EMS ECGs: differentials to consider when dealing with ST elevation and right axis deviation in sick patients

Baltimore City EMS Cases with Dr. Amal Mattu


A 26-year-old man presents to the ED with chest pain. The following prehospital ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential?
  3. Would you activate the cath lab?