“Anterior” ST Depression: Which Lesion is the Culprit?
Written by Hans Helseth Hans is an EKG tech who is applying to medical school. EKG interpretation skills have little to do with one’s…
Patient is informed of her husband’s death: is it OMI or it stress cardiomyopathy?
Written by Willy Frick Disclaimer at the outset: Some aspects of this case are not completely clear to me, and approach being unknowable.…
What is this rhythm? And why rhythm problems are easier for the Emergency Physician than acute coronary occlusion (OMI).
Written by Pendell Meyers Don’t miss Ken Grauer’s excellent assessment at the bottom. With no context, what do you think this…
Pulmonary edema, with tachycardia and OMI on the ECG — what is going on?
This was written by Hans Helseth. A 69 year old woman with a history of hypertension presented to the emergency department by EMS for…
Pay now (in the evening) or pay later with interest (in the middle of the night).
A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He states that it feels like burning and…
Acute coma, then Sudden PEA arrest in front of paramedics, with STEMI?
This is what the providers in the ED understood on patient arrival: Patient called 911 for syncope, then had witnessed PEA arrest after medics…
What factor determines final diagnosis of STEMI vs. NSTEMI? Is it ST Elevation? Occlusion? or Something else? What?
The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented…
A man in his 30s with epigastric pain and chest pressure
Written by Pendell Meyers A man in his 30s presented with acute upper midline abdominal pain and nausea. He described it as radiating into his…