46 year old with chest pain develops a wide complex rhythm — see many examples
Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the…
Young man with Gunshot wound to right chest with hemorrhagic shock, but bullet path not near heart. A case of irregular accelerated idioventricular rhythm (AIVR)
A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and…
Getting It Right Despite the Wrong Paradigm
Written by Alex Bracey, edits by Meyers and Smith A 50 something year old male presented to the ED as a transfer from an outside hospital with…
A Wide Complex Rhythm in an Intoxicated Patient
This patient presented with altered mental status and was thought to be intoxicated. He did not have any other apparent medical issues.…
Chest pain and precordial ST depression which resolve, followed by a wide complex rhythm
Here is another case written by Pendell Meyers, a G2 at Stony Brook. As I mentioned before, Pendell will be helping to edit and…
What is this rhythm?
Unfortunately, I remember who sent this EKG to me, or the clinical information, but it is a very interesting tracing. What is it? Below is an…
An adolescent with trauma, chest pain, and a wide complex rhythm
This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospital Case: An…
Is this Left Bundle Branch Block? Is there STEMI?
A male 1 ppd smoker in his 50’s with no prior cardiac history called 911 because the chest pain and left arm pain, with SOB and…
What is the rhythm? And is there new left bundle branch block (LBBB)?
A 90 yo with a history of orthostatic hypotension had a near syncopal event followed by chest pain. Chest pain was resolved upon arrival in…