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Baltimore City EMS Cases with Dr. Amal Mattu


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. The following 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. Do you see any evidence of ischemia or is this most consistent with early repolarization?
  3. Would you activate the cath lab?