It’s best to recognize OMI before deciding not to intervene
This is an elderly woman with a history of HFrEF (EF 20%), CKD, hypertension, dyslipidemia, decompensated Cirrhosis, Hepatic Encephalopathy,…
Chest pain and nausea with a diagnostic ECG
Written by Pendell Meyers, sent by anonymous A man in his 40s called EMS for acute symptoms including chest pain, abdominal pain, nausea, and…
A sick elderly patient with nonspecific symptoms
Written by Pendell Meyers An elderly woman summoned EMS for generalized weakness and multiple vague complaints. She was confused and ill…
Potassium 6.2 with narrow QRS: any indication for calcium?
Written by Jesse McLaren An 80 year old patient with diabetes/hypertension/cirrhosis presented to a hospital clinic for routine…
Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI?
I was reading ECGs on the system and saw all of these, from one patient. I read them without clinical context and looked at the clinical…
Prehospital “Altered mental status and hypotension due to probable DKA” (everyone must know this ECG diagnosis)
A patient presented with hypotension and altered mental status and presumption of DKA. As the medics arrived, they handed me this ECG: What…
Handed this ECG from triage. What will you do?
Written by Sean Trostel MD I returned to my desk after seeing a patient and saw this screening ECG sitting on my desk to be read. The…
How will you save this critically ill patient? A fundamental and lifesaving ECG interpretation that everyone must recognize instantly.
Written by Pendell Meyers A woman in her 30s called EMS for acute symptoms including near-syncope, nausea, diaphoresis, and abdominal pain.…
Tachycardia and hyperkalemia. What will happen after therapy with 1 gram of Ca gluconate and some bicarbonate?
A 20-something type, 1 diabetic presented by EMS with altered mental status. Blood pressure was 117/80, pulse 161, Resp 45, SpO2 100 on…
An elderly patient with syncope, dyspnea, and weakness, but no Chest Pain, and mild hyperkalemia
An elderly patient had a fall from probable syncope, and could not get up. He complained of weakness and shortness of breath, but no…