Another Inadequate Paper Published on Triage ECGs, whose Conclusions Need Scrutiny.
See the Case below. This paper was just published: Noll S. et al. The utility of the triage electrocardiogram for the detection of…
A “normal ECG” on a busy night
Written by Pendell Meyers We walked in to an overnight shift with approximately 70 patients in the waiting room and a room full of sign-outs…
A 50-something woman with chest pain and 2 “normal” ECGs at triage
A 50-something woman with history of DM and HTN presented with one hour of chest tightness. I was screening all patients at triage and…
Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once!
Two Cases Male Patient I was handed this ECG of a 40-something male patient. It was recorded at triage. The chief complaint was…
A patient with a “seizure” and a completely “normal” ECG
I happened on this ECG while walking by, and read it with no clinical information, remarked on it, and discussed it with the physicians caring…
A middle-aged woman with chest pain and a “normal” ECG in triage
This was sent to me by a former resident from a community hospital: A middle-aged woman complained of chest pain and was seen in triage. She…
Chest pain and a “normal” ECG
This is another case written by Pendell Meyers (who is helping to edit the blog and has many great recent posts) Case A 45 year old man was…
Should Emergency Physicians be interrupted by ECGs that are read as “Normal” by the computer?
Here was a comment on Facebook about this post: “I was hoping this post would let me off the hook for all those “normal ekg”…
Chest Pain Diagnosed as Gastroesophageal Reflux
A 50-something male presented to a clinic for one day of intermittent substernal chest and jaw pain. He had had several episodes of pain…
How unreliable are computer algorithms in the Diagnosis of STEMI?
A 61 year-old with chest pain arrived to the ED by ambulance with resolving chest pain. Here is his ED ECG: The computer interpretation…