Latest
Literature Review: Resolution of ST elevation on serial ECGs in post cardiac arrest patients
A 64-year-old male is brought to the ED after cardiac arrest. He achieved ROSC after CPR, defibrillation, and epinephrine administration. A post ROSC ECG was immediately obtained by EMS and…
Literature Review: Resolution of ST elevation in STEMI
Paramedics are transporting a middle aged male with chest pain and an obvious inferior STEMI. They arrive to the emergency department and the following ECG is obtained on arrival about…
2024 EM Boards ECG Review (Part II/II)
A 55-year-old man with a known left bundle branch block presents to ABEM general hospital with acute chest pain. Vital signs are normal and his pain is slightly improved with…
2024 EM Boards ECG Review (Part I/II)
A 61-year-old man with a history of atrial fibrillation presents to ABEM general hospital with lightheadedness and palpitations. He is tachycardic but otherwise has normal vital signs. The following ECG…
Literature Review: ST segment elevation, but not in contiguous leads!
A 57-year-old woman presents with chest pain and dyspnea. She is hemodynamically stable and her exam is non-diagnostic. The following ECG is obtained:
2024 EMS Cases Part III
A 75-year-old man with PMHx of hypertension on metoprolol is being brought in for 3 days of nausea, vomiting, and weakness. He reportedly appears dehydrated and is found to be…
2024 EMS Cases Part II
A 56-year-old woman is being brought in by EMS for palpitations. The following EMS ECG is obtained and transmitted:
2024 EMS Cases Part I
A 64-year-old man is being brought in by EMS for chest pain and shortness of breath. The following EMS ECG is obtained:
Literature Review: Brugada Syndrome
A 55-year-old man with no significant PMHx (on no medications) presents to the emergency department with right lower quadrant pain. He is afebrile on arrival, with mild sinus tachycardia. He…
Literature Review: Fever and ST segment elevation after syncope
A young woman presents to the ED after a syncopal episode. She hit her chest after falling and has reproducible chest wall tenderness on exam. She is also noted to…
Literature Review: Fever and ST segment elevation after syncope
A young woman presents to the ED after a syncopal episode. She hit her chest after falling and has reproducible chest wall tenderness on exam. She is also noted to…
Paralysis Unmasked: Impressive ECGs That Saved the Day
A 45-year-old woman with PMHx of HTN, DM, ESRD (MWF hemodialysis) presents with complete paralysis below the neck. She reports being normal and fully functional before going to bed the…
New Year’s Resolution: a patient who is trying to get healthier presents to the ED with this unstable bradycardia
A 50-year-old man decides to get “his life in order” for the new year. He quits smoking, decides to eat healthier, exercise more, and to be more compliant with his…
Christmas Case: Decoding the ECG of a 7-year-old boy with lightheadedness and palpitations
A 7-year-old boy visiting from London is brought into the emergency department for palpitations and lightheadedness. He has a history of prior long bone fractures, walks with crutches, and appears…
Literature Review: ST segment elevation after syncope and cardiac arrest
A 22-year-old man with no known significant PMHx presents after syncope. He is asymptomatic on arrival with normal vital signs. History and physical exam is non-diagnostic. While an ECG is…
Literature Review: Precordial lead placement and its impact on ECG interpretation and clinical care
A 46-year-old man with no known significant PMHx aside from tobacco smoking presents to the emergency department with sharp midsternal chest pain. Symptoms have been ongoing for 1 day without…
Do these biphasic T waves and ST segment abnormalities suggest acute coronary occlusion MI?
A 40-year-old man is brought to the emergency department for acute chest pain. The following ECG was obtained:
Must Know ECGs and Differentials in Patients with Acute Chest Pain or Shortness of Breath
A 63-year-old woman is brought to the emergency department by EMS for chest pain and shortness of breath. The following ECG was obtained:
Wide Complex Tachycardias: clues to VT mimics when the heart rate is too slow or the QRS complexes are too wide
An unknown aged female is being transported to the emergency department by EMS for altered mental status. She is agitated and slurring words. Vitals: 98/65, RR 24, HR 162. The…
Wide Complex Tachycardias: precordial concordance and what to do when some leads appear narrow and others appear wide
A 38-year-old man is brought to the emergency department by EMS for palpitations after he is found to be tachycardic. He is noted to be hypotensive with SBP of 70…
Free Content
Jump on our email list for free tips and insights delivered to your inbox monthly. No spam - just quick pearls and ECG education.
Categories
- No categories
© 2025 ECG Weekly. All rights reserved. | Terms of Use | Privacy Policy
Powered by the member(dev) platform
Loading...