aVR - large R-waveBrugada patternCocaineSodium Channel BlockadeTricyclic antidepressantwide QRS3 Min Read Steve SmithonMay 6, 2025 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…
AIVRCT scanSpectral CT10 Min Read Steve SmithonApril 6, 2025 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,…
myocardial rupturepostinfarction regional pericarditisVentricular Septal Rupture13 Min Read Magnus NossenonFebruary 26, 2025 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…
Calcium Therapy for Hyperkalemiahyperkalemia arresthyperkalemia with small T-waves5 Min Read Willy FrickonFebruary 18, 2025 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…
Diagonal branch (D1 or D2)south african flag sign4 Min Read Steve SmithonJanuary 18, 2025 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…
Brugada induced by feverBrugada patternOMI MimicType 2 Brugada7 Min Read Steve SmithonJanuary 13, 2025 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:…