Syncope and Prehospital Cath Lab Activation for Posterior STEMI
A middle-aged man had syncope. This ECG was recorded prehospital; here are the limb leads: What do you think? Notice that there are inverted…
ST Elevation after Stab Wound to the Heart
A young man presented after a stab wound to the chest. Rapid ED diagnosis of cardiac penetrating trauma was made by ED ultrasound, and…
Chest pain and a non-diagnostic ECG. No worries, right?
A middle-aged male complained of chest pain and called 911. 3 prehospital ECGs were recorded. Here is the time zero ECG: Just some…
This ECG was shown to the doctor with no clinical information
Written by Pendell Meyers, with edits from Steve Smith I was charting at my computer on a busy overnight shift when a triage ECG was placed…
Bizarre (Hyperacute??) T-waves
Thanks to one our great HCMC nurses, Ryan Burch. He figured this one out. A dialysis patient presented with dyspnea. He was a bit…
Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter’s T-waves on prehospital ECG??
This post was written by one of our fantastic Hennepin County Medical Center Emergency Medicine interns who is an ECG whiz, Daniel Lee. A man…
Our patients deserve better than the “STEMI criteria”
Written by Pendell Meyers, of the Stony Brook class of 2019, with edits by Steve Smith Two Cases Imagine that two patients present…
A 40-something male with epigastric pain
A 40-something male presented with epigastric pain. An ECG was recorded immediately (time zero): This was texted to me asking for my opinion.…
Chest pain, sinus tachycardia, and ST Elevation
I was reading through ECGs on the system when I saw this one: Sinus tachycardia, rate 120 Computerized QTc = 380 ms What do you think? I…
A middle-aged man with severe syncope, diffuse weakness
A middle-aged male diabetic who is otherwise healthy was found unconscious by his wife, with incontinence. He quickly awoke but was too…