Hyperkalemia

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Subtle ECG Changes and Diagnostic Challenges

A 70-year-old male presents to the emergency department with acute chest pain that sounds ischemic in nature. The following baseline ECG, arrival ECG, and repeat ECGs are obtained:

Interesting Cases from UMMC, Part I

A 63-year-old man presents to the emergency department with acute chest pain and an episode of syncope. The following ECG is obtained, and the cath lab is activated for suspected…

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:

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…

STAT ECG Diagnoses: right ventricular hypertrophy criteria, electrical alternans vs. respiratory variation, and much more

An ill appearing patient arrives to the emergency department in extremis and history is limited. The following ECG is obtained:

ECG cases to help you save lives and also crush your board exams

A 45-year-old woman is being observed in the emergency department after treatment with thrombolytics for MI. She is noted to be tachycardic one hour after treatment with a change in…

Potpourri of cases: diffuse subendocardial myocardial ischemia with ST segment elevation in aVR and diffuse ST segment depressions, the ECG findings in severe hyperkalemia, Wellens syndrome, and more!

A 39-year-old male with PMHx of HTN presents to the ED with severe chest pain and abdominal pain. The following ECG is obtained:

STAT ECG Diagnoses: a review of the differentials to consider when dealing with wide complex tachycardias and when antiarrhythmic medications can be harmful

A 41-year-old female is brought into the ED by EMS unresponsive with unknown past medical history. She is found to be febrile, normotensive (126/78), tachycardic (120s-150s), tachypneic (30s with a…

Bifascicular blocks, BRASH syndrome, and so much more!

This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…

How to distingusish between left anterior vs. posterior fascicular blocks (LAFB vs. LPFB), hyperkalemia emergencies, and much more!

This week we will quickly review 6 interesting prehospital EMS ECGs. Let’s start with this 46-year-old man who called an ambulance for chest pain and was noted to be diaphoretic….

Great EMS cases that highlight hyperkalemia emergencies, rate related ST segment abnormalities, and so much more!

HPI: A 69-year-old woman presents to the ED with palpitations and lightheadedness. She is noted to be tachycardic. The following ECG is obtained: Case ECG

STAT ECG Diagnoses: bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia

A 54-year-old female presents to the ED with generalized weakness and malaise. She has multiple medical problems and is taking several prescribed medications including aspirin, metoprolol, and warfarin. She recently…

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:

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:

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: regular wide complex tachycardia (RWCT) vs. regular REALLY wide complex tachycardia (RRWCT)

A 70-year-old male presents to the ED with generalized weakness and dizziness. He is suspected to be in atrial fibrillation with a heart rate of ~ 150 bpm. He is…

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