What pathology do all these ECGs manifest?
ECG 1: What do you think? Then you can look at the rest. ECG 1: This is hyperkalemia. As soon as I saw it, I knew it. The peaked T-waves of…
A man in his 50s with chest pain. You must strongly advocate for your patient who has an NSTEMI-OMI ECG pattern.
From Anonymous A man in his 50s experienced acute chest pain and shortness of breath. He presented quickly to the Emergency Department, where…
What is this pattern?
This was contributed by Amandeep Singh, from Highland Hospital In Oakland CA. A 54yo male presented to the ED with severe substernal chest…
Electrophysiology: Wide Complex Tachycardia in a 70-something
Written by Magnus Nossen A 70-year-old man experienced sudden onset of palpitations and nausea while at rest. He immediately called EMS. Upon…
When should you get a CT scan on a STEMI patient to rule out aortic dissection?
Answer: Almost Never 2 cases Case 1: This was sent to me by a reader whose partner managed the case: This was a 55 yo female non-smoker with a…
See Inflated Hyperacute T-waves deflate after thrombolytics
This was sent to me with no information (until later). The conventional computer algorithm says “Early Repolarization” The…
Chest pain, resolved. Reperfusion T-waves. Should the patient go emergently to the cath lab?
Written by Emily Dawra, one of our superb EM G3 residents, with a few edits by Smith. Case: A patient presented to the emergency…
4 patients with chest pain, LVH, and elevated troponin: which has Occlusion MI?
Written by Jesse McLaren Four patients presented with chest pain, an ECG showing LVH, and an elevated troponin. Which patient has an acute…
An 87-year-old with dyspnea and intermittent WCT
Written by Magnus Nossen The patient in today’s case is an 87 year old female with a history of dual chamber pacemaker and Afib. She…
Sam Ghali video: A 55-year-old woman complaining of “severe indigestion”
A 55-year-old woman presented to the ED complaining of “severe indigestion” with abdominal pain, nausea, and vomiting. Given her…