A man in his 40s with chest pain and T wave inversion
Written by Pendell Meyers with edits by Smith A man in his early 40s with history of HTN presented to the ED for feeling lightheadedness and…
Acute respiratory distress: Correct interpretation of the initial and serial ECG findings, with aggressive management, might have saved his life.
Written by Pendell Meyers with edits by Smith NOTE: Please check out My Comment at the very bottom of this post — in which I amplify…
A man in his 50s with abdominal pain and a computer read of ***Acute MI ***
Submitted by Dr. Arjun J V, Written by Pendell Meyers A man in his 50s with history of diabetes presented with acute onset abdominal…
Should we activate the lab? A simple but important lesson
Written by Pendell Meyers A man in his 60s called EMS for sudden chest pain and shortness of breath. He was found in moderate respiratory…
CJEM Open Access OMI Quality Improvement Publication
Just published in the CJEM: From STEMI to occlusion MI: paradigm shift and ED quality improvement Jesse T. T. McLaren…
Did the posterior leads help here? Why not just get good at STDmaxV1-V4?
Written by Pendell Meyers A middle aged woman presented with chest pain and dyspnea. Her exam and vitals were within normal…
A man his 50s with chest pain. What happens when you treat with morphine rather than with reperfusion?
Written by Pendell Meyers A man in his late 50s presented to the ED with 3 days of left chest pain radiating into the jaw and neck. He…
A man in his 50s with acute chest pain, now resolved, has 2 undetectable troponins. CT Coronary Angiogram?
Written by Pendell Meyers A man in his 50s presented to the ED with chest pain described as pressure, without radiation, acute onset…
Even when the story is obvious, with intractable pain, the STEMI paradigm can cause preventable delays
Written by Pendell Meyers A man in his early 60s presented with acute chest pain rated 10/10 with associated nausea and vomiting with…
A man in his 40s with epigastric pain and a dynamic ECG
Case written and submitted by Dr. Arjun J V, peer reviewed by Meyers, Smith, Grauer A 49 year male patient was brought to our ED at…