lead misplacement8 Min Read Hans HelsethonMay 29, 2026 The Right Decision for the Wrong Reason? An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…
modified sgarbossa criteriaNew LBBBRate-related bundle branch block6 Min Read Jesse McLarenonMay 25, 2026 65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion? by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…
NSTEMI is worthlessOcclusion MI/Non-Occlusion MI (OMI/NOMI) paradigmOMI in cardiac arrestSTEMI or NSTEMI DiagnosisSTEMI/NonSTEMI paradigm9 Min Read Willy FrickonMay 22, 2026 STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis. A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…
2 Min Read Steve SmithonOctober 2, 2015 Extreme Bradycardia after Diarrhea and Dehydration. Best ED treatment? A patient presented with weakness. He was found to be bradycardic, so this ECG was recorded: There is atrial flutter with 3rd degree AV…
Steve SmithonOctober 4, 2015 The ridiculous pricing of pharmaceuticals in the U.S. I just wrote this letter to my two senators and my representative, and I hope you’ll do the same: Dear ________, I practice Emergency…
4 Min Read Steve SmithonOctober 6, 2015 Best Explanation of Terminal QRS Distortion in Diagnosis of Electrocardiographically Subtle LAD Occlusion This piece was written by Brooks Walsh, who has some great contributions to this blog. There are, of course, some additions and edits by…