A Middle-Aged Man with Blunt Trauma and Hemopericardium
A Middle-Aged man had a single vehicle motor vehicle collision with significant energy. He was hypotensive upon arrival. A bedside ultrasound…
A 58 year old with Weakness and more than 4 mm ST Elevation in V3
This case was sent by Lou B, a paramedic and RN. He writes: “We were dispatched to a 58 yo male who had been out in the sun for 2-3…
12 Year Old Asthmatic with Intermittent Dyspnea Unresponsive to Albuterol—What is it, and Why Now?
This case was written by one of our great Hennepin 2nd year residents, Aaron Robinson, with lots of comments and edits by Smith. Thanks to Dr.…
Sudden Chest pain and SOB with a Wide Complex Tachycardia
This case was contributed by a medic who wishes to remain anonymous (his comments are in red). This was a 60 something male who called for…
A Middle-Aged Man with Chest pain, Hypotension and Tachycardia
In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of…
An athletic 30-something woman with acute substernal chest pressure
Post by Smith, with short article by Angie Lobo (https://twitter.com/ALoboMD), a third year intermal medicine resident at Abbott…
Chest pain and T-wave inversion in lead V2
This is the ECG of a young man who complained of chest pain. Here is the computer interpretation: ATRIAL FLUTTER/TACHYCARDIA (this is…
RBBB. Is there ST Elevation in III and aVR, with reciprocal ST depression in I and aVL?
I received this ECG from someone who wishes to remain anonymous. Case “Last night we had a Stage 4 Lymphoma Cancer Patient presenting…
Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI?
A young woman presented with status seizures and apparent overdose of bupropion. There was a question of cocaine use too (with later…
Syncope in a 20-something woman
A 20-something was outside exerting herself. She states that it was hot outside and that she was probably dehydrated. At one…