Global ST depression with ST elevation in aVR – what is the cause?
Written by Pendell Meyers An elderly patient with cardiac history presented with shortness of breath. This ECG was brought to me with concern…
Persistent Ventricular Fibrillation, ED ECMO, ED TEE, ROSC, Shark Fin ECG (also called “Giant R-wave”), Postinfarction Regional Pericarditis. What a Case!
A 40-something suffered witnessed ventricular fibrillation, had bystander CPR, but could not be defibrillated after 4 attempts. He was…
A man in his 30s with 12 hours of chest pain; is the ECG consistent with 12 hours of occlusion?
Written by Pendell Meyers, submitted by Siva Vittozzi-Wong A man in his 30s with history of hypertension, hyperlipidemia, and diabetes…
Status epilepticus. What is this ECG pathognomonic of?
This patient presented with status epilepticus. Here is the ECG: The computer reads a long QT at 449 ms, and a Hodges QTc of 506 ms. What do…
High-Sensitivity Troponin is not a Myth, and “Myth-busting” is often another Myth to be Busted
This is published simultaneously in Emcrit Emergency Medicine News has now published 2 “Myth-Busting” articles by Rory Spiegel which dispute…
A 41 year old with chest pain and a Nondiagnostic Triage ECG. Thrombolytics prior to transfer for PCI.
This was sent by Tom Fiero, from Merced CA, and an avid reader of the blog. “A 41 yo man presented with sudden severe chest pain, onset…
A healthy 30-something presented with nausea, vomiting, benign positional vertigo and atrial fibrillation
A healthy 30-something presented with nausea, vomiting, vertigo and atrial fibrillation. The vertigo is triggered by head movement and…
A man in his 50s with witnessed arrest and ST elevation in aVR
Written by Meyers, edits by Smith A 50-ish year old man was working construction when he suddenly collapsed. Coworkers started CPR within 1…
How do you interpret this ECG?
Late in an evening shift, during a lull in care, I was reading a list of ECGs, one after another, on the computer queue and saw this one,…
40-something male in a head-on Motor Vehicle Collision and Splenic Injury
A 40-something male presents to the stabilization room for evaluation following head on motor vehicle collision (MVC). Pt was reported…