Pulseless ventricular tachycardia – why did the AED not advise a shock?
This case was submitted by my friend Dr. Victoria Stephens. She is a third year Emergency Medicine Registrar from at the University of…
Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient…..
Summary of ED Approach to Syncope Please excuse the formatting problems, which I have not been able to fix! I have used this to educate…
A Patient With a Biventricular Pacemaker Presenting With Chest Pain
This is a paper authored by Brooks Walsh (a brilliant ECG enthusiast and emergency physician at Yale), with a little help from me and our…
The Effect of Calcium on Severe Hyperkalemia
This patient had a K of 8.1 mEq/L and a very low ionized Calcium of 2.4 mg/dl (normal: 4.4 – 5.2). Both were from a blood sample drawn…
A Very Subtle LAD Occlusion….T-wave in V1??
This was sent by a former resident. Our residents get a 34 hour ECG course from me over their 3 years, and they often see things I…
From Scott Weingart EMCrit Interview: Who needs the Cath Lab now??
Who Needs the Cath Lab/Cards Consult? Thanks to Scott Weingart of EMCrit for amassing all the indications in one place and interviewing me on…
Left Bundle Branch Block with Subacute STEMI
An elderly woman with no prior known cardiac history presented with approxiately 9 hours of chest pain, much improved by arrival and…
Is this Type 2 Brugada syndrome/ECG pattern?
Introduction Types 2 and 3 Brugada have been merged into Type 2. The diagnoses have been perplexing for years because they have been…
A Male in his 50’s with epigastric pain
This was sent by a recent residency graduate who works at a hospital without a cath lab. As you might imagine, our graduates have…
Chest Pain, LVH with Incomplete LBBB, and ST Elevation
A middle aged male with history of bicuspid aortic valve and aortic stenosis complained of 30 minutes of chest pain and dyspnea. He…