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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. The following ECG was obtained around midnight.

EKG/ECG 121
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A man in his 50s with acute chest pain who is lucky to still be alive.

Dr. Smith's ECG Blog

EMS was called, and they recorded the following ECG on scene at 13:16: What do you think? In this medical system, the EMS provider can then be routed to the ED or to a type of urgent care facility that is open 24 hrs/day and staffed by a primary care provider. No troponins were measured!

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A man in his 40s with 3 days of stuttering chest pain

Dr. Smith's ECG Blog

He went to urgent care and had an ECG (not available) which was interpreted as normal, and was sent home. His pain returned, and he went back to the urgent care but was sent to the ER. His ECG is shown: What do you think? Smith : at this point, the ECG becomes irrelevant. Activate the cath lab!

EKG/ECG 108
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Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

ACEP Now

A closer look, though, also shows the technology of the daya bulky, two-way radio for communicating with EMS, metal gurneys, glass saline bottles, and portable ECG monitors the size of a small shopping cart. Notice the use of the medical anti-shock trousers and the ECG machine. Click to enlarge.) I like the excitement.

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SAEM Clinical Images Series: Seeing Double

ALiEM

She initially presented to urgent care with a chief complaint of chest heaviness and concern that her blood pressure was too high, but was sent to the emergency department for further cardiac and neurological evaluation after her urgent care provider noticed abnormal eye movement.

Stroke 67
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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

EKG shows atrial fibrillation with a rate of 169. To pursue the case would require expert testimony from multiple specialties: Emergency Medicine, Nurse Practitioner, Urgent Care/Family Medicine, Endocrinology, General Surgery, Infectious Disease, Radiology, Nursing and Hospital Medicine. Glucose is 490, CO2 8, and pH 7.26

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Case 18 – Echoherniography

Urgent Care Ultrasounds

She was brought down to the urgent care clinic for assessment. Her ECG did not show any concerning features. HH has been associated with post-prandial syncope, chest pain, and ECG changes suggestive of ischaemia. After standing for some time, she started to feel light headed, then collapsed. A Focused TTE was performed.