“Shark Fin”: A Deadly ECG Sign that you Must Know!
This case and discussion is written by Sam Ghali (@EM_RESUS), with a few edits by Smith Shark Fin has also been called: “Giant…
Left Bundle Branch Block, Severe Chest pain, Previous Normal Angio. What is going on?
A middle-aged woman with idiopathic cardiomyopathy and biventricular failure, with previous EF of 15%, presented with sudden onset severe…
Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations — A Case from Salim Rezaie (R.E.B.E.L. EM)
This case is posted by Salim Rezaie (@srrezaie) Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations It has some peer review by me…
A 33 year old male with acute back pain radiating to the chest
Written by Pendell Meyers, with edits by Steve Smith Case I was called to the EMS control room to answer an RMA (Refusal of Medical Advice).…
The blood sample is hemolyzed. Twice. Is there hyperkalemia on the ECG?
This patient presented from dialysis because his shunt was malfunctioning. He had no definite indication for dialysis unless his K was…
Is this just right bundle branch block?
This ECG was texted to me with the text: “There is a history of RBBB but we do not have an image to compare this with. I interpret…
I saw this ECG only after the patient was discharged….
I was reading ECGs on the computer system when this one came up: What do you think? There is apparent ST elevation in III, with reciprocal ST…
Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once!
Two Cases Male Patient I was handed this ECG of a 40-something male patient. It was recorded at triage. The chief complaint was…
You have two hours to save this patient’s life
Written by Pendell Meyers, edits by Steve Smith A female in her 60s with history of CAD s/p PCI and CABG, alcohol abuse, and recurrent…
Shoulder pain after lifting a heavy box
Written by Pendell Meyers, edits by Steve Smith This will be too easy for most long-time readers, but if you are at that level, sit back and…