What clinical scenario fits best?
Below are 4 ECGs from the same patient. Accompanying the ECGs is some clinical information. Look at the ECGs and consider the timeline and…
Morphine + OMI is a bad combination
This is written by Magnus Nossen, with some edits by Smith This ECG diagnosis will be obvious to the majority of the readers of this blog. It…
This ECG was texted to me: normal variant early repolarization, or LAD Occlusion MI (OMI)?
This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say?…
A 60-year-old diabetic with chest pain, cath lab activated
I came to work one day and one of my partners said, “Hey, Steve, we had a STEMI this afternoon!” I said, “Cool, can I see…
A middle-aged man with acute chest pain.
A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into…
75 year old dialysis patient with nausea, vomiting and lightheadedness
Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal disease was sent to the ED after dialysis for three…
A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation
A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous…
A 60 year old with chest pain
A 60 year old with chest pain: what do you think? The medics came to me worried about hyperacute T-waves. But these are not HATW and I…
This was texted to me in real time. The patient has acute chest pain.
This was texted to me in real time. The patient has acute chest pain. What do you think? Here was my answer: “Not ischemia.…
63 year old with “good story for ACS” but negative troponins…..
This was texted to me from a former resident, while working at a small rural hospital, with the statement: “I can’t convince…