Epigastric Abdominal Pain and Vomiting
No details important to the diagnosis are left out, but the details are intentionally vague to preserve anonymity. The details need not be…
“Early Repolarization” followed by ventricular fibrillation.
This is a repost of part of one of the most viewed posts ever. This patient with little past medical history presented feeling moderately ill.…
Emergency Transvenous Cardiac Pacing
This case was provided by one of our fine 5th year EM/IM residents, Rachael Krob MD. The description of the method for inserting a pacing wire…
Palpitations in a Young Healthy Male
A previously completely healthy young man presented to the ED after an episode of palpitations, dizziness and weakness while at work today.…
Terminal QRS Distortion: Diagnostic of LAD Occlusion. Or is it Pericarditis?
A middle-aged woman presented with what is described as a burning feeling in her chest which the physician said was “very…
A 30 year old African American with Chest pain and T-wave Inversion
A 30 yo African American Male presented agitated and with active chest pain, thought to be on a stimulant. This ECG was recorded: There…
Diffuse ST Elevation. Diagnosis confirmed with Bedside Echo.
A male in 40’s with left sided chest pain since last night with associated shortness of breath. The pain worsens with turning on left…
Lateral Hyperacute T-waves in V5 and V6
A middle aged male with no significant past medical history complained of several hours of chest pain. Here is his initial ED ECG: The…
Long QT Syndrome with Continuously Recurrent Polymorphic VT: Management
A young woman presented with intermittent shocks from her implantable defibrillator. She was intermittently unconscious and unable to…
Diffuse ST Elevation and Chest Pain, What is it?
A male in his 40s presented by EMS with 24 hours of chest pain. The pain was central, anterior, dull and squeezing, and 5/10, not…