Our residents are getting really good at this.
I was asked to look at this ECG in a patient with 30 minutes of acute onset of nausea and vomiting and perhaps some chest discomfort: First ED…
Is this a STEMI? No, not by definition! Why not? Why is this Important?
A 40-something male presented with dyspnea and left arm numbness, and perhaps some chest tightness, for 1 1/2 hours. Here is his triage ECG:…
A man in his 80s with chest pain
Written by Pendell Meyers A male in his 80s with history of colon cancer, HTN, and CAD with a newly placed LAD stent approximately 1 month…
Anterior STEMI and multiform PVCs with Narrow Coupling Interval. When to give beta blockers in acute MI?
A middle-aged male had 45 minutes of chest discomfort and drove to the ED. He has a history of hyperlipidemia. No previous…
This ECG, recorded in triage, was shown to me immediately, with no other info…..
This ECG, recorded in triage, was shown to me immediately, with no other info….. What do you think? Computer read is: “Moderate ST…
Another Inadequate Paper Published on Triage ECGs, whose Conclusions Need Scrutiny.
See the Case below. This paper was just published: Noll S. et al. The utility of the triage electrocardiogram for the detection of…
Hyperacute T-waves and Concordant ST Elevation seen in PVCs only
This comes from Steffen Grautoff, who is an Emergency Physician and Cardiologist who works on the Emergency Vehicles in the Northwest of…
A “normal ECG” on a busy night
Written by Pendell Meyers We walked in to an overnight shift with approximately 70 patients in the waiting room and a room full of sign-outs…
Anterior MI in paced rhythm, dismissed by cardiologist, patient died.
This was shown to me by a very astute Hennepin paramedic. Although this comes from a Hennepin paramedic, the patient was not brought to…
A 60 year old patient with large T-wave inversions
Written by Andrus Alian and Pendell Meyers, with edits by Steve Smith A female in her 60s with history of stage IV lung cancer presented to…