5 more challenging EMS cases to help you test your emergency ECG interpretation skills

Baltimore City EMS Cases with Dr. Amal Mattu


A 74-year-old man is brought into the ED by EMS with nausea, vomiting, and malaise. The following prehospital ECG was obtained:

Before watching the video, look closely at this ECG and ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential for the ST segment elevation in aVR?
  3. Would you activate the cath lab?