Everything you need to know about ECGs in the Emergency Department
70 yo M with pmh DM and HTN presents with chest pain and a troponin of 41. STEMI code activated and patient taken to cath lab. Here is his EKG upon arrival: 1. What is this rhythm? 2. What is the treatment for this rhythm? Answers were due 8/15/2014… now you Read more…
Congratulations to our winner with the most complete answer: Dan Zeccola! Julie and Nathan both correctly identified parts of the answer. Well done all! Our patient was having a Spontaneous Coronary Artery Dissection (SCAD) in her mid-LAD. To answer the questions: The EKG was concerning for Wellens’ Sign and in Read more…
45 yo nulliparous F of Hispanic and Caucasian descent pmhx HTN on longstanding ARB p/w left intermittent arm pain x 1 year and 2 days of worsening mid back discomfort and SOB. Pt regularly walks 5 miles a day and has a BMI of 22. Had a benign Read more…
Rhythm Nation – Answer! Well done Nathan and Carl! This week’s winner is Nathan for the first, most correct answer. This patient has an inferior myocardial infarction with ST elevation in II, III and aVF, and reciprocal depression in aVL. In this case, the culprit artery is the RCA Read more…
Brought to you by Dr Andrew Grock and Dr. Elizabeth Abram. Supervised by Dr Martindale. A nurse brings you the following EKG to sign. You go to the patient’s bedside: 63 yo F, pmhx dm/htn, here for epigastric pain, vomiting, dizziness x 4 hours. She is diaphoretic and reporting active pain Read more…
Thanks to those who participated. That’s Dr. Dan Zeccola. And, Dr. Dan Zeccola. Dan did a fantastic job of running through the findings that can help distinguish ventricular tachycardia vs a rhythm of supraventricular origin. I also recommend you check out lifeinthefastlane.com, which is chock full of EM and Read more…
Welcome to this installment of rhythm nation, entitled Shakedown Street. Please offer a comprehensive assessment of the following squiggles. Case details pending.
Thanks for all the responses! Here is short version of the answer for those of you with ADD. Keep on reading for the details! Our patient had sick sinus syndrome with a sinus bradycardia on top of her malfunctioning pacemaker. She was admitted to medicine for CHF exacerbation. The inpatient team Read more…
So for this post… we’re going to combine some EKG action with some good ole’ CXR reading… Since we’re not just doing Rhythm Nation or X-ray Vision… we’re going to call it Rhythm Vision! Here’s the case: Your patient is little old granny, an 85 year old woman with a Read more…
Thanks for the responses on our last EKG case. To review, the patient was a 24 YO woman with PMH of asthma presenting with chest tightness, shortness of breath and wheezing. Her exam was significant for B/L wheezes. There was no LE swelling. Something about her presentation doesn’t Read more…