Is There a Delayed Activation Wave???
This 50-something otherwise healthy male presented with one hour of epigastric and lower chest pain. Here is his initial ECG: What do you…
Look at these “T”-waves
An alcoholic presented with confusion. He had this ECG recorded: What do you think? Computer measures the QT at 505 ms, and QTc at 533…
Cardiac arrest #3: ST depression, Is it STEMI? or is he an ACCESS Trial Candidate?
A patient with unwitnessed arrest received a shock from the AED (presumably ventricular fibrillation). He underwent extensive…
Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations — A Case from Salim Rezaie (R.E.B.E.L. EM)
This case is posted by Salim Rezaie (@srrezaie) Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations It has some peer review by me…
Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post!
Written by Pendell Meyers, with edits by Steve Smith: A 49 year old male with history of HTN suddenly complained of shortness of breath, and…
Cardiac Arrest — Is it STEMI?
A late middle aged male collapsed while walking and had immediate bystander CPR. He achieved ROSC at the door of the ED, 30 minutes…
A 33 year old male with acute back pain radiating to the chest
Written by Pendell Meyers, with edits by Steve Smith Case I was called to the EMS control room to answer an RMA (Refusal of Medical Advice).…
The blood sample is hemolyzed. Twice. Is there hyperkalemia on the ECG?
This patient presented from dialysis because his shunt was malfunctioning. He had no definite indication for dialysis unless his K was…
OMI Can be Diagnosed by “Pseudonormalization of ST Segments”
This post was written by Tarissa Lai, one of our outstanding EM residents at Hennepin County Medical Center, with comments by Steve…
T-wave inversions and dynamic ST elevation
Written by Pendell Meyers, with edits by Steve Smith I received a text message with no clinical information other than the following ECG, with…