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…
Isolated “Inferior” ST Segment Depression: Not a Sign of Inferior Ischemia
I have long maintained that ST segment depression does not localize and the isolated ST depression in “inferior” leads is actually…
Is there ST Segment Depression here?
A middle aged male with a history of Hypertension, Diabetes, Hyperlipidemia, and CHF due to severe concentric LVH presented with severe…