2008 EKG/ECG Emergency Department 
EMDocs
DECEMBER 11, 2023
As we all know, a critical concern for emergency physicians is identifying patients with heart tissue-threatening ischemia that could benefit from percutaneous catheterization via stent deployment by an interventional cardiologist. The chosen vernacular for these ECG findings has been traditionally called “STEMI equivalents”.
ECG Guru
JUNE 28, 2024
The Patient This ECG is from a 57-year-old man complaining of sub-sternal chest pain for 30 minutes. The ECG The rhythm is normal sinus rhythm at 98 bpm. Dr. Robbert de Winter, et al, described this pattern in a letter to the editor of the New England Journal of Medicine in 2008. EMS found him pale, diaphoretic, and anxious.
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Dr. Smith's ECG Blog
JANUARY 20, 2024
Written by Pendell Meyers A man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department for acute chest pain which started approximately 3 hours prior to arrival, in the setting of a very stressful situation. No repeat ECG was done at this time. Repeat ECG shows no changes."
Dr. Smith's ECG Blog
DECEMBER 27, 2023
Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. The following ECG was obtained.
Dr. Smith's ECG Blog
APRIL 17, 2023
Sean Rees MD, written by Pendell Meyers, other case by Sam Ghali and Steve Smith Take a look at these two ECGs below from two patients in the ED, first without any clinical context. The remainder of his Emergency Department stay was uneventful. His triage at 0127 is the ECG above. His triage at 0127 is the ECG above.
EMDocs
JANUARY 4, 2024
3 Always get an EKG to assess for cardiotoxicity, including widened QRS and prolonged QTc, although this may not be evident right away. 3 Cardiotoxicity 3 All patients need an EKG and cardiac monitoring. Case Follow-up: The patient required a dose of lorazepam in the emergency department. Ann Emerg Med.
EMDocs
MAY 11, 2024
Available from: [link] American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Use of Intravenous tPA for Ischemic Stroke:; Brown MD, Burton JH, Nazarian DJ, Promes SB. Ann Emerg Med. Erratum in: Ann Emerg Med. 2015 Sep;66(3):322-333.e31. doi: 10.1016/j.annemergmed.2015.06.031. 2015.06.031.
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