Diffuse ST Elevation. What do you think?
What do you think of this ECG, without any clinical information? There is inferior and lateral ST elevation and ST depression in V1 and V2,…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
Two (apparent wide complex) Rhythms in One Patient: First is at rate of 300, second at Rate of 180
A middle-aged patient with no known significant past medical history had sudden onset of palpitations, diaphoresis, dyspnea. This lasted…
Two (apparent wide complex) Rhythms in One Patient: First is at rate of 300, second at Rate of 180
A middle-aged patient with no known significant past medical history had sudden onset of palpitations, diaphoresis, dyspnea. This lasted…
Massive Excessively Discordant Anterior ST Elevation in a Paced Rhythm
This patient has a standard DDD pacer, with RV pacing (not biventricular pacing), severe chronic nonischemic cardiomyopathy with EF of 10%…
Intravenous Nitroglycerine in STEMI, with data: Avoid its use if giving tPA
If you are giving tPA to patients with STEMI, it is wise to avoid IV nitroglycerine. I am revisiting this topic because of a recent case…
Great Chart of Pediatric ECG Intervals: QRS, QTc, and PR. All Ages.
My friend and colleague Ben Orozco, emergency physician at HCMC, and toxicologist with the Hennepin Poison Center, put together this very…
A 50-something year old with typical chest pain
A middle age male presented with chest pain. Here is his ECG; there was no previous for comparison: QTc is 380 ms. There is 3 mm of STE…
One Hour Lecture: Supraventricular Tachycardias (including ED management of atrial fibrillation)
This is a lecture on ED diagnosis and management of supraventricular tachycardias: Sinus Tach Paroxysmal SVT Atrial Fibrillation Atrial…