Myocarditisshark fintroponin2 Min Read Steve SmithonFebruary 16, 2020 A 53 yo woman with cardiogenic shock. Believe me, this is not what you think. This was sent by a reader. A previously healthy 53 yo woman was transferred to a receiving hospital in cardiogenic shock. pH was 6.9 and K was…
ECLS -- Extracorporeal Life SupportECMO -- Extracorporeal Membrane OxygenationGiant R-wavepostinfarction regional pericarditisshark fin7 Min Read Steve SmithonNovember 22, 2019 Persistent Ventricular Fibrillation, ED ECMO, ED TEE, ROSC, Shark Fin ECG (also called “Giant R-wave”), Postinfarction Regional Pericarditis. What a Case! A 40-something suffered witnessed ventricular fibrillation, had bystander CPR, but could not be defibrillated after 4 attempts. He was…
LAD occlusionOMIshark finwide complexwide QRS6 Min Read Pendell MeyersonOctober 4, 2019 Shark Fin morphology recognized only by EM physician Case submitted by Alex Bracey, Written by Alex Bracey and Pendell Meyers A man in his 70s complained of acute chest pain followed by witnessed…
shark fintombstones6 Min Read Steve SmithonJune 11, 2018 “Shark Fin”: A Deadly ECG Sign that you Must Know! This case and discussion is written by Sam Ghali (@EM_RESUS), with a few edits by Smith Shark Fin has also been called: “Giant…
Giant R-waveshark fin5 Min Read Steve SmithonJuly 3, 2015 Giant R-waves. What are they? This case was sent to me by my frequent co-author, Brooks Walsh, with some editing by me: An elderly patient was brought in by EMS from a…