A young woman with epigastric pain. ECG Crochetage sign? What is the significance?
A former resident texted me this ECG, done for epigastric pain in an 18 year old. The pain resolved immediately with treatment for acid…
Atrial fibrillation? Multifocal Atrial Tachycardia? Don’t look at computer read until AFTER you interpret!
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. Here is the ECG: What do you think? (Computer…
A young man with gradual onset extremity paralysis in all 4 limbs
This case comes from Jon B. Cole, one of our EM faculty and unparalleled toxicologist, and director of the Minnesota Poison Control…
How would you manage this patient?
A woman was found outside with altered mental status. She was GCS 3. BP 80/40 Here is her ECG: Diagnosis? Sinus bradycardia with Osborn…
A Pre-operative ECG on a patient with a hip fracture
An 80-something tripped and sustained a hip fracture. The patient had no cardiac symptoms, no syncope, no CP or SOB. He was perfectly…
Shock, bradycardia, ST Elevation in V1 and V2. Activate the Cath Lab?
A 60-something with h/o cirrhosis and diabetes called 911 because he felt sick and was unable to move his lower extremities. On arrival…
Christmas Eve Special Gift!! Prehospital Cath Lab Activation: What do you think?
A 60-something male was sent from Dialysis for several days of SOB. He did not know his medical history well. The patient was in no…
Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here?
A 40-something woman with h/o obesity, hyperlipidemia, smoking, as well as cocaine and alcohol abuse presented with intermittent chest pain…
A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block
This case was texted to me by one of our residency graduates, and with the outcome, so I don’t know how I would have interpreted it…
Teenager with chest pain and slightly elevated troponin. What happens then?
This is a previously healthy male teenager who was awoken by chest pain. He was seen at another hospital and found to have a…