A 50-year-old woman with no significant past medical history is brought to the ED via EMS as a “STEMI notification”. As per family, the patient was at the post office when she developed sudden onset chest pain and then syncopized. Read more…
It’s a hot summer day in Brooklyn, and you’re working in the pediatric emergency department. EMS brings in a 7-year-old boy who fell off his bike. You can see a large laceration on his right arm. X-rays show no fractures Read more…
It’s Sunday at 7 pm. You walk into your ED and there are three patients sitting there looking at you anxiously, with that sick but not quite crashing look on their faces. The first patient is a 15-year-old female. Her Read more…
A 40-year-old male with a past medical history of paraplegia presents with four days of right thigh swelling. He initially noticed a small ulcer on his thigh and tried home treatments with alcohol swabs and peroxide rinses. He reports worsening Read more…
Last month Academic Emergency Medicine published the article “Can emergency physician gestalt ‘rule in’ or ‘rule out’ acute coronary syndrome: validation in a multi-center prospective diagnostic cohort study”. The following is a critique by Dr. deSouza and Dr. Sinert: In Read more…
Jellyfish belong to the phylum Cnidaria, which is defined by a unique venom delivery system. Cnidae (nematocysts) are small cells that are attached via tentacles in jellyfish and when triggered, either mechanically or chemically fire a small barb loaded with Read more…
A 30-year-old right-hand-dominant man presents with complaints of pain and swelling at the distal phalangeal level of his left index finger. The symptoms began 5 hours ago shortly after he was injured while using a paint injection gun. He received Read more…
Original post available here Answer: This patient is suffering from a posteroinferior MI. The best way to approach ECGs is, like anything else in medicine, systematically. Breaking down each component (rate, rhythm, axis, interval, morphology), we see the following findings Read more…
The Case Your notification phone rings, telling you the disaster response team is bringing in an unconscious 25-year-old male. They provide no other information. When he arrives, you get a full story. It turns out that earlier this morning, in Read more…
After a long hiatus, Rhythm Nation is back with our first post of 2019! Thanks to Dr. Angarita-Jones for submitting this ECG for the post. The patient is a 50-year-old man with hypertension, diabetes, hyperlipidemia who presents after syncope. His Read more…