Bradycardia with a Wide Complex. Sometimes 2 pathologies are present. Which?
An elderly woman was found to be bradycardic. She was awake with a BP of 120/70. Here is her prehospital ECG: What do you think? I…
What is this ST Depression? (Hint: there are 2 etiologies)
Don’t miss Ken Grauer’s comments at the bottom! An elderly woman is found down in her bedroom. On arrival, she was alert,…
A man in his 50s with acute chest pain, now resolved, has 2 undetectable troponins. CT Coronary Angiogram?
Written by Pendell Meyers A man in his 50s presented to the ED with chest pain described as pressure, without radiation, acute onset…
Do these Serial Prehospital ECGs show OMI?
A 50-something male with a history of hypertension called 911 after sudden onset chest pain in the middle of his chest radiating up to his…
Even when the story is obvious, with intractable pain, the STEMI paradigm can cause preventable delays
Written by Pendell Meyers A man in his early 60s presented with acute chest pain rated 10/10 with associated nausea and vomiting with…
A Pathognomonic ECG. What is it? (Hint: 2 diagnoses in one)
I was reading through the list of EKGs and saw this one. What is it diagnostic of? (hint: 2 diagnoses in one) There is a very long,…
A man in his 40s with epigastric pain and a dynamic ECG
Case written and submitted by Dr. Arjun J V, peer reviewed by Meyers, Smith, Grauer A 49 year male patient was brought to our ED at…
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
A middle aged male presented after onset, approximately 50 minutes prior, of constant crushing 10/10 substernal chest pain, radiating into…
Shark fin post arrest: do you understand the ECG?
Case submitted by Dr. Daryl Williams, written by Pendell Meyers, peer reviewed by Smith and Bracey A physician bystander witnessed a…
A woman in her 60s with syncope and vomiting. Does she need a pacemaker?
Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…