A young man with gradual onset extremity paralysis in all 4 limbs
This case comes from Jon B. Cole, one of our EM faculty and unparalleled toxicologist, and director of the Minnesota Poison Control…
How would you manage this patient?
A woman was found outside with altered mental status. She was GCS 3. BP 80/40 Here is her ECG: Diagnosis? Sinus bradycardia with Osborn…
A Pre-operative ECG on a patient with a hip fracture
An 80-something tripped and sustained a hip fracture. The patient had no cardiac symptoms, no syncope, no CP or SOB. He was perfectly…
Shock, bradycardia, ST Elevation in V1 and V2. Activate the Cath Lab?
A 60-something with h/o cirrhosis and diabetes called 911 because he felt sick and was unable to move his lower extremities. On arrival…
Christmas Eve Special Gift!! Prehospital Cath Lab Activation: What do you think?
A 60-something male was sent from Dialysis for several days of SOB. He did not know his medical history well. The patient was in no…
Wide-complex tachycardia that didn’t follow the rules
Case contributed by Brooks Walsh, an emergency physician and ECG aficionado in Connecticut (and a few comments by Smith) A middle-aged…
Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here?
A 40-something woman with h/o obesity, hyperlipidemia, smoking, as well as cocaine and alcohol abuse presented with intermittent chest pain…
A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block
This case was texted to me by one of our residency graduates, and with the outcome, so I don’t know how I would have interpreted it…
“Pericarditis” strikes again
Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chest pain. Several…
Teenager with chest pain and slightly elevated troponin. What happens then?
This is a previously healthy male teenager who was awoken by chest pain. He was seen at another hospital and found to have a…