The following ECG is from a 72 yr old male who presented with chest pain and palpitations. He has a history of hypertension and hypercholesterolaemia. Click to enlarge Things to think about What are the key ECG features ? How would you manage this patient ? Powered by WPeMatico
This case was sent by Lou B, a paramedic and RN. He writes: “We were dispatched to a 58 yo male who had been out in the sun for 2-3 hours as a mailman. He stated he almost passed out, and bystanders called 911. They gave him water with salt, as he thought he was
We see changes in potassium levels all of the time in patients. However, what works and what does not? What is the evidence behind the management? Are there special pearls? These questions and much more are addressed in this podcast with Michelle Perkins. Intro—Why Worry? Why is potassium important? It is important to have some
This case was written by one of our great Hennepin 2nd year residents, Aaron Robinson, with lots of comments and edits by Smith. Thanks to Dr. Smith and Dr. Travis Olives for being part of this case. A 12 year old girl with a history of mild intermittent asthma presented to the emergency department with
This case was contributed by a medic who wishes to remain anonymous (his comments are in red).This was a 60 something male who called for sudden onset of severe chest pain and dyspnea. No medical history or medications. Upon arrival he was in extremis with altered mentation, cyanosis and diaphoresis . We were unable to get an initial ECG
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously
In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. He was awake, with a pulse of 130 and BP of 50/30. Fluids were started. The patient arrived alert but cool and clammy. His chest
This ECG is from a 78 yr old female with a history if hypertension and hypercholesterolaemia who presented with 2 hours of central chest pain. Click to enlarge Rate: 60 bpm Rhythm: Regular Sinus rhythm Axis: Normal Intervals: PR – Normal (~160ms) QRS – Normal (100ms) QT – 410ms Additional: ST Elevation lead II, III, aVF, V5-6
This ECG is from a 78 yr old female with a history if hypertension and hypercholesterolaemia who presented with 2 hours of central chest pain. Click to enlarge Things to think about What are the key ECG features ? How would you manage this patient ? Powered by WPeMatico
This ECG is from a 69 yr old female who presented complaining of palpitations. She has a background of paroxysmal AF and her medications include a NOAC. Click to enlarge Rate: Mean ventricular rate 96 bpm Rhythm: Bigemny Sinus complex following by unifocal PVC in 1:1 relationship Axis: Normal Intervals – sinus complexes: PR –
