A young man with tachycardia. Should We Try Adenosine?
A young man presented with weakness and fever. His pulse was 186. An ECG was recorded: What do you think? There is a regular narrow complex…
A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation
A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous…
I was reading ECGs on the system when I came across this one, called “normal” by the conventional computer algorithm
I come in early for every shift to read the ECGs on the system that have not yet been “confirmed”. I came across this one:…
A 60 year old with chest pain
A 60 year old with chest pain: what do you think? The medics came to me worried about hyperacute T-waves. But these are not HATW and I…
This was texted to me by a former resident. An 80-something woman who presented with chest pain and dyspnea.
This was texted to me. An 80-something woman who presented with chest pain and dyspnea. What do you think? The rhythm appears to be…
This was texted to me in real time. The patient has acute chest pain.
This was texted to me in real time. The patient has acute chest pain. What do you think? Here was my answer: “Not ischemia.…
63 year old with “good story for ACS” but negative troponins…..
This was texted to me from a former resident, while working at a small rural hospital, with the statement: “I can’t convince…
Chest pain with 2 serial ECGs, with dynamic change, texted to me
These 2 ECGs were texted to me only with, “Chest Pain”. What was my response? = = = Smith: Young thin black males. No OMI.…
Young Man with Very Fast Regular Wide Complex Tachycardia
EMS was dispatched for a 30-something male who feels his heart is racing. Sudden onset. The patient had no previous medical history.…