Getting It Right Despite the Wrong Paradigm
Written by Alex Bracey, edits by Meyers and Smith A 50 something year old male presented to the ED as a transfer from an outside hospital with…
An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?
An 80-something called 911 for chest pain, generalized weakness, and cough. Here is his prehospital ECG: The medics were worried about this…
Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do?
A 30-something woman presented with a few days of feeling ill. She had a history of paroxysmal atrial fibrillation, bio-prosthetic…
Prehospital Cath Lab Activation for inferior STEMI — do you agree?
A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the…
A man in his 40s with a highly specific ECG
Case submitted by Charles Harris M.D. and Vitaliy Belyshev M.D., with edits by Pendell Meyers A 43 year old man with no reported past medical…
Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?
A 50-something male with a history of COPD and substance use disorder who presented with generalized weakness and exacerbation of chronic back…
20-something with anxiety. Pulse is 169. Then 229. Then 169. Then 229. Latent conduction vs. Concealed Conduction. 3 Pathways.
A young woman in her third trimester of pregnancy had complained of panic attacks on multiple occasions. She presented to the ED…
Does this ECG represent acute ischemia?
I was shown this ECG, without any clinical data: What do you think? My answer: “I think it is a baseline ECG, not ischemic.”…
A man in his 50s with acute chest pain and diffuse ST depression
Submitted by Alex Bracey, with edits by Meyers and Smith A man in his 50s with history of type B aortic dissection with prior TEVAR…
80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression
An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. Here is his prehospital ECG: What…