Is it Always Best to Activate when Convinced of Acute OMI in a STEMI World?
Written by Emerson Floyd MD (Edits by Grauer, Meyers, Smith) Smith: Isn’t it sad that we need to be psychologists in order to try to…
What do you think of these 2 ECGs in patients with chest pain? How to approach these?
What do you think of these 2 ECGs in patients with chest pain? How to approach these? ECG 1 (sent to my by Sam Ghali @EM_resus) ECG 2…
Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.
Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with…
Syncope While Driving. Activate the Cath Lab?
A 50-something had syncope while driving. He was belted and it was low speed. He had a prehospital ECG. He was ambulatory at…
H/o MI and stents with brief angina has this ED ECG. And what is Fractional Flow Reserve?
A middle-aged man complained of 15 minutes of classic angina that resolved upon arrival to the ED. Here is his initial ECG: What do you think?…
Chest Pain, ST Elevation, and an Elevated Troponin: Should we Activate the Cath Lab?
This was written by Sam Ghali (@EM_RESUS), with a few edits by me. 52-year-old lady presents to the Emergency Department with 2 hours of chest…
Pulmonary Edema, Hypertension, and ST Elevation 2 Days After Stenting for Inferior STEMI
A male in his 40’s who had been discharged 6 hours prior after stenting of an inferoposterior STEMI had sudden severe SOB at home 2…
Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context
This 54 year old patient with a history of kidney transplant with poor transplant function had been vomiting all day when at 10 PM he…