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STAT ECG Diagnoses: abnormal T waves that suggest badness and their mimics

A 20-year-old man presents to the ED with chest pain. He has no past medical history, normal vital signs, and a normal exam. The following ECG is obtained:

STAT ECG Diagnoses: activate the cath lab or get an urgent cardiology consult?

A 65-year-old woman is brought in by EMS with chest heaviness and mid-scapular pain for the past two hours. She received Aspirin and Nitroglycerin en route and arrives asymptomatic. The…

Differential Diagnoses: right axis deviation in patients with syncope

HPI: A 49-year-old male with a history of chronic back pain presents to the ED with syncope. He describes 3 similar episodes over the past week with preceding dizziness. The…

Wide Complex Tachycardias: what is the difference between polymorphic ventricular tachycardia and torsades des pointes

A 13-month-old female is transferred to you for intermittent torsades/dysrhythmias from a community ED. She has been slightly lethargic and has a cardiac history of VSD, ASD, and a PDA…

ECG Basics & Fundamentals: a 5 step approach to ECG interpretation and how to think of differential diagnoses

HPI: A 70-year-old man presents with generalized malaise. He has a history of ESRD and has missed dialysis this week. The following ECG is obtained: Case ECG   Before watching…

STAT ECG Diagnoses: MI in paced rhythms

HPI: An 80-year-old woman presents to the ED with chest pain. The following ECG is obtained. Case ECG

Literature Review: is there a benefit to admitting low risk chest pain patients, and what are the risks or hospitalization?

Before watching this video, ask yourself these questions: Why do we admit patients with chest pain and concern for ACS to the hospital? What is the short-term risk of clinically…

ECG Basics & Fundamentals: you don’t always need ST segment elevation to benefit from acute reperfusion therapy

HPI: A 75-year-old male with a history of hypertension presents to the ED with substernal chest pressure. There is no associated diaphoresis or nausea. The following ECG was obtained. Case…

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