STEMI

Results:
Weekly Workout February 4, 2019
Literature Review: occlusion MI in paced rhythms

HPI:  An 84-year-old male presents to the emergency department with 4 hours of chest pain. He has a history of coronary artery disease and has a pacemaker. The following ECG…

Weekly Workout January 7, 2019
ECG Basics & Fundamentals: respect the T waves!

A 29-year-old male presents to the emergency department with a mild headache and dyspnea. He is an avid cyclist who biked 40 miles the day before. His exam is normal….

Weekly Workout November 26, 2018
Literature Review: severe hyperkalemia, ST segment elevation in aVR, and many more interesting topics

A 60-year-old woman with PMHx of HTN is brought in by EMS with chest pain and diaphoresis. The following prehospital ECG was obtained:

Weekly Workout November 19, 2018
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 3/3)

A 80-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 12, 2018
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)

A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 5, 2018
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 1/3)

A 50-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout September 16, 2018
Differential Diagnosis: STEMI vs. acute pericarditis

A 45-year-old male presents to the emergency department with sharp, positional, and pleuritic chest pain while doing CrossFit. He is not a smoker and has no known cardiac risk factors….

Weekly Workout June 11, 2018
STAT ECG Diagnoses: ECG findings that preceed ST segment elevation in acute coronary syndromes

A 70-year-old man presents to the ED with right sided chest pain that radiates to the left. His pain started while running to catch the subway, and is associated with…

Weekly Workout May 28, 2018
Post-cardiac arrest ECGs: which arrest survivors should get emergent reperfusion therapy?

HPI:  A 65-year-old man presents to the ED with substernal chest pain that radiated to the back and is associated with nausea. An ECG is obtained on arrival and is…

Weekly Workout February 26, 2018
STAT ECG Diagnoses: “Shark fin STEMI” morphology and what this ECG pattern means!

HPI:  A 59-year-old male presents to the ED with exertional chest pain that resolved on arrival. An ECG (#1) is obtained at triage. While being interviewed by the physician who…

Weekly Workout January 8, 2018
Literature Review: lumen stenosis doesn’t matter in ACS…It’s all about plaque vulnerability!

HPI: A 50-year-old male presents to the ED with concerning chest pain while driving home after an appointment with his cardiologist. He reports having an exercise stress test earlier in…

Weekly Workout November 13, 2017
Several challenging EMS cases to help you make the diagnosis and save more lives!

A 44-year-old man with PMHx of diabetes is transported to the ED by EMS for lethargy and altered mental status. His finger stick blood glucose measurement read as “high”.  The…

Weekly Workout October 30, 2017
Literature Review: outcomes for patients with STEMI presenting with nondiagnostic initial ECGs

A 45-year-old man presents to the ED with 1 hour of chest pain, shortness of breath, and diaphoresis. The following ECG is obtained:

Weekly Workout July 31, 2017
EMS ECGs: ventricular tachycardia (VT) pearls and pitfalls

A 47-year-old woman is brought in by EMS with intermittent palpitations and lightheadedness. The following prehospital ECG was obtained:

Weekly Workout June 5, 2017
2017 ECG Competition Answers (Part 2/2)

  This week we review the answers to questions 7-14 from the 5th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red box…

Weekly Workout March 27, 2017
STAT ECG Diagnoses: new T wave inversion or ST segment depression in aVL

A 66-year-old man presents to the ED with retrosternal chest pain that is associated with nausea. The following ECG is obtained:

Weekly Workout March 20, 2017
ECG Basics & Fundamentals: chest pain in young patient with no known cardiac risk factors

A 35-year-old man with no PMHx presents to the ED with dull burning chest pain that radiates to his left arm. The following ECG is obtained:

Weekly Workout February 26, 2017
ECG Basics & Fundamentals: when a T wave inversion in lead aVL matters

A 45-year-old woman presents to the ED with severe heartburn. Her pain is associated with dyspnea and diaphoresis. The following ECG is obtained:

Weekly Workout January 16, 2017
4 challenging EMS cases to help you nail the diagnosis

A 60-year-old male calls EMS for nausea and vomiting. He is found to be hypotensive in the field with a blood pressure of 75/40 mmHg. The following ECG is obtained:

Weekly Workout November 21, 2016
Wide Complex Tachycardias: considerations in unstable patients with discussion on an important VT mimic

A 78-year-old woman called EMS for palpitations and mild chest pressure. She was shocked 4 times prior to arrival for a wide complex tachycardia and waxing and waning mental status…

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