Massive Pulmonary Embolism

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Interesting Cases from UMMC, Part II

A 58-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained:

Differential Diagnoses: must know causes of right axis deviation and wide QRS complexes

A 30-year-old man is pulled over by police for speeding. He begins feeling nauseous and has multiple episodes of vomiting. During transport to the emergency department by EMS he is…

Differential Diagnoses: the many causes of T wave inversions in the anteroseptal leads and how to differentiate them

A 37-year-old woman presents with sharp musculoskeletal chest pain associated with cough. She reports symptoms of an upper respiratory tract infection over the past 2 days. The following ECG is…

UMEM cases that highlight the right way to think about new right axis deviation and much more!

An 87-year-old man is brought to the emergency department by EMS with acute chest pain. The following ECG is obtained on arrival:

STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)

An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted…

STAT ECG Diagnoses: intermittent runs of nonsustained ventricular tachycardia vs. aberrant conduction

A 36-year-old male with PMHx of RV failure, pulmonary hypertension, and HFrEF presents to the ED with shortness of breath, palpitations, and cough.  The following ECG is obtained:

Potpourri of cases: the most common ECG findings in pulmonary embolism, electrical alternans, and so much more!

A 72-year-old woman presents the ED with atypical chest pain. She is found to be mildly tachycardic. The following ECG is obtained:

STAT ECG Diagnoses: the right way to think about right axis deviation

A 91-year-old woman with PMHx of HTN, aortic stenosis, and dementia is brought to the ED by EMS after a syncopal episode when walking to the bathroom. Vital signs are…

Differential Diagnoses: the many causes of ST segment elevation

A 69-year-old woman presents to the ED with chest pain and shortness of breath. The following ECG is obtained:

Great EMS cases that highlight hypothermia emergencies, the ECG findings in acute pulmonary embolism, and so much more!

A 39-year-old woman is being taken to the ED by EMS for palpitations and lightheadedness. She is noted to be tachycardic. The following ECG is obtained:

STAT ECG Diagnoses: a patient transferred for suspected STEMI, what other etiologies could be causing this ST segment elevation?

 A 24-year-old male with past medical history of paraplegia from severe multiple sclerosis is transferred from a nursing home for suspected STEMI. Transfer documentation reports a history of pleuritic chest…

Differential Diagnoses: new right axis deviation and ST segment elevation

A 27-year-old male with no PMHx is brought in by ambulance for right shoulder pain, nausea, and generalized weakness. He is confused with a blood pressure of 60/40. The following…

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:

Differential Diagnoses: when STEMIs can present with right axis deviation

HPI:  A 57-year-old with PMHx of HTN and cigarette smoking presents to the ED with chest pain and dyspnea. The following ECG is obtained: Case ECG Before watching this week’s…

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