Wide complex tachycardia at a rate of 270
Unfortunately, this case lacks some of the clinical data, but not so much that we can’t learn something from it. Case A 50-something…
An elderly woman with dyspnea, asystolic arrest, resuscitated
911 was called for a very elderly dialysis patient for acute onset of dyspnea. On arrival, medics found the patient with agonal respirations.…
An 82 year old with syncope
An 82 yo male stopped for lunch after cycling. Witnesses reported a syncopal episode lasting approximately 30 seconds. He has a history of…
Acute Respiratory Distress and Pulmonary Edema
A 60-something called 911 for respiratory distress of acute onset. Medics found him hypoxic with wet sounding lungs. He was put on…
A 60-something dialysis patient with complete heart block: ultrasound before and after treatment
A 60-something dialysis patient complained of weakness. He was hypoxic and in some respiratory distress. He had these prehospital ECGs:…
A 50-something woman with chest pain and dyspeoa (an Aussie)
This case comes from Max Nelson, a paramedic in Australia. See also this post: 40-something with severe CP. True + vs. False + high lateral…
An interesting finding, and absence of another, in an intoxicated patient found down
This was a male in his 20s who was found down, intoxicated presumably with an opiate, perhaps methadone. He awoke very slowly with…
Patient presentation is important, and so is R-wave amplitude
Two Histories, One ECG Story number one: An athletic 20-something presents with chest pain and has this ECG at triage: QTc = 362 ms What do…
de Winter’s T-waves evolve into Wellens’ waves
This comes from a paramedic in Hungary named Farkas László: This patient had chest pain that then resolved: There is diffuse ST depression,…
Slightly Peaked T-waves. What is it?
I saw this as I was reading a large a stack of ECGs: What do you think? There is sinus tachycardia. The T-waves are slightly…