CO poisoning. Routine ECG recorded before hyperbaric therapy….Are they related?
This patient was working on his truck in a garage without ventilation and the vehicle was running. He felt dizzy and lost consciousness. The…
A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?
Case 1. A 30-something with no medical history presented with 1 day of high temperature and delirium. Her temperature was 106 degrees.…
Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?
A middle-aged woman was found down in her apartment unconscious. She was in shock with thready pulses. A prehospital ECG was recorded: Limb…
Coronary Disease and Chest pain: Is it acute inferior OMI or old inferior MI?
An elderly woman with a h/o myocardial infarction presented with 2 hours of burning substernal chest pain. Here is her ECG: Is there an OMI?…
A 50-something Australian with sudden severe epigastric and chest pain presented looking extremely ill.
A 50-something with sudden severe epigastric and chest pain presented looking extremely ill. Here is her ECG: What do you think? There is ST…
Persistent Ventricular Fibrillation, ED ECMO, ED TEE, ROSC, Shark Fin ECG (also called “Giant R-wave”), Postinfarction Regional Pericarditis. What a Case!
A 40-something suffered witnessed ventricular fibrillation, had bystander CPR, but could not be defibrillated after 4 attempts. He was…
Status epilepticus. What is this ECG pathognomonic of?
This patient presented with status epilepticus. Here is the ECG: The computer reads a long QT at 449 ms, and a Hodges QTc of 506 ms. What do…
A 50-something with left shoulder pain and diffuse ST elevation
A 50-something presented with left shoulder pain. He had an ECG recorded: What do you think? = = = There is a huge amount of ST Elevation, but…
High-Sensitivity Troponin is not a Myth, and “Myth-busting” is often another Myth to be Busted
This is published simultaneously in Emcrit Emergency Medicine News has now published 2 “Myth-Busting” articles by Rory Spiegel which dispute…
A 41 year old with chest pain and a Nondiagnostic Triage ECG. Thrombolytics prior to transfer for PCI.
This was sent by Tom Fiero, from Merced CA, and an avid reader of the blog. “A 41 yo man presented with sudden severe chest pain, onset…