Unconscious + STEMI criteria: activate the cath lab?
Case submitted and written by Dr. Mazen El-Baba and Dr. Evelyn Dell, with edits from Jesse McLaren EMS brought a John Doe, in his 30s, who was…
A man in his 60s with diaphoresis, vomiting, and inferior STE
Written by Pendell Meyers A man in his 60s appeared altered and diaphoretic and vomiting to a bystander, who called EMS. EMS personnel agreed…
A woman in her 60s with chest pain and prominent J waves
Case submitted by Dan Singer MD and Ryan Barnicle MD, Written by Pendell Meyers A woman in her 60s with history of smoking presented to the ED…
Scary ST Elevation. What is it?
911 was called for an 18 year old who had altered mental status after using K2 (a recreational drug). The medics put the patient on the…
I was texted this ECG: “Middle-aged male with Prehospital Cath Lab Activation”
A physician caring for his new arrival, a 50-something with acute chest pain and dyspnea and syncope, texted me this initial ED ED ECG. The…
Osborn Waves and Hypothermia
Case 1. Temperature 30 degrees Celsius (86 degrees F) due to environmental hypothermia. There is very slow atrial flutter (rate =…