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.…
Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)
This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it…
How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?
This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of…
This is what happened when a hospital implemented the Queen of Hearts
This patient had the onset of chest pain 24 hours before arrival to the ED. An ECG was recorded immediately at triage and, at this…
A 30-something with acute chest pain
This was sent to me from Sam Ghali (@EM_Resus) with no other information. I assumed it was a patient with acute chest pain. “What…
50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?
A 50 yo was resuscitated from ventricular fibrillation. He had a prehospital ECG recorded after ROSC: What do you think?…
The Computer and Overreading Cardiologist call this completely normal. Is it?
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. The undergraduate is now willing to…
Syncope while on a treadmill
A 60-something ow healthy male had syncope while on treadmill. 911 was called and the patient was found by medics to…