Altered Mental Status

Differential Diagnoses: ST segment elevation in a patient with altered mental status, a stepwise approach

STAT ECG Diagnoses: considerations in patients with altered mental status and seizures

A 39-year-old male with no significant PMHx presents to the ED after a seizure. He is post-ictal on arrival. Vital signs are normal, and the following ECG is obtained:

STAT ECG Diagnoses: the value of expert ECG interpretation when dealing with patients with altered mental status

An unidentified male is brought into the ED unresponsive. He was reportedly found down with suspected trauma and required intubation at the scene. History is otherwise limited. The following ECG…

STAT ECG Diagnoses: ECG findings that can help you clinch the diagnosis in patients with altered mental status

A 56-year-old woman is brought into the ED by EMS and is minimally responsive. History is limited. The following ECG is obtained:

Differential Diagnoses: important considerations in patients with new onset seizures or altered mental status, must know diagnoses in the emergency department

A 40-year-old man is brought into the ED after being found in the street and noted to have intermittent seizures. He is tachycardic, hypertensive, and febrile. The following ECG was…

STAT ECG Diagnoses: STEMI mimics and how you can use the QRS axis to clinch the diagnosis in patients with altered mental status

A 46-year-old man presented with pleuritic left sided chest pain. He was found down for an unknown period of time, with suspicion for drug overdose. The following ECG was obtained:

Differential Diagnoses: altered mental status and a short QT interval

A middle-aged adult presents to the emergency department with altered mental status. He was dropped off in the waiting room by family. He has no known medical history. The following…

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…

Differential Diagnoses: how hypercalcemia mimics STEMI

A 62-year-old woman presents to the ED with altered mental status. She denies chest pain or dyspnea. The following ECG is obtained:

Differential Diagnoses: rollercoaster T waves

A 45-year-old woman presents to the ED with lethargy. BP = 100/50, HR = 60, RR= 12 & shallow. Her nurse thought her rhythm looked abnormal on the cardiac monitor…

Differential Diagnoses: fever and altered mental status

A 23-year-old woman presents to the ED with altered mental status and agitated delirium. She is noted to be tachycardic and febrile to 107F. The following ECG is obtained:

Spooky cold ECG findings in a patient with altered mental status on halloween night

STAT ECG Diagnoses: must know ECG differentials in the evaluation of patients with altered mental status

A young woman presents to the ED unconscious with a GCS of 4. The following ECG was obtained during the initial evaluation: