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…
Shark fin post arrest: do you understand the ECG?
Case submitted by Dr. Daryl Williams, written by Pendell Meyers, peer reviewed by Smith and Bracey A physician bystander witnessed a…
A woman in her 60s with syncope and vomiting. Does she need a pacemaker?
Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…
PEA cardiac arrest, ROSC, and no STEMI on ECG. Randomized trials say emergent reperfusion is not indicated, right?
Submitted and written by Dr. Bobby Nicholson, with peer review by Meyers and Bracey and major edits by Smith 84 yo F with hx of CAD presents…
A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits
Submitted and written by Emergency Physician Dr. Arjun J V, with some minimal edits by Smith and Meyers A man in his 30s was rushed into our…
An elderly man who dies 12 hours later – could he have been saved?
Sent by Anonymous, written by Pendell Meyers and Steve Smith An elderly man with good neurologic baseline but history of CABG presented to the…
A 50s year old man with lightheadedness and bradycardia
Written by Pendell Meyers with edits by Smith and Grauer A man in his 50s with history of end stage renal disease on dialysis, prior…