Atrial Fib and RVR with a run of wide complex tachycardia. Was this Ventricular Tachycardia?
An elderly male with history of atrial fibrillation presented by ambulance. His prehospital tracing (lost, sorry) showed a 6-beat…
An Obvious LAD Occlusion that did not meet STEMI “Criteria”
This case was provided by Tom Bouthillet, who is Editor-in-Chief of EMS 12-Lead and Chief Content Architect of ECG Medical…
You can get fooled if you don’t read the ECG systematically
A middle-aged woman presented with chest pain continuous since the previous day. Here was the inital ECG: What is it? The treating…
A Missed STEMI. How could the Diagnosis have been certain?
A middle aged patient presented to the ED with “ischemic-sounding chest pain” of unknown duration. An ECG was recorded: The…
This ECG was texted to me last night with the question: Occlusion or Not?
This ECG was sent along with this text: “Thoughts? Occlusion or not? – context : cardiac arrest:” Here is my answer: …
Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality
A Middle-Aged male had chest pain. Here is his first ECG: Obvious Anterior STEMI (note that among the findings is terminal QRS…
Best Explanation of Terminal QRS Distortion in Diagnosis of Electrocardiographically Subtle LAD Occlusion
This piece was written by Brooks Walsh, who has some great contributions to this blog. There are, of course, some additions and edits by…
The ridiculous pricing of pharmaceuticals in the U.S.
I just wrote this letter to my two senators and my representative, and I hope you’ll do the same: Dear ________, I practice Emergency…
Extreme Bradycardia after Diarrhea and Dehydration. Best ED treatment?
A patient presented with weakness. He was found to be bradycardic, so this ECG was recorded: There is atrial flutter with 3rd degree AV…
“Persistent” Juvenile T-wave article published in Journal of Emergency Medicine
Brooks Walsh and I published this article: http://www.sciencedirect.com/science/article/pii/S0736467915006861 It is online now. If you…