A 20-something woman with Chest Pain
A 20-something woman presented with 30 minutes of sudden onset chest pressure that started while in the bathroom. She had no relief from nitro…
A woman in her 50s with dyspnea and bradycardia
Written by Pendell Meyers A patient in her 50s presented with shortness of breath and fatigue worsening over 1 week. Her vital signs were…
A woman in her 70s with bradycardia and hypotension
Submitted by Anonymous, written by Pendell Meyers A woman in her 70s with HTN and DM had been experiencing lower chest / upper epigastric pain…
A man in his 30s with 12 hours of chest pain; is the ECG consistent with 12 hours of occlusion?
Written by Pendell Meyers, submitted by Siva Vittozzi-Wong A man in his 30s with history of hypertension, hyperlipidemia, and diabetes…
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…
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…
60-something with 2 days of intermittent epigastric pain. Why does the cardiologist disagree?
One of our residents who just graduated 3 months ago texted me this ECG: “Hey Steve, would be grateful for any thoughts on this…
A 40-Something male with a “Seizure,” Hypotension, and Bradycardia
This is by one of our outstanding 3rd year residents, Aaron Robinson, with some edits and comments by Smith EMS responded to a reported…
Chest pain with NonDiagnostic ECG but Diagnostic CT Scan
An elderly woman presented with chest pain that radiated to the back for several hours. Here is here initial ECG: There is only a nonspecific…
A 40-something healthy male with transient chest squeezing
A 40-something man with Hx of treated HTN had chest “squeezing,” with SOB and diaphoresis, 10 hours prior to presentation. It…