. The computerized QT measurement was 353 ms,…
Cardiac Arrest. What does the ECG show? Also see the bizarre Bigeminy.
A 60-something woman presented after a witnessed cardiac arrest. CPR was started immediately. EMS arrived and found her in a wide…
Another Shark Fin. With a twist.
I was reading stacks of ECGs for a study, without any clinical information. I came across this one and immediately recognized it and knew the…
Guess the culprit with ST Elevation in posterior leads
A middle aged man had off and on chest pain for 2 weeks, then 2 hours of more severe and constant pain. Here was his ED ECG, which was…
A quick and easy, but interesting, case: why 3 different QRS morphologies?
One of my residents who is very smart sent me this ECG. Patient had “nonspecific chest symptoms worried she had pneumonia. She does not…