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Differential Diagnoses: ST segment elevation in aVR
A 53-year-old man presents to the emergency department with syncope. The patient reports abrupt onset of severe, sharp chest/thoracic pain prior to the syncopal episode. The following ECG was obtained…
ECG Basics & Fundamentals: causes of prolonged ST segment
A 54-year-old woman presents to the emergency department with generalized weakness and nausea. She is tachycardic but otherwise has normal vital signs. The following ECG was obtained:
Rhythm Interpretation: AV dissociation does not always mean there is a complete heart block
A 64-year-old woman presents to the emergency department with sore throat. The following ECG was obtained at triage:
Rhythm Interpretation: is it possible for a 12-year-old to have complete heart block?
A 12-year-old boy is brought into an emergency department in Oman for chest pain and joint pain. The following ECG is obtained:
STAT ECG Diagnoses: the ECG findings in sodium channel blocker toxicity
A father calls an ambulance for his 16-year-old daughter who is not feeling well. She has been listless and having palpitations. She is found to be tachycardic with a normal…
Literature Review: occlusion MI in paced rhythms
HPI: An 84-year-old male presents to the emergency department with 4 hours of chest pain. He has a history of coronary artery disease and has a pacemaker. The following ECG…
STAT ECG Diagnoses: REALLY wide complex tachycardia
A patient is brought into the emergency department with palpitations, weakness, and shortness of breath. She has a normal blood pressure. The following ECG is obtained:
Bradydysrrhytmias: altered mental status, hypotension, and not able to transcutaneously pace
A 50-year-old male is brought into the emergency department from prison with bradycardia, hypotension, and altered mental status. Medics started IV fluids and treated with atropine with no response prior…
Stepwise approach to ECG interpretation: systematic rhythm interpretation in a case of syncope
A 76-year-old male presents to the emergency department after an episode of syncope. He denies a prodrome and has no focal neurological complaints or findings. The following ECG was obtained:
ECG Basics & Fundamentals: respect the T waves!
A 29-year-old male presents to the emergency department with a mild headache and dyspnea. He is an avid cyclist who biked 40 miles the day before. His exam is normal….
ECG Basics & Fundamentals: the sensitive vs. specific definitions for low voltage QRS complexes and differentials that cause them
A 66-year-old woman presents to the emergency department with a few days of midsternal chest pain that is sharp and non-radiating. She is noted to have mild dyspnea on exertion…
Reverse Wellens Waves: not all biphasic T waves are indicative of ACS!
A 25-year-old woman presents to the emergency department with lightheadedness and palpitations for 1 week. Her symptoms worsened today with a near-syncopal episode. She is thin/frail and dehydrated in appearance….
Palpitations: a cardiac cause with increased risk of arrhythmia and sudden cardiac death
A 50-year-old woman presents to the emergency department with palpitations. She has had signs and symptoms of an upper respiratory tract infection with low grade fevers. She is tachycardic but…
Rhythm Interpretation: using lewis leads to nail the diagnosis
A 85-year-old male presents to the emergency department with lightheadedness and palpitations. The following ECG was obtained on arrival:
EMS ECGs: S1Q3T3, is it pathognomonic for acute pulmonary embolism
A 63-year-old woman presents to the emergency department with palpitations. The following ECG was obtained by EMS prior to arrival:
Literature Review: severe hyperkalemia, ST segment elevation in aVR, and many more interesting topics
A 60-year-old woman with PMHx of HTN is brought in by EMS with chest pain and diaphoresis. The following prehospital ECG was obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 3/3)
A 80-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)
A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 1/3)
A 50-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: Sgarbossa criteria in paced rhythms
A 80-year-old woman presents to the ED with midsternal chest pain and near-syncope. The following ECG is obtained:
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