Christmas Eve Special Gift!! Prehospital Cath Lab Activation: What do you think?
A 60-something male was sent from Dialysis for several days of SOB. He did not know his medical history well. The patient was in no…
Wide-complex tachycardia that didn’t follow the rules
Case contributed by Brooks Walsh, an emergency physician and ECG aficionado in Connecticut (and a few comments by Smith) A middle-aged…
Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here?
A 40-something woman with h/o obesity, hyperlipidemia, smoking, as well as cocaine and alcohol abuse presented with intermittent chest pain…
A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block
This case was texted to me by one of our residency graduates, and with the outcome, so I don’t know how I would have interpreted it…
“Pericarditis” strikes again
Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chest pain. Several…
Teenager with chest pain and slightly elevated troponin. What happens then?
This is a previously healthy male teenager who was awoken by chest pain. He was seen at another hospital and found to have a…
CO poisoning. Routine ECG recorded before hyperbaric therapy….Are they related?
This patient was working on his truck in a garage without ventilation and the vehicle was running. He felt dizzy and lost consciousness. The…
A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?
Case 1. A 30-something with no medical history presented with 1 day of high temperature and delirium. Her temperature was 106 degrees.…
Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?
A middle-aged woman was found down in her apartment unconscious. She was in shock with thready pulses. A prehospital ECG was recorded: Limb…
Coronary Disease and Chest pain: Is it acute inferior OMI or old inferior MI?
An elderly woman with a h/o myocardial infarction presented with 2 hours of burning substernal chest pain. Here is her ECG: Is there an OMI?…