Dr. Smith's ECG Blog
Instructive ECGs in Emergency Medicine Clinical Context
Monday, February 19, 2018
Altered Mental Status, Bradycardia
911 was called for an elderly woman who fell and was confused. Medics found her unresponsive, with "convulsive" movements. They...
Thursday, February 15, 2018
A female in her 60s who was lucky to get expert ECG interpretation
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of t...
Sunday, February 11, 2018
Is there Wellens' syndrome in left bundle branch block? Or in inferior and lateral leads?
Written by Pendell Meyers, with edits by Steve Smith A male in his 80s old had acute onset of chest pain. Here is his first ECG, time z...
Thursday, February 8, 2018
New paper by Smith: New Insights Into Use of the 12-Lead ECG for Diagnosing Acute MI in the Emergency Department
We just published this paper in the Canadian Journal of Cardiology. The February 2018 issue is on "Advances and Controversies in Car...
Syncope and Prehospital Cath Lab Activation for Posterior STEMI
A middle-aged man had syncope. This ECG was recorded prehospital; here are the limb leads: What do you think? Notice that the...
Wednesday, February 7, 2018
ST Elevation after Stab Wound to the Heart
A young man presented after a stab wound to the chest. Rapid ED diagnosis of cardiac penetrating trauma was made by ED ultrasound, and the...
Monday, February 5, 2018
Chest pain and a non-diagnostic ECG. No worries, right?
A middle-aged male complained of chest pain and called 911. 3 prehospital ECGs were recorded. Here is the time zero ECG: Just some n...
Thursday, February 1, 2018
This ECG was shown to the doctor with no clinical information
Written by Pendell Meyers, with edits from Steve Smith I was charting at my computer on a busy overnight shift when a triage ECG was pl...
Tuesday, January 30, 2018
Bizarre (Hyperacute??) T-waves
Thanks to one our great HCMC nurses, Ryan Burch. He figured this one out. A dialysis patient presented with dyspnea. He was a bit fluid...
Sunday, January 28, 2018
Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter's T-waves on prehospital ECG??
This post was written by one of our fantastic Hennepin County Medical Center Emergency Medicine interns who is an ECG whiz, Daniel Lee. ...
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