ECG STAT Diagnoses
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Rhythm Interpretation: is the PR interval constant, lengthening, or randomly changing?
A 78-year-old woman presents to the emergency department after an episode of syncope. The following ECG is obtained:
STAT ECG Diagnoses: the most rapid killer in diabetic ketoacidosis (DKA)
A 38-year-old male presents to the emergency department with intermittent chest pain for a few weeks. He has insulin dependent diabetes and a history of noncompliance with medications. He looks…
STAT ECG Diagnoses: criteria for right ventricular myocardial infarction (RVMI)
A 52-year-old male presents to the emergency department with 1 hour of right sided chest pain that woke him up in the middle of the night. Chest pain is associated…
ECG Basics & Fundamentals: causes of prolonged ST segment
A 54-year-old woman presents to the emergency department with generalized weakness and nausea. She is tachycardic but otherwise has normal vital signs. The following ECG was obtained:
STAT ECG Diagnoses: the ECG findings in sodium channel blocker toxicity
A father calls an ambulance for his 16-year-old daughter who is not feeling well. She has been listless and having palpitations. She is found to be tachycardic with a normal…
Literature Review: occlusion MI in paced rhythms
HPI: An 84-year-old male presents to the emergency department with 4 hours of chest pain. He has a history of coronary artery disease and has a pacemaker. The following ECG…
STAT ECG Diagnoses: REALLY wide complex tachycardia
A patient is brought into the emergency department with palpitations, weakness, and shortness of breath. She has a normal blood pressure. The following ECG is obtained:
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…
ECG Basics & Fundamentals: the sensitive vs. specific definitions for low voltage QRS complexes and differentials that cause them
A 66-year-old woman presents to the emergency department with a few days of midsternal chest pain that is sharp and non-radiating. She is noted to have mild dyspnea on exertion…
Palpitations: a cardiac cause with increased risk of arrhythmia and sudden cardiac death
A 50-year-old woman presents to the emergency department with palpitations. She has had signs and symptoms of an upper respiratory tract infection with low grade fevers. She is tachycardic but…
EMS ECGs: S1Q3T3, is it pathognomonic for acute pulmonary embolism
A 63-year-old woman presents to the emergency department with palpitations. The following ECG was obtained by EMS prior to arrival:
Literature Review: severe hyperkalemia, ST segment elevation in aVR, and many more interesting topics
A 60-year-old woman with PMHx of HTN is brought in by EMS with chest pain and diaphoresis. The following prehospital ECG was obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 3/3)
A 80-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)
A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 1/3)
A 50-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
ECG Basics and Fundamentals: how many STEMI patients present with nondiagnostic initial ECGs?
HPI: A 52-year-old male with PMHx of HTN & HLD presents to the ED with chest pain and shortness of breath. He looks uncomfortable on exam and is hypertensive. The…
Differential Diagnosis: STEMI vs. acute pericarditis
A 45-year-old male presents to the emergency department with sharp, positional, and pleuritic chest pain while doing CrossFit. He is not a smoker and has no known cardiac risk factors….
Something, that can do anything it wants to the ECG!
A 58-year-old male presents to the emergency department with shortness of breath, vomiting, palpitations, and mild chest discomfort. The following ECG was obtained on arrival:
Wide Complex Tachycardias: when suspected ventricular tachycardia is too wide and too slow
A 56-year-old man with PMHx of HTN, DM, PVD, and ESRD on dialysis presents to the ED with dyspnea. The following ECG was obtained on arrival:
STAT ECG Diagnoses: what to do when advanced life support (ACLS) does not work
A 40-year-old man is brought to the ED moribund with agonal respirations, hypotension (SBP~50) and bradycardia. The following ECG was obtained and ACLS started with no response to atropine or…
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