Pretest ProbabilitySilent Myocardial Infarction8 Min Read Steve SmithonMay 8, 2025 The Queen always asks (if she sees OMI) “Is there a clinical suspicion of acute coronary syndrome” This was sent by Asad Tasleem, an Emergency Medicine resident in Pakistan: “I am an ED Resident in a tertiary care Hospital… Discover More
aVR - large R-waveBrugada patternCocaineSodium Channel BlockadeTricyclic antidepressantwide QRS3 Min Read Steve SmithonMay 6, 2025 Seizure and Tachycardia A young man presented with AMS and seizure like activity. EMS called by PD from a scene, where the patient had been seen ingesting powder and… Discover More
Normal ECG in OMIOMI Diagnosed by Troponin9 Min Read Hans HelsethonMay 4, 2025 Chest pain. Is this EKG completely Normal? First hs troponin T = 32 ng/L. Management? Diagnosis? This was contributed by Hans Helseth (he will start medical school soon). With edits and additions by Smith and Grauer. A 75 year old… Discover More
Inferior OMI Subtleprehospital ECGserial ECG4 Min Read Steve SmithonMay 2, 2025 Do we need serial ECGs for this case of chest pain? From Drew Williams A 40-something patient called 911 for 30 minutes of left sided chest pain radiating to right arm/shoulder (Smith aside:… Discover More