Even when the story is obvious, with intractable pain, the STEMI paradigm can cause preventable delays
Written by Pendell Meyers A man in his early 60s presented with acute chest pain rated 10/10 with associated nausea and vomiting with…
A woman in her 60s with syncope and vomiting. Does she need a pacemaker?
Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…
A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits
Submitted and written by Emergency Physician Dr. Arjun J V, with some minimal edits by Smith and Meyers A man in his 30s was rushed into our…
An elderly man who dies 12 hours later – could he have been saved?
Sent by Anonymous, written by Pendell Meyers and Steve Smith An elderly man with good neurologic baseline but history of CABG presented to the…
A 76 Year Old Female With Recurrent Syncope, Lightheadedness, Palpitations and Negative Stress Test
Written by Lucas Goss MD, peer reviewed by Meyers, Smith, Bracey A 76 year old female with a history of arial fibrillation not on…
Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man.
A 40-something male called 911 for 2 hours of crushing, non-radiating, chest pain at about 11 AM. He reported a similar episode…
A 52 year old female with chest pain
Written by Pendell Meyers, edits by Steve Smith A 52 year old female with history of hypothyroidism and smoking presented to the ED with an…
A 64 year old man with chest tightness
Submitted and written by Kaley El-Arab MD Peer reviewed by Pendell Meyers, Alex Bracey, Stephen Smith A 64-year-old male with past…
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
This is a case from many years ago that I discovered recently. The patient has heart failure as a result of this event. A 50-something…
LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man’s life
Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo…