A 50-something male with acute chest pain
A 50 y.o. male was sitting at a work conference when he began having substernal chest pain with diaphoresis. He had a history of…
Doctor, should we activate the hospital’s “STEMI alert”?
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on arrival…
The delay between OMI and STEMI claims yet another patient’s anterior wall
Written by Pendell Meyers with edits by Steve Smith An elderly woman with HTN presented with L sided chest pain, intermittent over the past…
Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…
Chest pain resolved, and a “Normal” ED ECG
A previously healthy middle-aged male presented shortly after the acute onset of chest pain very shortly before calling 911. On arrival, he…
What will you do for this patient transferred to you who is now asymptomatic?
A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness…
A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB).
A patient arrived after PEA arrest, with ROSC after intubation and chest compressions. Here is the initial 12-lead ECG: What is the…
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician
A recent residency graduate, let’s call her “The Graduate” or “TG,” texted me these ECGs from somewhere far away…
I saw this computer “normal” ECG in a stack of ECGs I was reading
While I had a few moments, I was reading a series of consecutive ECGs recorded in the ED. I came across this one: The computer read was:…