Would your radiologist make this diagnosis, or should you record an ECG in trauma?
A very young man had severe blunt trauma with severe head injury. As part of his evaluation, he had a “pan-scan” which of course…
Wide Complex Tachycardia with Huge ST Elevation. What is going on?
This 70-something woman with no significant past history (no previous ECGs or cardiac history) presented by EMS with fairly acute chest…
A man in his 50s with abdominal pain and a computer read of ***Acute MI ***
Submitted by Dr. Arjun J V, Written by Pendell Meyers A man in his 50s with history of diabetes presented with acute onset abdominal…
What does LBBB look like in severe hypothermia? Is there a long QT? Is the QT appropriate for the temperature?
This patient was found down in a Minneapolis winter. He was very cold with frostbitten fingers and toes. He was alert but…
7 steps to missing posterior Occlusion MI, and how to avoid them
This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting…
Should we activate the lab? A simple but important lesson
Written by Pendell Meyers A man in his 60s called EMS for sudden chest pain and shortness of breath. He was found in moderate respiratory…
CJEM Open Access OMI Quality Improvement Publication
Just published in the CJEM: From STEMI to occlusion MI: paradigm shift and ED quality improvement Jesse T. T. McLaren…
Hyperacute T-waves — missed. Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) may be due to transient thrombotic Occlusion MI.
Coronary thrombosis (twice in the same patient!!) without a stenosis or even a culprit Do not miss the last image at the bottom that shows the…
Did the posterior leads help here? Why not just get good at STDmaxV1-V4?
Written by Pendell Meyers A middle aged woman presented with chest pain and dyspnea. Her exam and vitals were within normal…
Dynamic ST Depression in precordial leads. Does this transient STD signify subendocardial ischemia?
This case was written up by one of our fantastic 3rd year residents, Michael Fischer. Edits by Smith. A mid 60s male with past history…