Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)
This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it…
An elderly male with acute altered mental status and huge ST Elevation
Written by Bobby Nicholson. = = = What do you think of this “STEMI”? A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to…
If you were this patient, would you prefer to be managed with the Queen of Hearts?
Written by Pendell Meyers A man in his early sixties with no significant medical history (including a “negative cardiac workup a few…
How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?
This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of…
This is what happened when a hospital implemented the Queen of Hearts
This patient had the onset of chest pain 24 hours before arrival to the ED. An ECG was recorded immediately at triage and, at this…
A 30-something with acute chest pain
This was sent to me from Sam Ghali (@EM_Resus) with no other information. I assumed it was a patient with acute chest pain. “What…
VT in a Sick Patient? Paired with 2 old cases (see them at the bottom)
=================================== MY Comment, by KEN GRAUER, MD (8/30/2024): =================================== I was sent…
50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?
A 50 yo was resuscitated from ventricular fibrillation. He had a prehospital ECG recorded after ROSC: What do you think?…