A middle aged man with ST depression and a narrow window of opportunity
Written by Pendell Meyers I received a text at 18:13 of an ECG taken several minutes prior, with no clinical information and only the question…
Palpitations of unusual etiology
Written by Pendell Meyers, with edits by Steve Smith A male in his 60s with history of HTN and previous complaint of palpitations but with a…
Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post!
Written by Pendell Meyers, with edits by Steve Smith: A 49 year old male with history of HTN suddenly complained of shortness of breath, and…
A 33 year old male with acute back pain radiating to the chest
Written by Pendell Meyers, with edits by Steve Smith Case I was called to the EMS control room to answer an RMA (Refusal of Medical Advice).…
T-wave inversions and dynamic ST elevation
Written by Pendell Meyers, with edits by Steve Smith I received a text message with no clinical information other than the following ECG, with…
A middle aged man with unwitnessed cardiac arrest
Written by Pendell Meyers, with edits by Steve Smith Thanks to my attending Nic Thompson who superbly led this resuscitation We received a…
The OMI Manifesto
The OMI Manifesto A collaboration by Dr. Smith’s ECG Blog and EMCrit Pendell Meyers, MD Scott Weingart, MD, FCCM Stephen Smith, MD The current…
You have two hours to save this patient’s life
Written by Pendell Meyers, edits by Steve Smith A female in her 60s with history of CAD s/p PCI and CABG, alcohol abuse, and recurrent…
A crashing patient with an abnormal ECG that you must recognize
Written by Pendell Meyers, with edits from Steve Smith Let’s consider this nearly pathognomonic ECG without the clinical context…
To activate or not to activate?
Written by Pendell Meyers, with edits by Steve Smith I was texted this ECG with no clinical information: (This will be called ECG-2) What do…