to the bedside…
the case. a 34 year old female presents to ED with palpitations and chest pain. You are handed her ECG prior to reviewing or speaking to the patient….
Tag ECG
shock and awe…
the case. Previously well 64 year male presents to ED with 90 minutes of retrosternal chest pain after riding his bike. This is his ECG….
Quick Case #05
the case. a 42 year old male presents via ambulance with chest pain following an motor vehicle accident.
catching the culprit…
the case. a 32 year old male presents to ED with a 4 hour history of retrosternal chest pain. He has had the pain since midnight and it “just isn’t going away”. This is his ECG…
Quick Case #04
the case. An 85 year old female is bought to ED with right hip pain. She was found outside after unfortunately spending the night on the ground. This is her ECG.
palpitations & presyncope…
the case. A 54 year old female presents to ED with an ‘odd sensation’ in her chest. This has been occurring intermittently for 2 months but has now increased in frequency & severity. She reports 3 episodes earlier today associated…
a game changer…
The case. A 76 year old female presents to ED after being repeated assaulted by her aggressive, demented husband, including punches, kicks and attempted strangulation. She has a past medical history of hypertension & GORD and takes telmisartan, amlodipine &…
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…
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…
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…
more than man-flu (part2)…
Here is the follow-up to the story of our 19 year old febrile patient….. The case continues… His CXR demonstrates the following …. Clear lung fields No pneumonia No CCF is that a ‘globular heart’ ?? This is his ECG……
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…