Weekly Workout August 21, 2023
Wide Complex Tachycardias: differentiation between the four different types of ventricular tachycardia & the importance of recognizing arrhythmias in tachy-brady syndromes

A 73-year-old woman is found by family in bed with decreased level of consciousness. She is brought into the ED for evaluation and is found to have bradycardia and episodic…

Weekly Workout November 20, 2022
Potpourri of cases: generic polymorphic ventricular tachycardia vs. torsades de pointes, regularized atrial fibrillation, and much more!

A 60-year-old man presents to the emergency department with generalized weakness and intermittent palpitations. Vital signs are normal on arrival. The following ECG is obtained during an episode of palpitations:

Weekly Workout March 1, 2021
STAT ECG Diagnoses: getting rhythm strips right and knowing when acute intervention is needed

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…

Weekly Workout May 3, 2020
ECG Basics & Fundamentals: how common is artifact?

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:

Weekly Workout December 30, 2019
STAT ECG Diagnoses: abnormal T waves and T wave alternans

An elderly male presents with weakness and lightheadedness to his primary care physician. He is referred to the ED after the following ECG is obtained:

Weekly Workout June 25, 2018
A specific tachyarrhythmia with an excellent prognosis

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…

Weekly Workout June 18, 2018
Wide Complex Tachycardias: the three major types of ventricular tachycardia

A 60-year-old man presents to the ED chest pain concerning for ACS, and a prehospital ECG concerning for inferior STEMI. The following ECG is obtained on arrival to the ED:

Weekly Workout August 28, 2017
STAT ECG Diagnoses: when to avoid amiodarone

A 45-year-old man presents with nausea and vomiting. He appears dehydrated and reports taking furosemide chronically. Treatment with IV fluids and ondansetron is initiated, and the following rhythm strip is…

Weekly Workout January 25, 2016
STAT ECG Diagnoses: how would this prehospital rhythm strip change your management?

A 10-year-old male is transported to your ED for recurrent seizures. The following prehospital rhythm strip was obtained:

Weekly Workout November 30, 2015
ECG Basics & Fundamentals: can torsades cause seizures?

A 55-year-old man presents to the ED after a witnessed seizure and is somnolent on arrival. He wakes up enough to mumble answers to a few questions but then becomes…

Weekly Workout September 7, 2015
Wide Complex Tachycardias: what is the difference between polymorphic ventricular tachycardia and torsades des pointes

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…

Weekly Workout March 23, 2015
Differential Diagnoses: new onset seizures

HPI:  A 33-year-old female presents with new onset seizures. The following ECG is done. Case ECG  

ECG Tags