Prehospital Cath Lab Activation. What happened when the medics and patient arrived at this Academic ED?
This was texted to me by a paramedic while I was out running one day: “54 yo male chest pain started at 1pm. History of diabetes type II…
2nd degree AV block: is this Mobitz I or II? And why the varying P-P intervals?
Written by Willy Frick A middle aged man presented for elective outpatient surgery. The following ECG was obtained in the preoperative…
What does a final diagnosis of STEMI vs. NSTEMI depend upon?
Written by Pendell Meyers, few edits by Smith A woman in her 70s was woken from sleep by midsternal chest pain radiating to left arm with…
Baseline wander. But what else do you see?
Written by Magnus Nossen The below ECG was obtained from a 65 year old man with ongoing chest pain. He has a history of hypertension and…
Electrophysiological curiosity. Can you spot it?
Written by Magnus Nossen (with comments and laddergram by Ken Grauer) The patient in today’s case is a man in his…
Can you treat Non-STEMI with thrombolytics if it is OMI (Occlusion MI)? Of course!
This case was sent by an old residency friend, Kirk Lufkin. He works in a small hospital in Northern Michigan. Case A 61…
Chest pain and Saddleback STE. For Which of these 6 Cases should we Activate the cath lab? And how does the Queen of Hearts perform?
Smith Introduction: Saddleback ST Elevation is often an OMI mimic, so one needs to scrutinize these ECGs!! Written by Magnus Nossen Below are…
Prehospital activation: De-activated on ED arrival by Cardiologist because “It’s not a STEMI”
This was submitted by a paramedic, Hailey Kennedy A late 50s male called 911 following 2 hours of chest pain that started while working at his…