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ECG Basics and Fundamentals: the value of ignoring the ECG computer interpretation and looking closely at all 12 leads
A 48-year-old female presents to the ED with palpitations and near-syncope. She reports multiple episodes of palpitations in the past that have not been evaluated. The following ECG is obtained:
Differential Diagnoses: what to consider in patients with regular wide complex tachycardias (RWCT)
A 45-year-old male presents to the ED with palpitations and is found to be markedly tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 2/2)
LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 1/2)
LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…
STAT ECG Diagnoses: intermittent runs of nonsustained ventricular tachycardia vs. aberrant conduction
A 36-year-old male with PMHx of RV failure, pulmonary hypertension, and HFrEF presents to the ED with shortness of breath, palpitations, and cough. The following ECG is obtained:
Differential Diagnoses: causes of prolonged QTc intervals with long ST segments
A 48-year-old male is brought in after being found unresponsive on the street. History is otherwise limited. The patient is afebrile and mildly bradycardic with a normal blood pressure. The…
STAT ECG Diagnoses: the differentials to consider when dealing with ST segment elevation and an impressive syndrome
A 61-year-old woman presents the ED for evaluation of a possible acute stroke. She woke up unable to walk due to bilateral lower extremity weakness and is now also feeling…
Potpourri of cases: the most common ECG findings in pulmonary embolism, electrical alternans, and so much more!
A 72-year-old woman presents the ED with atypical chest pain. She is found to be mildly tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: a review of the differentials to consider when dealing with wide complex tachycardias and when antiarrhythmic medications can be harmful
A 41-year-old female is brought into the ED by EMS unresponsive with unknown past medical history. She is found to be febrile, normotensive (126/78), tachycardic (120s-150s), tachypneic (30s with a…
Literature Review: cardiac risk factors and the risk of myocardial infarction (MI) in habitual marijuana use
A 25-year-old male is brought into the ED by EMS with acute onset chest pain. He has no significant past medical history or known cardiac risk factors but reports smoking…
STAT ECG Diagnoses: considerations in patients with altered mental status and seizures
A 39-year-old male with no significant PMHx presents to the ED after a seizure. He is post-ictal on arrival. Vital signs are normal, and the following ECG is obtained:
Palpitations with extra beats, a discussion on atrial parasystole
A 17-year-old male with no significant PMHx presents to the ED with palpitations. He has no associated symptoms and is otherwise well. Vital signs are normal, but he is noted…
5 more challenging EMS cases to help you test your emergency ECG interpretation skills
A 74-year-old man is brought into the ED by EMS with nausea, vomiting, and malaise. The following prehospital ECG was obtained:
5 challenging EMS cases to help you test your emergency ECG interpretation skills
A 78-year-old man is brought into the ED by EMS with chest aches, dyspnea, and palpitations. The following prehospital ECG was obtained:
Differential Diagnoses: ST segment elevation and short QTc intervals in a patient with generalized weakness
A 45-year-old female presents to the ED with generalized weakness, malaise, joint pains, and confusion. The following ECG was obtained:
STAT ECG Diagnoses: knowing what you are looking for when differentiating the different types of regular wide complex tachycardias
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,…
Rhythm Interpretation: the best lead to use to look for atrial activity, and a discussion on the most over diagnosed tachydysrrhythmia
A 58-year-old male with no significant past medical history presents to the ED with palpitations. The following ECG is obtained on arrival with no prior ECGs available for comparison:
STAT ECG Diagnoses: when to cardiovert narrrow complex irregular tachycardias
A 76-year-old woman presents to the ED with fever and signs of sepsis. She is found to be tachycardic, BP 80/45, RR 24, SpO2 94%, 38ºC. The following ECG is…
2021 ECG Competition Answers (Part 2/2)
Question #8: This 85-year old man presented with palpitations. What is the FULL ECG diagnosis? (2 pts) Case # 10 Answer Case #8 Answer 8. Atrial tachycardia with Mobitz…
2021 ECG Competition Answers (Part 1/2)
This week we review the answers to the first 6 questions from the 9th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions yourself before watching the…
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