EKG

• EKG Case Study: Is There More to This Chest Pain?

  This post was peer reviewed.Click to learn more. Author: Ashley Grigsby, DO, PGY-4 Combined Emergency Medicine/Pediatrics Indiana UniversityCase A 32-year-old previously healthy African American male presents via emergency medical services (EMS) for evaluation of chest pain. An ST elevation myocardial infarction (STEMI) code had been activated by EMS based on pre-hospital electrocardiogram (EKG) that had […]
• Board Review: Making Decisions Based on the EKG

  This post was peer reviewed.Click to learn more.   Image Credit: US Air Force Author: Nick Pettit, DO PhD, PGY-2Indiana UniversityAAEM/RSA Social Media Committee CaseThe setting is a busy shift in your high-acuity pod of your emergency department. You just walked out of room 1 after resuscitating a tricyclic antidepressant (TCA) overdose. Then overhead you […]
• Image of the Month (From August/September 2013 Modern Resident)

  Author: Michael Gottlieb, MDCook County Emergency Medicine ResidencyOriginally Published: Modern Resident August/September 2013 An 81-year-old man with PMHx of HTN, DM, HL and OA s/p right hip replacement presents to the ED with acute onset CP and SOB x 1 day. While watching TV earlier, he developed a sudden inability to catch his breath, as […]
• Photo of the Month (From Apr/May 2013 Issue of Modern Resident)

  Author: ENS Dylan Hendy, MSIVArizona College of Osteopathic MedicineAuthor: LT Christopher D. Helman, DONaval Medical Center PortsmouthOriginally Published: Modern Resident, April/May 2013 Patient VignetteTwenty-nine-year-old male was sent to the ED by a community clinic for a syncopal episode. The patient originally visited the clinic for a headache that resulted from a shelf falling on the […]
• A Cannot Miss Cause of Bradycardia

  This post was peer reviewed.Click to learn more. Author: Daniel Balk, MD Emergency Medicine Resident Drexel University College of MedicineThe Case: The tech hands the physician this EKG: It’s slow with a rate of 37, it’s irregular, it’s wide with a QRS of 130, it’s scary, and there is no previous EKG. The tech doesn’t […]
• Cardiac Infarctions Under Disguise

  This post was peer reviewed.Click to learn more. Author: Joshua Bowers, DO  Emergency Medicine ResidentAdena Regional Medical Center Ischemic heart disease and coronary artery disease (CAD) are two of the leading causes of death among adults in developed countries.[6] Patients with these disorders can present to the emergency department with problems that fall anywhere along […]
• EKG Rounds: Trauma Induced EKG Changes

  This post was peer reviewed.Click to learn more. Author: Meaghan Mercer, DOEmergency Medicine ResidentUniversity of Nevada School of MedicineAAEM Resident and Student Association President A 35 year old male presents to the ED after a motor vehicle collision with ejection. The patient has a Glasgow Coma Scale of 4 on arrival and is immediately intubated. […]
• Brugada-type EKG inducers

  This post was peer reviewed.Click to learn more. Author: Kristin E. Fontes, MDAcademic Fellow/Clinical Instructor, Division of Emergency MedicineStanford University CaseA 6 year old boy is sent to the ED by his outpatient cardiologist for fever. He has a history of an abnormal pattern on EKG when he has a fever. He has an implantable […]
• Updates on LBBB and STEMI

  This post was peer reviewed. Click to learn more. Author: Meaghan Mercer, DO Emergency Medicine ResidentUniversity of Nevada School of MedicineAAEM/RSA President I recently attended the #Resus14 conference in Las Vegas and Dr. Amal Mattu asked the audience how many felt comfortable with the Sgarbossa criteria. I was surprised at how few hands went up. […]
• Increasing the Paper Speed in Narrow-Complex Tachycardia

  Normal paper speed (25mm/s) Authors: Destinee DeLemos, MDNathan Haas, MDUniversity of Michigan Department of Emergency Medicine Narrow complex tachycardia often presents a diagnostic and therapeutic dilemma, and one simple trick can help in the correct identification of the underlying rhythm. With increasing heart rates, it becomes quite challenging for the emergency physician to distinguish between […]

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