ECG Challenge
Case. A 59-year-old male smoker with a history of hypertension, familial hyperlipidemia and insulin dependent diabetes presents with 2 hours of substernal chest pressure radiating to hi
STEMI or no STEMI? A Challenging Diagnosis
A 26-year-old anxious, diaphoretic male presents with crushing mid-sternal chest pain that awakened him from sleep. Past medical history is unremarkable asi
ECG Challenge
Case. A 75-year-old male with a history of systolic congestive heart failure, hypertension, diabetes, hyperlipidemia, and chronic obstructive pulmonary disease presents with shortness o
ECG Challenge
Case A 76-year-old female with dementia and unknown cardiac history presents with chest pain and palpitations for 4 hours. Answer Atrial fibrillation preceded and followed by paced beat
Clinical Utility of BNP in Acute Congestive Heart Failure
You are working in the acute side of your emergency department when EMS brings in a patient in respiratory distress on CPAP. EMS reports a 58
ED-ECMO: Coming Soon to an ED Near You
A 52-year-old man experiences crushing sub-sternal chest pain while walking through the mall and slumps to the floor. EMS performs an EKG and notes tombstone ST
Wolff-Parkinson Wait!
A healthy 28-year-old male with no past medical history presents to the emergency department with palpitations and dizziness. Vital signs are within normal limits except for a r
Chest Pain and Answers
It started about an hour ago,” he stammered. Sweating profusely and taking deep, splinted breaths between sentences, he described a great chest pain story. “Yeah, I'd say it's
Ultrasound-Based Risk Stratification of Patients with Acute PE
An 85-year-old female with a history of hypertension and chronic obstructive pulmonary disease (COPD) presents with sudden onset of dys
Early Cardiac Catheterization and PCI in Cardiac Arrest with ROSC
We all know early recognition and early CPR is important for out-of-hospital cardiac arrest patients; however, what is the optimal ca