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…
Two prehospital ECGs of patients with chest pain.
Written by Pendell Meyers and Steve Smith Here are two cases of middle-aged men with chest pain who had prehospital ECGs. Patient 1, ECG 1:…
Take the OMI Quiz and Test yourself against the Queen of Hearts
Click here for Quiz The PM Cardio Queen of Hearts AI model for ECG interpretation from Powerful Medical is still in its early days. Do…
Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.
A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse…
Is OMI an ECG Diagnosis?
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of…
The current STEMI paradigm: Because STEMI criteria are not met, let’s wait until the myocardium is dead!!
This was sent to me by an inpatient nurse who reads this blog but wants to remain anonymous. An inpatient rapid response was called for a…