Right precordial ST depression in a patient with chest pain
This case comes from Sam Ghali (@EM_RESUS). Thanks, Sam! A 70-year-old man calls 911 after experiencing sudden, severe chest…
ST Elevation in I and aVL: do prehospital cath lab activation on these cases?
Case 1. A 50-something year old man with 2 cardiac risk factors had a syncopal episode associated with diaphoresis. There was no chest…
Chest Pain and ST Elevation on the Monitor
A 50-something patient who had just had a median sternotomy called 911 for chest pain. The medics put him on the monitor and saw this: Note…
A Healthy 50-something with new dyspnea on exertion and an interesting ECG
A healthy 50-something who exercises regularly had new onset of dyspnea on even the slightest exertion for the previous 2 days. He…
2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion
Here are two different series of ECGs in 2 different patients with chest tightness/discomfort that resolved. Case 1 A 20-something with chest…
What is this rhythm?
Unfortunately, I remember who sent this EKG to me, or the clinical information, but it is a very interesting tracing. What is it? Below is an…
Wide complex tachycardia at a rate of 270
Unfortunately, this case lacks some of the clinical data, but not so much that we can’t learn something from it. Case A 50-something…
An elderly woman with dyspnea, asystolic arrest, resuscitated
911 was called for a very elderly dialysis patient for acute onset of dyspnea. On arrival, medics found the patient with agonal respirations.…
An 82 year old with syncope
An 82 yo male stopped for lunch after cycling. Witnesses reported a syncopal episode lasting approximately 30 seconds. He has a history of…
Acute Respiratory Distress and Pulmonary Edema
A 60-something called 911 for respiratory distress of acute onset. Medics found him hypoxic with wet sounding lungs. He was put on…