Status epilepticus. What is this ECG pathognomonic of?
This patient presented with status epilepticus. Here is the ECG: The computer reads a long QT at 449 ms, and a Hodges QTc of 506 ms. What do…
A 50-something with left shoulder pain and diffuse ST elevation
A 50-something presented with left shoulder pain. He had an ECG recorded: What do you think? = = = There is a huge amount of ST Elevation, but…
What is this Regular SVT?
====================================== MY Comment, by KEN GRAUER, MD (11/12/2019 — Updated for WordPress on 10/29/2025): My appreciation to…
High-Sensitivity Troponin is not a Myth, and “Myth-busting” is often another Myth to be Busted
This is published simultaneously in Emcrit Emergency Medicine News has now published 2 “Myth-Busting” articles by Rory Spiegel which dispute…
A 41 year old with chest pain and a Nondiagnostic Triage ECG. Thrombolytics prior to transfer for PCI.
This was sent by Tom Fiero, from Merced CA, and an avid reader of the blog. “A 41 yo man presented with sudden severe chest pain, onset…
A healthy 30-something presented with nausea, vomiting, benign positional vertigo and atrial fibrillation
A healthy 30-something presented with nausea, vomiting, vertigo and atrial fibrillation. The vertigo is triggered by head movement and…
A man in his 50s with witnessed arrest and ST elevation in aVR
Written by Meyers, edits by Smith A 50-ish year old man was working construction when he suddenly collapsed. Coworkers started CPR within 1…
How do you interpret this ECG?
Late in an evening shift, during a lull in care, I was reading a list of ECGs, one after another, on the computer queue and saw this one,…
40-something male in a head-on Motor Vehicle Collision and Splenic Injury
A 40-something male presents to the stabilization room for evaluation following head on motor vehicle collision (MVC). Pt was reported…
A young peripartum woman with Chest Pain
This is written by Brooks Walsh. https://twitter.com/BrooksWalsh A 30 year-old woman was brought to the ED with chest pain. It had started…