Cardiac Arrest — Is it STEMI?
A late middle aged male collapsed while walking and had immediate bystander CPR. He achieved ROSC at the door of the ED, 30 minutes…
The blood sample is hemolyzed. Twice. Is there hyperkalemia on the ECG?
This patient presented from dialysis because his shunt was malfunctioning. He had no definite indication for dialysis unless his K was…
OMI Can be Diagnosed by “Pseudonormalization of ST Segments”
This post was written by Tarissa Lai, one of our outstanding EM residents at Hennepin County Medical Center, with comments by Steve…
Potato Poisoning (Not due to Solanine in greens!). With Positive Modified Sgarbossa Criteria.
A dialysis patient presented with progressive weakness over 3 days. He denied chest pain or shortness of breath. He also had a…
Is this just right bundle branch block?
This ECG was texted to me with the text: “There is a history of RBBB but we do not have an image to compare this with. I interpret…
Besides the Nonspecific T-wave Inversion in aVL, What Else is Abnormal on this ECG?
This case was sent by Laszlo Farkas, a paramedic from Hungary. He discussed it with Janos Borbas MD and Robert Sepp MD from…
Huge Precordial ST Elevation in an ED Patient
This was sent by Twitike Nthakomwa, a medical officer from Malawi who knows a lot about ECGs. Here is a 50-something patient who…
Tachycardia, hyperthyroid, and ST elevation. What is it?
This ECG was texted to me on my phone, with the words “Asymptomatic with hyperthyroidism:” What do you think? I replied that…
Too Fast! Too Slow! 2 Lectures from Rocky Mountain EM Conference.
These are 2 short lectures I gave at the Rocky Mountain EM Winter Conference. Thanks to EMedHome for the video and processing! Too Fast! Too…
Huge Anterior Voltage, with ST Elevation
I saw “Chest pain” on the board and clicked to look at the ECG. Here it is: Much ST elevation in V2 (approx 5.5 mm at the…