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ECG Basics and Fundamentals: Limb Lead Reversal
A 82-year-old woman presents to the ED “not feeling well”. She reports malaise, mild dyspnea, but denies any pain. Vital signs are normal. The following ECG is obtained on arrival…
ECG Basics and Fundamentals: the isoelectric baseline used to evaluate ST segment deviation
A 45-year-old woman presents to the ED with severe chest pain. She is minimally cooperative when trying to obtain a history and is requesting pain medication for severe pain. Physical…
Differential Diagnoses: T wave inversions and a discussion about Wellens syndrome
A 37-year-old male presents to the ED with a brief episode of sharp epigastric pain followed by ongoing nausea and diaphoresis. Exam is otherwise non-diagnostic. The following ECG is obtained…
STAT ECG Diagnoses: the value of expert ECG interpretation when dealing with patients with altered mental status
An unidentified male is brought into the ED unresponsive. He was reportedly found down with suspected trauma and required intubation at the scene. History is otherwise limited. The following ECG…
STAT ECG Diagnoses: a pediatric patient with syncope and an abnormal ECG
A 9-year-old boy with PMHx of asthma presents to the ED with multiple pre-syncopal episodes. He has been evaluated for similar symptoms in the past by multiple physicians who suspected…
STAT ECG Diagnoses: the right way to think about right axis deviation
A 91-year-old woman with PMHx of HTN, aortic stenosis, and dementia is brought to the ED by EMS after a syncopal episode when walking to the bathroom. Vital signs are…
Narrow Complex Tachycardia: the maximum achievable sinus heart rate
A 67-year-old woman is brought to the ED by EMS for palpitations. She is found to have a heart rate ~168. Vital signs are otherwise within normal limits aside from…
STAT ECG Diagnoses: a holosystolic murmur and a crochetage ECG pattern in a patient with palpitations
A 25-year-old male presents for evaluation of gradually worsening shortness of breath over the past year. He reports the symptoms as mild and associated with occasional palpitations but is otherwise…
Differential Diagnoses: the many causes of ST segment elevation
A 69-year-old woman presents to the ED with chest pain and shortness of breath. The following ECG is obtained:
STAT ECG Diagnoses: ECG findings that can help you clinch the diagnosis in patients with altered mental status
A 56-year-old woman is brought into the ED by EMS and is minimally responsive. History is limited. The following ECG is obtained:
STAT ECG Diagnoses: is this ST segment elevation due to early repolarization or a large STEMI?
A 38-year-old male presents to the ED with acute chest pain. The following ECG is obtained:
Wide Complex Tachycardias: What is the Lewis lead and how you can use modified ECG leads to help make the diagnosis
A 60-year-old male presents to the ED with acute chest pain and lower extremity edema. He is noted to be tachycardic on arrival. The following ECG is obtained:
Literature Review: mechanisms of acute coronary syndromes (ACS) and the problems with stress testing and coronary angiography
A 36-year-old male with history of tobacco use presents to the ED with acute chest pain. He was recently admitted to the hospital for chest pain and had a negative…
STAT ECG Diagnoses: getting rhythm strips right and knowing when acute intervention is needed
A 66-year-old man is transferred to the ED from an urgent care where he presented for shortness of breath and was diagnosed with heart failure. He was recently discharged s/p…
ECG Basics and Fundamentals: the basics of left bundle branch block (LBBB) and how to diagnose acute coronary occlusion myocardial infarction in these patients
A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: the definition of electrical storm and what you need to know about it
A 58-year-old man with PMHx of cardiomyopathy (EF ~30%) presents to the ED with intermittent episodes of palpitations and near syncope. The following ECG was obtained during an episode:
Literature Review: subtle early signs of cardiac ischemia and the value of serial ECGs in patients being evaluated for acute coronary syndromes (ACS)
A 47-year-old man is brought to the ED by EMS for acute onset left sided chest pain. The history is concerning for an acute coronary syndrome. The following ECG was…
STAT ECG Diagnoses: the challenge of evaluating for occlusion MI in patients with left ventricular hypertrophy (LVH)
A 59-year-old man presents to the ED with intermittent exertional chest pain for the past 2 days. The following ECG is obtained:
ECG Basics and Fundamentals: normal pediatric ECGs and how they differ from normal adult ECGs
A 6-year-old female is brought into the ED for chest pain. The following ECG was obtained:
Differential Diagnoses: important considerations in patients with new onset seizures or altered mental status, must know diagnoses in the emergency department
A 40-year-old man is brought into the ED after being found in the street and noted to have intermittent seizures. He is tachycardic, hypertensive, and febrile. The following ECG was…
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