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2025 EMS Cases Part II
A 57-year-old man is being brought in by EMS for generalized weakness and vomiting. The following ECG is obtained and transmitted as a CODE STEMI alert:
2025 EMS Cases Part I
A 55-year-old woman calls EMS with acute palpitations and chest discomfort. Vitals are normal aside from marked tachycardia. The following prehospital ECG is obtained:
Concordance vs. Discordance: Recognition of Critical ECG Patterns
A 54-year-old woman presents to the emergency department with acute chest pain radiating to the jaw and left upper extremity. The following ECG is obtained:
2025 In-Training Exam Preparation (Part III/III)
A 47-year-old male presents to the emergency department with acute chest and back pain. The following ECG is obtained, and concerning for diffuse ST segment elevation:
2025 In-Training Exam Preparation (Part II/III)
A patient presents to the emergency department after an episode of syncope and suddenly loses consciousness while obtaining the following ECG at triage:
2025 In-Training Exam Preparation (Part I/III)
It’s safe to assume that board exams will test your ability to diagnose and manage wide complex tachyarrhythmias. Here is a challenging wide complex rhythm in a patient with palpitations…
Respect the T Wave: Early Clues to Cardiac Ischemia
A 54-year-old man presents to the emergency department with chest pain concerning for an acute coronary syndrome. An initial ECG is performed on arrival and appears normal, the following repeat…
T Wave Clues: Uncovering Concealed Conduction Blocks and Arrhythmias
A 58-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained on arrival and interpreted as “sinus bradycardia”:
Anterior T Wave Inversions: Benign Variant or Hidden Danger?
A 31-year-old woman presents with chest discomfort that is worse with twisting and lifting. She denies any associated vomiting or worsening pain with exertion. The following ECG is obtained on…
Hyperacute T Waves: Distinguishing Early MI from Other Big T Wave Abnormalities
A 64-year-old man with PMHx of HTN, DM, and tobacco use presents with central chest pain that radiates to his left arm. The following ECG is obtained on arrival:
Paralysis Unmasked: ECG Clues That Saved the Day
A 45-year-old woman with PMHx of HTN, DM, ESRD (MWF hemodialysis) presents with acute weakness of all extremities. She reports feeling normal and fully functional before going to bed the…
A Decade of ECG Gems: The Final 5 Favorite Cases
A 50-year-old woman presents with palpitations. She reports symptoms of an upper respiratory infection and has a low grade fever. The following ECG is obtained:
A Decade of ECG Gems: Counting Down the Top 10 Cases
A 68-year-old man with PMHx of hypertension and tobacco use arrives at the emergency department with severe central chest pain and mild shortness of breath over the past 1-2 hours….
2024 UMMC Cases (Part III)
A 67-year-old man arrives at the emergency department with palpitations. He is noted to be tachycardic at triage and the following ECG is obtained and interpreted as “sinus tachycardia”:
2024 UMMC Cases (Part II)
A 55-year-old woman arrives at the emergency department with shortness of breath and is noted to be tachypneic. The following ECG is obtained:
2024 UMMC Cases (Part I)
A 69-year-old man arrives at the emergency department with shortness of breath and profuse sweating. The ECG obtained below shows sinus tachycardia at a rate of ~ 130 bpm with…
When One Lead Stands Alone: Deciphering Bizarre ECG Abnormalities
A 67-year-old woman with PMHx of HTN, DM, and ESRD presents to the emergency department drowsy and non-cooperative. Her blood sugar is elevated, pH 7.23, and there is concern for…
How the Lewis Lead Can Improve Tachyarrhythmia Diagnosis
A 68-year-old woman presents to the emergency department with palpitations and tachycardia. The following ECG is obtained:
The Approach to Uncovering Hidden STEMI
A 92-year-old man presents to the emergency department with acute chest pain and diaphoresis. The following ECG is obtained:
Is This a STEMI or STEMI Equivalent Pattern?
A 51-year-old man presents to the emergency department with acute chest pain that has progressively worsened over the past 3 hours. Pain radiates to the jaw and is associated with…
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