Interventionalist at the Receiving Hospital: “No STEMI, no cath. I do not accept the transfer.”
Are Some Cardiologists Really Limited by Strict Adherence to STEMI millimeter criteria? Yes. We don’t know how many though. I was texted…
Implementation of Abbott Architect High Sensitivity Troponin I in the ED
This was recorded by Stephen W. Smith to help clinicians implement the Abbott Architect High Sensitivity Troponin Assay. This describes the…
Cardiac arrest with anterior-inferior STEMI: Guess the value of the initial ED high sensitivity Abbott troponin I
A ~40 year old woman started having chest discomfort. She called 911 after an uncertain amount of time. EMS arrived and recorded…
A 60-something Woman with Chest Pain and a Wide QRS
=================================== MY Comment by KEN GRAUER, MD (9/17/2020): =================================== Today’s patient is…
A 58 year old collapses in the hot sun
A 58 yo male was out working in the hot sun for 2-3 hours. He stated he almost passed out, and bystanders called 911. They give him water with…
A man in his 50s with 2 hours of chest pressure
Case submitted by Anonymous, written by Pendell Meyers A man in his 50s with history only smoking presented to the ED with chest…
An 18 year old with chest pain and diffuse ST Elevation
An 18 year old complained of chest pain. Here is his ECG: What do you think? Comment on ECG Many immediately think this is…
Is there Wenckebach? An Elderly Patient with a Fall
=================================== MY Arrhythmia Case by KEN GRAUER, MD (9/9/2020): =================================== PREFACE:…
Young Man with a Heart Rate of 257. What is it and how to manage?
A 30-something was in the ED for some minor trauma when he was noted to have a fast heart rate. He acknowledged that he had…
A patient with chest pain and ST Elevation in V1 and V2
A 56 year old male complained of chest pain and called 911. They recorded a prehospital ECG: As you can see, at the top it says ***Meet ST…