LITFL • Life in the Fast Lane

Emergency Musical Interlude: Class of 2016 (HMS/HSDM) parody of The Fox by Ylvis - what does the spleen do?

René Laennec (1781-1826) was a French physician. Laennec invented the stethoscope in 1816 also coined the terms for cirrhosis and melanoma

Palpitations. QRS alternans – due to AVNRT (i.e. electrical phenomenon), not pericardial effusion as normal voltages.

Elderly patient sudden onset chest pain and shortness of breath. Hypoxic (SaO2 82% RA) and hypotensive (80/50). Describe and interpret his ECG

18-year old female with severe traumatic brain injury, ICP 40mmHg. Fluctuating BPs. Describe and interpret her ECG

Severe chest pain and hypotension (70/40) in an elderly man. Describe and interpret his ECG. anteroseptal STEMI

Elderly patient with chest pain and diaphoresis. Describe and interpret his ECG. posterior V7, V8, V9, V7-9, posterior infarction

Elderly patient presenting with chest pain and diaphoresis. Describe and interpret his ECG. posterior infarction, infero-posterior STEMI

Chest pain and diaphoresis. BP 80/50. Describe and interpret his ECG. Bradycardia and AV Block in Inferior STEMI

Chest pain and diaphoresis. BP 80/50. Describe and interpret his ECG. right ventricular infarction, RVI, ST elevation

Elderly patient presenting with reduced level of consciousness, hypothermia and hypotension refractory to inotropes.

Middle aged patient presenting with chest pain and diaphoresis. Describe and interpret his ECG. De Winter T wave