Approach to Potential Ischemic Chest Pain in the Emergency Department
This is a lecture for my residents that I have done since the early 90’s, and update every 3 years. There is a lot of new data in…
A 21 year old with Chest pain
A 21 year old presented with typical chest pain. Here is his ECG: There is inferior and lateral ST elevation. Pericarditis, right?…
“How could I convince my interventionalist to come do a cath in the middle of the night?”
I just received this email today. I receive these fairly frequently: Dear Dr. Smith: I am an Emergency physician working in an outlying…
Sudden Severe SOB and ST Segment Elevation: What is the Diagnosis and Treatment?
A middle aged man with history of MI presented by EMS for the sudden onset of difficulty breathing. Prehospital, he was in respiratory…
Pediatric Drug Dosing Book – Indispensable! Far better than any App. Nearly FOMAed: only $25.00.
I don’t usually deviate from ECGs and Cardiology, but I must for this. My partner, Albert Tsai, our director of pediatrics, has written…
2 weeks of chest pain, weakness. Presents with tachycardia.
A middle-aged male with no significant past history complained of chest pain for 2 weeks. He stated that it was intermittent and there…
A very elderly woman with a pacemaker and minimal symptoms
This was a very elderly woman with a pacemaker and minimal symptoms: What are these broad complexes superimposed on the native QRS? Are…
Right Bundle Branch Block. What else?
This is complementary to a recent previous post. A dialysis patient presented with pedal edema. As a screen for hyperkalemia, an…
A young healthy male with epigastric pain and tachycardia
A young previously healthy man with no past medical history presented with a complaint of epigastric pain for a few days. He had no…
What is the culprit vessel?
A patient presented with chest pain and had this ECG: There is obvious ischemic ST elevation with reciprocal ST depression. What is the…