The Queen always asks (if she sees OMI) “Is there a clinical suspicion of acute coronary syndrome”
This was sent by Asad Tasleem, an Emergency Medicine resident in Pakistan: “I am an ED Resident in a tertiary care Hospital…
Unresponsive and Acidotic: OMI? Acute, subacute, or reperfused? What is the rhythm? Why RV dysfunction? Can CT scan help?
This was written by one of our really fine 3rd year residents, Katie Buerk. = = = This case was a 69 year old male, brought in by ambulance,…
Chest pain followed by 6 days of increasing dyspnea — what happened?
Written by Magnus Nossen, edits by Smith The patient in today’s case is an 85-year-old male with a history of COPD and dementia. He…
After seeing this ECG, are there any medications you would consider giving?
Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. He had worked overnight the night before and…
A 50-something man with Chest pain at triage
A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam:…
How a pause can cause cardiac arrest
Written by Magnus Nossen — with edits by Grauer. = = = The tracings in today’s case is from a patient in his 80s being admitted due to…
Why the sudden shock after a few days of malaise?
Written by Magnus Nossen — Edits by Grauer and Smith The patient in today’s case is a woman in her 70s with a previous medical history of HTN…
Chest pain with 2 serial ECGs, with dynamic change, texted to me
These were texted to me only with “chest pain.” First: 2nd: What was my response? Smith: Young thin black male. No OMI. Texter:…
A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!
Written by Pendell Meyers A woman in her 30s with minimal past medical history presented simply stating she was “feeling unwell.”…
85 year old with chest pain, STEMI negative, then normal troponin but with relatively large delta: discharge?
Written by Jesse McLaren, with comments from Smith. An 85 year old with a history of CAD presented with 3 hoursof chest pain that feels like…