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…
Resuscitated from ventricular fibrillation. Should the cath lab be activated?
This patient was witnessed by bystanders to collapse. They started CPR. EMS arrived and found him in Ventricular Fibrillation…
A 60-year-old diabetic with chest pain, cath lab activated
I came to work one day and one of my partners said, “Hey, Steve, we had a STEMI this afternoon!” I said, “Cool, can I see…
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…
Anaphylaxis, chest pain, and ST elevation in aVR
Sent by anonymous, written by Pendell Meyers A man in his late 40s presented to the ED with concern for allergic reaction after accidentally…
What is going on in V2 and V3, with a troponin I rising to 1826 ng/L at 4 hours?
I was reading EKGs on the system before a shift, and saw this one: What do you think? I was worried that the ST depression and T-wave…
30-something woman with a HEART score of zero, EDACS of 2, computer “Normal” ECG, and initial troponin < Limit of Detection
I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This…