Hypotensive and Tachycardic in Clinic: A Quick Ticket to the ED and Lewis Leads
This was contributed by one of our fine interns, Aaron Robinson. A 40-something male cancer patient presented to clinic for a routine follow…
Are these Wellens’ waves?
This ECG was sent to me by one of my residents, who was puzzled by it: This ECG is from a 21 yo M with PMH of poly-substance abuse. He…
Syncope, History of Coronary Disease, and ST Elevation: Should Medics Activate the Cath Lab?
A 60-something male had a syncopal episode. 911 was called. The patient had no complaint of chest pain or shortness of…
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…
A patient with a “seizure” and a completely “normal” ECG
I happened on this ECG while walking by, and read it with no clinical information, remarked on it, and discussed it with the physicians caring…
Alcohol withdrawal and sinus tachycardia
This patient with alcohol withdrawal and tachycardia had an ECG recorded: What do you think? There is sinus tachycardia. Look at the QT…
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…
Scary ST Elevation. What is it?
911 was called for an 18 year old who had altered mental status after using K2 (a recreational drug). The medics put the patient on the…
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!
This case comes from Sam Ghali (@EM_RESUS). A 60-year-old man calls 911 after experiencing sudden onset chest pain,…
Right Bundle Branch Block and ST Depression in V1-V3. Is that normal? And a complication.
A late middle-aged male with h/o 3 vessel bypass (CABG), type 2 diabetes, peripheral vascular disease, DVT, Chronic Kideny Disease, and…