An adolescent with trauma, chest pain, and a wide complex rhythm
This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospital Case: An…
Should Emergency Physicians be interrupted by ECGs that are read as “Normal” by the computer?
Here was a comment on Facebook about this post: “I was hoping this post would let me off the hook for all those “normal ekg”…
A patient with shortness of breath
This 50-something with a history of alcohol abuse complained of 2 weeks of increasing dyspnea for 2 weeks, with some chest pain and cough.…
Huge ST Elevation in V2 and V3. What is it?
A 30-something presented with methamphetamine use and agitation. He was sedated, then had an ECG as part of his workup: He was…
ST Elevation in I and aVL, with reciprocal ST depression in lead III
This ECG was texted to me with no clinical information: What do you think? Here is my response: “This EKG looks a bit worrisome. …
Chest Pain Diagnosed as Gastroesophageal Reflux
A 50-something male presented to a clinic for one day of intermittent substernal chest and jaw pain. He had had several episodes of pain…
You’re busy at triage and another ECG is flashed before your eyes…..
4 second video EKG from Stephen Smith on Vimeo. Here is the computer read: MODERATE T-WAVE ABNORMALITY, CONSIDER LATERAL ISCHEMIA …
Chest pain, Dynamic ST Elevation and T-waves, and High Voltage
A 20-something had sudden severe chest pain while smoking marijuana at a party. After approximately 40 minutes, other people there…
Refractory V FIb Arrest, put on ECMO, regains an organized rhythm, and a 12-lead is recorded.
I received this case from: Dominic Larose MD CCFP(EM) FACEP Alain Vadeboncoeur MD CSPQ Montreal Heart Institute Hi Steve, Here is a case I had…
Hours out of the OR for valve replacement surgery: patient with paced rhythm becomes hemodynamically unstable
This case was sent to me yesterday, coincidentally on the same day we presented data at SAEM on the Utility of the Smith-Modified Sgarbossa…