Altered mental status, bradycardia
This was written by Hans Helseth. Paramedics arrived at the house of a 59 year old man after his caretaker called 911 for altered mental…
What is this ECG finding? Do you understand it before you hear the clinical context?
Written by Pendell Meyers First try to interpret this ECG with no clinical context: The ECG shows an irregularly irregular rhythm, therefore…
Should we activate the cath lab? A Quiz on 5 Cases.
Imagine you just started your ED shift. It’s a busy Friday afternoon. Triage is backed up, and 10 minutes into your shift one of the ED…
How would you manage this patient?
A woman was found outside with altered mental status. She was GCS 3. BP 80/40 Here is her ECG: Diagnosis? Sinus bradycardia with Osborn…
Altered Mental Status, Bradycardia
911 was called for an elderly woman who fell and was confused. Medics found her unresponsive, with “convulsive”…
A Pathognomonic ECG. What is it?
What is it? Answer Below. Answer: Uncertain rhythm, but appears to be sinus rhythm, or possibly junctional, with PVCs. There are…
Hypothermia and Right Bundle Branch Block, with ST Elevation?
This patient was found outside in the cold, unresponsive, hypotensive, and underwent brief chest compressions by EMS. Here is his ED 12-lead…
Massive Osborn Waves of Severe Hypothermia (23.6 C), with Cardiac Echo
This patient was found down in the Minnesota Winter. He felt cold and was unresponsive. He had palpable pulses at a rate of 30,…
Read this ECG
What is the diagnosis here? The computer read was ****Acute STEMI****What is really going on? See Answer Below This is a trauma patient (motor…
Osborn Waves and Hypothermia
Case 1. Temperature 30 degrees Celsius (86 degrees F) due to environmental hypothermia. There is very slow atrial flutter (rate =…