Cardiac arrest #3: ST depression, Is it STEMI? or is he an ACCESS Trial Candidate?
A patient with unwitnessed arrest received a shock from the AED (presumably ventricular fibrillation). He underwent extensive…
Right Bundle Branch Block and ST Depression in V1-V3. Is that normal? And a complication.
A late middle-aged male with h/o 3 vessel bypass (CABG), type 2 diabetes, peripheral vascular disease, DVT, Chronic Kideny Disease, and…
A middle-aged man with severe syncope, diffuse weakness
A middle-aged male diabetic who is otherwise healthy was found unconscious by his wife, with incontinence. He quickly awoke but was too…
How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently?
This case was sent by Joseph Ryan (@DocJoseph08), chief resident from Corpus Christi’s EM residency program. This…
Starting a list of some of the best blog cases here….
1. I just remembered this one: Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab? 2.
Right precordial ST depression in a patient with chest pain
This case comes from Sam Ghali (@EM_RESUS). Thanks, Sam! A 70-year-old man calls 911 after experiencing sudden, severe chest…
A 50-something male with Dyspnea
A middle-aged male presented with dyspnea. An ECG was recorded. What is going on? See below. There is sinus rhythm. There is…
A Hybrid of de Winter’s T-waves and Diffuse Subendocardial Ischemia: Left Main Ischemia
A very elderly woman who was highly functional complained of jaw pain and called 911. Her BP was 80/40 with a puls of 45. Here is…
Head On Motor Vehicle Collision. ST depression. Myocardial Contusion?
A woman in her 40’s was involved in a head-on motor vehicle collision. EMS noted a facial droop. On arrival she was hypertensive…
A woman in her 50s with reproducible chest pain (seems to be chest wall pain)
This woman had recently undergone rotator cuff surgery and presented with L shoulder and chest pain. The pain was very reproducible with…