Quick Case #03
the case. 42 year old female presents to ED with a 4-5 day history of central chest tightness. She has poorly controlled type 2-diabetes.
Category ECG
Quick Case #02
the case. It’s 3am in your typical ED. The waiting list has hit 25. Your resus-bay is full of patients awaiting beds in the ICU. You are having a chat with your intern about the PERC rule and avoidance of…
off the pace…
An 80 year old male is bought to your ED via ambulance following a syncopal episode. He reports sitting on a church pew, when he apparently collapsed without prior warning
eh-vee-arrr
The Case. A 38 year old male presents to your ED with left sided chest heaviness which radiates to his left shoulder & down the arm. He has associated dyspnoea, nausea & vomiting. He looks unwell. He underwent a CT-Coronary…
a troublesome tachycardia
The Case. An 11 year old boy is bought to ED by his mother on a busy weekday evening. Mum reports that he has been ‘a little bit off’ over the past 24 hours, in particular he’s not keeping down…
another ECG case…
The Case. I was superficially involved in this case of a 32 year old suicidal patient who ingested two full packets of Solian (amisulpride) (~ 24 grams) approximately 90 minutes prior to arrival to ED. On initial assessment he was…
slowly, slowly…
Case: 76 year old female, presents with lightheadedness and lethargy. She is complaining of mid-scapular pain & is syncopal at triage. She has cold hands & clammy skin. Systolic BP 70 mmHg. Crackles to mid-zones of her chest. Distended JVP.…
generally unwell (part 2)…
For those joining the story for the first time, you can catch up here…. My interpretation of the ECG; Sinus rhythm with 1st degree HB, an ‘odd’ axis. Wide complex QRS (~140-160ms) with symmetrical tall T-waves. ? Hyperkalaemia. Needs urgent…
generally unwell…
The setting: Busy Saturday morning shift. Lots on the go as usual… You sit for a moment to catch up on your notes and review patient results… A nurse hands you this ECG to sign-off saying, “this lady is generally…
broad, fast & regular…
There are some things in medicine that I feel require a standardized approach for rapid diagnosis & management, especially in the face of an unstable patient & you have a little sweat on your brow. The following are two somewhat…