
Activate or Wait – 001
46-year-old male with one hour of central crushing chest pain. Background of hypertension, morbidly obese and a heavy smoker.

46-year-old male with one hour of central crushing chest pain. Background of hypertension, morbidly obese and a heavy smoker.

A 62-year-old woman presents with three months of palpitations. Review the ECG before and after treatment

The monitor alarms "extreme ventricular tachycardia". There are three features on this rhythm strip that suggest artefact -- can you spot them?

A woman in her 60s with a broad complex tachycardia. There are two ECG features that suggest an accessory pathway, can you spot them?

A single agent overdose causing AV blockade, QRS widening, and QT prolongation.... but reports of death only if QRS > 200ms. Which medication is this?

Crushing chest pain and diaphoresis. New inferior Q waves and T-wave inversion, yet this is a normal ECG. Can you explain why?

Chest pain, shock and ST elevation in aVR. The LAST place this patient needs to be is in the cath lab

A negative troponin, resolved chest pain, and a "normal" ECG does not exclude ACS requiring emergent intervention

An 88-year-old man with palpitations and a HR fixed at 150. This is not flutter or AVNRT -- can you explain why?

Yet another ED patient with SVT -- but there is one feature on this ECG that suggests a congenital structural abnormality, can you spot it?

A man in his 40s with exertional chest pain and a small troponin rise. Is this just LVH? Bedside echo gives us the answer

There are five features on this "normal" ECG that suggest impending inferior STEMI - can you spot them?