A woman in her 50s with acute chest pain
Written by Pendell Meyers. A woman in her 50s with no significant past medical history experienced acute anterior chest pain that woke her…
The worst thing you can be when you have this ECG is to be a young woman
This was contributed by a great paramedic, Drew Williams. He now is his agency’s “Clinical Improvement Analyst for…
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…
Seizure and Tachycardia
A young man presented with AMS and seizure like activity. EMS called by PD from a scene, where the patient had been seen ingesting powder and…
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…
Acute coma, then Sudden PEA arrest in front of paramedics, with STEMI?
This is what the providers in the ED understood on patient arrival: Here is the written paramedic report available after all the events were…
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…
Acute chest pain with LBBB and obvious OMI, worsening on serial ECGs, but repeatedly missed by physicians and Marquette 12SL
This case was written by Hans Helseth. He just graduated from college. He has no medical training, but he has read this blog for years. He is…
Abdominal Pain in a middle-aged patient
I was texted this case by Ankur Kalra, an interventional cardiologist at the University of Indiana. He also did his cardiology…