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7 Min Read

onFebruary 16, 2025

What factor determines final diagnosis of STEMI vs. NSTEMI? Is it ST Elevation? Occlusion? or Something else? What?

The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented…

5 Min Read

onJanuary 9, 2025

A 26 year old male presented with syncope and chest pain. Syncope was sudden and without prodrome, and resulted in head trauma with a…

6 Min Read

onDecember 23, 2022

I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This…

4 Min Read

onMarch 18, 2020

A 32 year old woman with chest pain has a prehospital ECG: What do you think? Is it really “due to ventricular hypertrophy,” as…

6 Min Read

onApril 23, 2018

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).…

5 Min Read

onNovember 18, 2013

There are many interesting facets to this case. I have highlighted the clinical factors over the ECGs, but the ECGs are very instructive…