The ridiculous pricing of pharmaceuticals in the U.S.
I just wrote this letter to my two senators and my representative, and I hope you’ll do the same: Dear ________, I practice Emergency…
Extreme Bradycardia after Diarrhea and Dehydration. Best ED treatment?
A patient presented with weakness. He was found to be bradycardic, so this ECG was recorded: There is atrial flutter with 3rd degree AV…
“Persistent” Juvenile T-wave article published in Journal of Emergency Medicine
Brooks Walsh and I published this article: http://www.sciencedirect.com/science/article/pii/S0736467915006861 It is online now. If you…
Unstable Angina: Again, it still exists……
A middle aged male with no coronary risk factors presented with new stuttering chest pressure, worse with exertion and better with rest, with…
Spiked Helmet Sign
A middle-aged woman presented with symptoms of mild ischemic stroke. There were no chest symptoms. An ECG was recorded as part of the…
Is this STEMI? No, it is one of the most common reasons for false cath lab activation.
This was contributed by Brooks Walsh, with a little editing and additions, plus a section of false positive cath lab activations added by me.…
4 Cases Discussing Terminal QRS Distortion in Diagnosis of Anterior MI
Case 1: The last case had this prehospital ECG: The Emergency Physician activated the cath lab, and it was cancelled. Besides the…
ECG Diagnostic of STEMI. But Interventionalist cancels the cath lab.
Prehospital A male in his 80s was crossing the street, felt weak, and sat down. He denied LOC, chest discomfort or dyspnea. He had…
PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don’t miss case 4 at the bottom.
Case 2. A middle-aged male with h/o CAD and stents presented with typical chest pressure. Here is his ECG: The resident was…
Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.
A completely healthy 39 year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her…