A 55-year-old man with a known left bundle branch block presents to ABEM general hospital with acute chest pain. Vital signs are normal and his pain is slightly improved with…
A 75-year-old man with PMHx of hypertension on metoprolol is being brought in for 3 days of nausea, vomiting, and weakness. He reportedly appears dehydrated and is found to be…
A 50-year-old man decides to get “his life in order” for the new year. He quits smoking, decides to eat healthier, exercise more, and to be more compliant with his…
An ill appearing patient arrives to the emergency department in extremis and history is limited. The following ECG is obtained:
A 92-year-old man is brought to the emergency department by EMS with palpitations. The following ECG is obtained on arrival:
A 45-year-old woman is being observed in the emergency department after treatment with thrombolytics for MI. She is noted to be tachycardic one hour after treatment with a change in…
A 48-year-old woman is brought into the emergency department with fever and altered mental status. The following ECG is obtained on arrival:
A 72-year-old woman is brought into the emergency department by family for confusion. She has a history of abdominal hernia repair with subsequent complications, including an exploratory laparotomy for an…
A 70-year-old male with PMHx of HTN, HFrEF, and atrial fibrillation presents to the ED with nausea and lightheadedness. He is noted to be bradycardic on arrival. The following ECG…
A 50-year-old male is brought into the ED with palpitations and is found to have a regular wide complex tachycardia. He is treated with synchronized electrical cardioversion and immediately goes…
A 74-year-old man is brought into the ED by EMS with nausea, vomiting, and malaise. The following prehospital ECG was obtained:
A 79-year-old male is brought into the ED by EMS with palpitations and lightheadedness while doing light yardwork. He is found to have a wide complex tachycardia at 155 bpm,…
A 73-year-old man presented to the ED with chest pain and is noted to be hypotensive (95/45). The following ECG was obtained:
A 54-year-old man presented to the ED with chest pain. The following ECG was obtained:
A 46-year-old man presented with pleuritic left sided chest pain. He was found down for an unknown period of time, with suspicion for drug overdose. The following ECG was obtained:
This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…
This week we will quickly review 6 interesting prehospital EMS ECGs. Let’s start with this 46-year-old man who called an ambulance for chest pain and was noted to be diaphoretic….
A 60-year-old woman presents to the ED with dyspnea on exertion and malaise. She is hypotensive and bradycardic. The following ECG is obtained:
An elderly patient is hospitalized with severe sepsis and multi-organ system failure. The following rhythm is noted on cardiac monitoring: