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

ECG Basics & Fundamentals: the value of ECGs in patients with diabetic ketoacidosis (DKA)

STAT ECG Diagnoses: MI in LBBB

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…

2015 ECG Competition Answers (Part 2/2)

This week we review the answers to the last 6 cases from the UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red boxes…

2015 ECG Competition Answers (Part 1/2)

This week we review the answers to the first 6 cases from the UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red boxes…

Differential Diagnoses: short PR intervals and a review of the Lown-Ganong-Levine (LGL) syndrome

HPI: A 65-year-old male presented to the ED with arm pain after a fall. He was found to have a humerus fracture. The following ECG was done in search of…

Literature Review: IV beta blocker use in emergency department patients with suspected ACS, and the prognotic differences between syncope and near syncope

Before watching this video, ask yourself these questions: Should IV BBs be used in the ED for patients with suspected ACS? Does it make a difference if patients have true…

Bradyarrhythmias: regular vs. irregular P-P intervals

ECG cases from Baltimore City EMS

Differential Diagnoses: new T wave inversions in the anteroseptal leads

Literature Review: how long does it take to incorporate evidence into routine clinical practice, and can the HEART pathway safely reduce cardiac testing in low risk chest pain patients

Before watching this video, ask yourself these questions: How long does it take to incorporate evidence-based therapeutics into routine practice? Can the HEART pathway safely reduce cardiac testing in low…

Differential DIagnoses: low voltage QRS and sinus tachycardia

STAT ECG Diagnoses: inverted U waves

HPI:  A 58-year-old male presents with chest pressure and diaphoresis. The following ECG is done. Case ECG  

Differential Diagnoses: new onset seizures

HPI:  A 33-year-old female presents with new onset seizures. The following ECG is done. Case ECG  

Differential Diagnoses: Non-conducted P-waves (P:QRS > 1)

HPI:  A 92-year-old woman presents to the emergency department with lightheadedness. Case ECG   Before watching this week’s video, ask yourself these questions: Focus on the rate and rhythm, what…

Rhythm Interpretation: a three-step approach to diagnosing AV blocks

HPI:  A 54-year-old woman with PMHx of cardiomyopathy is referred to the ED by her cardiologist who is concerned about an “arrhythmia”. Case ECG   Before watching this week’s video,…

Literature Review: how does basic life support compare to advanced (ACLS) in out of hospital cardiac arrest outcomes, and does availability of prior ECGs improve accuracy of STEMI recognition by paramedics?

Before watching this video, ask yourself these questions: Is noninvasive therapeutic hypothermia safe and efficient? Does availability of a prior ECG improve accuracy of STEMI recognition by paramedics? How does…

ECG Basics & Fundamentals: a systemactic approach to ECG interpretation

HPI:  A 78-year-old male presents to the ED complaining of generalized weakness. Case ECG