Early Repolarization, Anterior MI, or Other?
A 30 something presented with atypical chest pain. Here is the ECG: –There is huge ST elevation in V2 and V3, approximately 5 mm.…
Four Great Instructional SMACC Videos from Hennepin
These great procedural videos on online at SMACC. All done at Hennepin County Medical Center’s Emergency Department by my…
Emergency Physicians Must Make the Tough Decisions
This recent case, which occurred within the past year, was sent to me by an unnamed 2nd year EM resident. She says she is a believer in all…
Unstable angina still exists. Beware.
A middle aged male with h/o one stent 5 years prior presented with 7 hours of continuous vague chest pressure. During this, while he got…
Very Wide and Very Fast, What is it? How would you treat?
This was contributed by one of our EM residents, Lauren Klein, with some editing by Smith. Case: An elderly male who missed dialysis…
Wide Complex Tachycardia Refractory to Anti-dysrhythmics and Cardioversion.
This was contributed by Rebecca Kornas, MD, one of our EM Residents. Edited and commented upon by Smith. A middle-aged male with a…
A Young African American Woman with Chest Pain and Precordial T-wave Inversions.
An African American woman in her late 20’s presented with sudden onset of dull/aching left chest pain, with associated SOB and dyspnea…
Chest pain and Very Large T-waves
A middle aged male had chest pain. There was suspicion of acute MI. The initial ECG was texted to me: The QTc is 423 ms. There is…
New 40 minute lecture on T-wave Inversion
T-wave Inversion I just found one mistake at minutes 7:00 to 7:30: The QRS axis is 90 degrees and the T-wave axis minus 30, for a QRST…
Look at II, III, aVF in this case, and the outcome…..
I just posted this case: Isolated “Inferior” ST Segment Depression: Not a Sign of Inferior Ischemia Today I post another case that…