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Potpourri of cases: critical electrolyte abnormalities, clumped or grouped beats, and so much more!

 A 73-year-old man presented to the ED with chest pain and is noted to be hypotensive (95/45). The following ECG was obtained:

Potpourri of cases: BRASH syndrome, the ECG findings in patients of digoxin, and so much more

A 54-year-old man presented to the ED with chest pain. The following ECG was obtained:

STAT ECG Diagnoses: STEMI mimics and how you can use the QRS axis to clinch the diagnosis in patients with altered mental status

A 46-year-old man presented with pleuritic left sided chest pain. He was found down for an unknown period of time, with suspicion for drug overdose. The following ECG was obtained:

Bifascicular blocks, BRASH syndrome, and so much more!

This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…

How to distingusish between left anterior vs. posterior fascicular blocks (LAFB vs. LPFB), hyperkalemia emergencies, and much more!

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….

Bifascicular blocks, trifascicular blocks, electrocardiographic polyuria, and much more!

A 65-year-old man presents to the ED chest pain worse with sitting up and exertion. The following ECG is obtained:

STAT ECG Diagnoses: hyperacute T waves and other subtle but deadly ECG signs of acute coronary syndromes

A 64-year-old man presents to the ED with dyspnea and chest pain. The following ECG is obtained:

Bradyarrhythmias: what to consider when an unstable bradycardia is not reponding to standard ACLS treatments

A 60-year-old woman presents to the ED with dyspnea on exertion and malaise. She is hypotensive and bradycardic. The following ECG is obtained:

Literature Review: pearls and pitfalls in the ECG diagnosis for ventricular tachycardia

A 45-year-old with no known past medical history presents to the ED with palpitations. She is hemodynamically stable. The following ECG is obtained:

STAT ECG Diagnoses: left bundle branch block (LBBB) basics and expected findings with a focus on how to diagnose acute coronary occlusion myocardial infarction in these patients

A 85-year-old woman with a known history of LBBB presents to the ED with chest pain concerning for acute ischemia. The following ECG is obtained: 

Literature Review: evaluation of Spodick’s sign and other electrocardiographic findings as indicators of STEMI and acute pericarditis

A 40-year-old male presents to the ED with chest pain. The following ECG is obtained with a computer interpretation of “Acute Pericarditis”: 

STAT ECG Diagnoses: bizzare rhythm interpretation tips

An elderly patient is hospitalized with severe sepsis and multi-organ system failure. The following rhythm is noted on cardiac monitoring:

STAT ECG Diagnoses: ECG findings of digoxin effect vs. digoxin toxicity

A 57-year-old male with PMHx of DM, heart failure (on digoxin) and leukemia presents with lightheadedness and near-syncope. The following ECG is obtained:

Literature Review: QRS fragmentation and pseudonormalization of T waves

A 64-year-old male with PMHx of HTN, DM, and obesity presents with chest pain radiating to the left arm. The following ECG is obtained, and compared to a previous ECG…

STAT ECG Diagnoses: QRS fragmentation and attention to ecopic beats to help diagnose acute cardiac ischemia on the ECG

A 78-year-old male with PMHx of HTN and DM presents with chest discomfort and diaphoresis while moving the lawn. The following ECG is obtained:

STAT ECG Diagnoses: diagnosis of acute myocardial infarction (MI) in patients with paced rhythms

An 86-year-old female with PMHx of CAD and pacemaker placement presents to the ED with acute chest pain. Pain has been radiating to the right upper extremity for 1 hour…

STAT ECG Diagnoses: what is the signifcance of a new T wave inversion in aVL?

A 45-year-old male presents to the ED with chest pain and shortness of breath. The following ECG is obtained:

STAT ECG Diagnoses: ventricular rhythms in patients being evaluated for acute coronary syndromes (ACS)

A 45-year-old male presents to the ED with chest pain and diaphoresis. He is being treated for a suspected MI and is noted to have a change in rhythm. The following…

AV Block Bootcamp (Episode 3/3): the answer lies in the PR interval!

HPI: A 72-year-old female presents to the ED with chest pain and lightheadedness. The following ECG is obtained:

AV Block Bootcamp (Episode 2/3): what is the atrium doing, what is the ventricle doing, and what is their relationship?

A 72-year-old female presents to the ED with dyspnea. The following ECG is obtained:

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