Handed this ECG from triage. What will you do?
Written by Sean Trostel MD I returned to my desk after seeing a patient and saw this screening ECG sitting on my desk to be read. The…
An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?
This was sent by an undergraduate (not yet in medical school, but applying now) who works as an ED technician (records all EKGs, helps…
Early repol or anterior OMI?
Chest Pain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a…
Crushing Chest Pain and Can’t see OMI on the ECG? Just give morphine, right?
Submitted anonymously, written by Willy Frick A man in his late 30s with a 10 pack-year smoking history presented with acute substernal…
Two patients with diffuse ST depression and reciprocal ST elevation in aVR: do either/both/neither have Occlusion MI?
Written by Jesse McLaren, with additions from Smith Two patients presented with chest pain with ST elevation in aVR, and the same final ECG…
Why is this patient in shock?
This ECG was handed to one of my partners who was working in triage. The conventional algorithm stated “Nonspecific ST-T…
A young man with palpitations.
A 30-something presented with chest pain, palpitations, and SOB. He has had similar symptoms for 4 years, but has never been evaluated.…
Do you need to be a trained health care professional to diagnose subtle OMI on the ECG?
An undergraduate (not yet in medical school) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and…
Sudden shock with a Nasty looking ECG. What is it?
A 60-something woman complained of sudden severe abd pain. She was found by medics agitated, hypotensive, diaphoretic, and in shock. There…
What is the rhythm?
A patient was found down approximately 30 minutes after taking methamphetamine. Bystander CPR. Medics found patient in PEA…