ECG STAT Diagnoses
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STAT ECG Diagnoses: early reciprocal changes in patients with cliinical concern for ACS
A 87-year-old man reports having 2 days of central chest pain. He starts feeling worse on day 3 and calls an ambulance. Paramedics respond and are highly concerned for ACS…
EMS ECGs: opportunity to save lives prehospital by recognizing severe hyperkalemia
A 69-year-old man presents to the emergency department with palpitations. He is otherwise well. The following ECG is obtained:
Differential Diagnoses: terminal QRS distortion in the differentiation of STEMI from early repolarization
A 43-year-old male presents to the emergency department with chest pain. The following ECG is obtained:
ECG Basics & Fundamentals: criteria for low voltage QRS complexes and poor R wave progression
A 42-year-old male presents to the emergency department with midsternal chest pressure. He has no past medical history or risk factors. The following ECG is obtained:
STAT ECG Diagnoses: the value of ECGs in acute neurological emergencies
A 54-year-old male presented to the emergency department with inability to walk for 3 days s/p appendectomy. He reports feeling ill and generally weak. He denies abdominal pain, fever, nausea,…
ECG Basics & Fundamentals: the ECG findings of hypothermia
An 80-year-old male with a history of HTN, atrial fibrillation and an unknown “kidney problem” presents to the ED after being found unresponsive at home by his son. He was…
Bradydysrhythmias: a differential for too many P waves and a lesson in how to break down difficult rhythms
An 81-year-old female presents to the ED with lightheadedness and “funny heart beats”. She has no associated dyspnea and is noted to have normal vital signs. The following ECG is…
Wide Complex Tachycardias: when administering the wrong medication can cause a “clean kill”
A young patient is brought to the ED complaining of palpitations and mild shortness of breath. The patient does not appear acutely unstable. The following ECG is obtained:
Narrow Complex Tachycardias: the importance of careful ECG interpretation after cardioversion for tachyarrhythmia
A 15-year-old girl presents is brought to the ED complaining of palpitations and near-syncope. She is found to be tachycardic on arrival and the following ECG is obtained:
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:
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