Acute chest pain, bradycardia, and hypotension
A middle-aged male complained of acute onset of chest pain. He was diaphoretic, weak, lightheaded, but alert. Blood…
Ventricular Fibrillation, Resuscitation, and Hyperacute T-waves: What does the Angiogram show?
An elderly person collapsed and was found to be pulseless. He had immediate bystander CPR. An AED was placed and one shock was…
Giant Inverted T waves in an Elderly Patient
This is another contribution from Victoria Stephen. Victoria is a third year EM Registrar from at the University of the…
EM Crit Podcast: Part 2 Interview on “Who needs acute PCI?”
Scott Weingart Interviews me: Part 2 of Who needs acute PCI?
Pulseless ventricular tachycardia – why did the AED not advise a shock?
This case was submitted by my friend Dr. Victoria Stephens. She is a third year Emergency Medicine Registrar from at the University of…
Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient…..
Summary of ED Approach to Syncope Please excuse the formatting problems, which I have not been able to fix! I have used this to educate…
A Patient With a Biventricular Pacemaker Presenting With Chest Pain
This is a paper authored by Brooks Walsh (a brilliant ECG enthusiast and emergency physician at Yale), with a little help from me and our…
The Effect of Calcium on Severe Hyperkalemia
This patient had a K of 8.1 mEq/L and a very low ionized Calcium of 2.4 mg/dl (normal: 4.4 – 5.2). Both were from a blood sample drawn…
A Very Subtle LAD Occlusion….T-wave in V1??
This was sent by a former resident. Our residents get a 34 hour ECG course from me over their 3 years, and they often see things I…
From Scott Weingart EMCrit Interview: Who needs the Cath Lab now??
Who Needs the Cath Lab/Cards Consult? Thanks to Scott Weingart of EMCrit for amassing all the indications in one place and interviewing me on…