Risky Rhythyms
This ECG Exigency serves up 5 different risky rhythm strips. Each tells a story. Can you work out what is happening before its too late?
Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
Pain free and in VT?
A 62-year man who is awaiting a bed under the medics for investigation of an episode of chest pain earlier in the day. Is this Wellens?
Electrocardiographic Exigency
A 23 year-old man had an episode of syncope at home. He is in severe respiratory distress, extremely pale, dripping with sweat. ECG Exigency
Bedside Echo in Pulmonary Embolism
A 35 year-old female is brought to the emergency department after collapsing in a shopping centre. McConnell sign
Exogenous Calcium Embolism
Patient presentes to ED with acute shortnewss of breath post Percutaneous Vertebroplasty (PVP) with cement embolus cardiovascualr curveball
Pneumothorax Case 5
A 36 year old woman presents with sharp left sided chest pain.
What do these clips of her left chest show?
Tetraology of Fallot and BT shunts
Despite the therapeutic measures a 26 day-old boy with Tetralogy of Fallot has severe hypercyanotic spells and needs Blalock-Tausig shunt
DeBakey Dissection
A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. DeBakey Dissection
Pneumothorax Case 2
A 16 year old woman presents with pleuritic chest pain and a slight sensation of dyspnoea. What does this ultrasound show?
Subcutaneous emphysema Case 1
An elderly patient with a history of mild COPD presents after falling onto a chair and hitting their chest. The presentation is with chest pain and shortness of breath. What does this scan demonstrate?
Intra-aortic Balloon Pump Trouble-shooting
Intra-aortic Balloon Pump Trouble-shooting QA cardiovascular curveball. Your patient has poor cardiac output after CABGx4 and starts IABP
The Paradoxical Alternative
49 year female old smoker with two weeks of increasing shortness of breath. She is treated for pneumonia on the ward but getting worse.