Key Points Artifacts = non-cardiac signals that distort or obscure true ECG. They come from the patient, leads/equipment, or the environment. Clues to artifact: lacks a physiologic pattern, varies beat-to-beat…
A 67-year-old woman with PMHx of HTN, DM, and ESRD presents to the emergency department drowsy and non-cooperative. Her blood sugar is elevated, pH 7.23, and there is concern for…
A 70-year-old male presents to the emergency department with acute chest pain that sounds ischemic in nature. The following baseline ECG, arrival ECG, and repeat ECGs are obtained:
An elderly woman with a past medical history of hypertension, diabetes, and Parkinson’s disease presents to the ED with hip pain after a fall. Her blood pressure and mental status…
A 64-year-old man is being brought in by EMS for chest pain and shortness of breath. The following EMS ECG is obtained:
A 65-year-old woman with PMHx of Parkinson’s disease presents to the emergency department after an episode of syncope. She continues to feel unwell on arrival and appears diaphoretic, blood pressure…
A 55-year-old woman with PMHx of CHF presents to an urgent care facility with shortness of breath, orthopnea, and weight gain after running out of her diuretics for the past…
A 55-year-old woman presents to the ED with mild to moderate COVID pneumonia. She reportedly had a syncopal episode while on a bed pan. The following rhythm strip was obtained…
A 66-year-old man is transferred to the ED from an urgent care where he presented for shortness of breath and was diagnosed with heart failure. He was recently discharged s/p…
A 72-year-old man presents to the ED with near-syncope. During his evaluation he has a 20-second run of the following rhythm captured on 12-lead ECG monitoring:
A 79-year-old man presents to the ED with intermittent episodes of decreased level of consciousness. He is placed on continuous 12-lead cardiac monitoring during his evaluation and a monitor alarm…
A 74-year-old woman presents to the ED with shortness of breath. She has been taking azithromycin for cough. The following ECG is obtained:
This week we review the answers to the first 6 cases from the 4th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before you watch the video! Video…
A 77-year-old male is brought into the ED after being found unconscious in his home. The following prehospital ECG was obtained and compared to an old normal ECG:
A 10-year-old male is transported to your ED for recurrent seizures. The following prehospital rhythm strip was obtained:
A 13-month-old female is transferred to you for intermittent torsades/dysrhythmias from a community ED. She has been slightly lethargic and has a cardiac history of VSD, ASD, and a PDA…