How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?
This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of…
This is what happened when a hospital implemented the Queen of Hearts
This patient had the onset of chest pain 24 hours before arrival to the ED. An ECG was recorded immediately at triage and, at this…
A 30-something with acute chest pain
This was sent to me from Sam Ghali (@EM_Resus) with no other information. I assumed it was a patient with acute chest pain. “What…
VT in a Sick Patient? Paired with 2 old cases (see them at the bottom)
=================================== MY Comment, by KEN GRAUER, MD (8/30/2024): =================================== I was sent…
50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?
A 50 yo was resuscitated from ventricular fibrillation. He had a prehospital ECG recorded after ROSC: What do you think?…
Healthy 45-year-old with chest pain: early repolarization, pericarditis or injury?
Submitted by Dr. George Mastoras (Twitter @georgemastoras), written by Jesse McLaren It’s a busy day in the ED when you’re sent another ECG to…
The Computer and Overreading Cardiologist call this completely normal. Is it?
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. The undergraduate is now willing to…
Acute artery occlusion — which one?
Written by Willy Frick with edits by Ken Grauer A woman in her 70s with a history of hypertension presented with acute onset…
Syncope while on a treadmill
A 60-something ow healthy male had syncope while on treadmill. 911 was called and the patient was found by medics to…