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Arrival

Baseline ArtefactHypoKTall U ECG FOAM Steve Smith A middle-aged man with severe syncope, diffuse weakness Dr Smith's ECG Blog

Prehospital

HypoK (2.6)Long QTTall U ECG FOAM Steve Smith A middle-aged man with severe syncope, diffuse weakness Dr Smith's ECG Blog

Prehospital

Anterior STENormal Variant ST Elevation ECG FOAM Steve Smith I was texted this ECG: "Middle-aged male with Prehospital Cath Lab Activation" Dr Smith's ECG Blog

Initial

Anterior STENormal Variant ST Elevation ECG FOAM Steve Smith I was texted this ECG: "Middle-aged male with Prehospital Cath Lab Activation" Dr Smith's ECG Blog

Arrival

Coronary DissectionResolved STE ECG FOAM Steve Smith Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics Dr Smith's ECG Blog

17:16

Reperfusion ECG FOAM Steve Smith Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics Dr Smith's ECG Blog

Next 3 ECGs

LBBBPost-Intervention ECG~Terminal QRS Distortion ECG FOAM Steve Smith Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics Dr Smith's ECG Blog

First 3 ECGs

Anterior STECoronary Dissection~Terminal QRS Distortion ECG FOAM Steve Smith Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics Dr Smith's ECG Blog

31min later

Anterior STENormal Variant ST Elevation~Pericarditis ECG FOAM Steve Smith High ST Elevation in a Patient with Acute Chest Pain Dr Smith's ECG Blog

Baseline 1 month ago

Baseline ECGNormal Variant ST Elevation ECG FOAM Steve Smith High ST Elevation in a Patient with Acute Chest Pain Dr Smith's ECG Blog

Initial

Anterior STENormal Variant ST Elevation~Pericarditis ECG FOAM Steve Smith High ST Elevation in a Patient with Acute Chest Pain Dr Smith's ECG Blog
Anterior STEHyperacute T MI - TallLAD occlusionMachine Interpretation Error~Terminal QRS Distortion ECG FOAM Steve Smith "This is not a Subtle ECG, right?" Dr Smith's ECG Blog

21min later

HyperTLAD occlusionRecip STDSubtle Lateral MI ECG FOAM Steve Smith Prehospital ECG looks very suspicious to the paramedic Dr Smith's ECG Blog

Initial

Hyperacute T MI - BulkyLAD occlusionRecip STDSubtle Lateral MI ECG FOAM Steve Smith Prehospital ECG looks very suspicious to the paramedic Dr Smith's ECG Blog
Anterior STEHyperacute T MI - BulkyLAD occlusionStraight ST ECG FOAM Steve Smith Ed Burns (from Life in the Fast Lane) sent me this one.... Dr Smith's ECG Blog

1h after arrival

Anterior MILAD occlusion ECG FOAM Steve Smith Serial ECG recordings are essential: paramedic makes a great call! Dr Smith's ECG Blog

Pain 3/10

DynamicSerial ECG ECG FOAM Steve Smith Serial ECG recordings are essential: paramedic makes a great call! Dr Smith's ECG Blog

A few min later, pain 7/10

Chest PainLAD occlusionSubtle Anterior MI ECG FOAM Steve Smith Serial ECG recordings are essential: paramedic makes a great call! Dr Smith's ECG Blog

Initial, pain 8/10

Chest PainLAD occlusionNondiagnostic ECG ECG FOAM Steve Smith Serial ECG recordings are essential: paramedic makes a great call! Dr Smith's ECG Blog
-Wellens AHypoK (2.0)Tall U ECG FOAM Steve Smith Are These Wellens' Waves?? Dr Smith's ECG Blog
iRBBBTinv-PE-R in V1RVH ECG FOAM Steve Smith A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli Dr Smith's ECG Blog

Post stent

Post-Intervention ECG ECG FOAM Steve Smith A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees. Dr Smith's ECG Blog

Prior to cath

Anterior STELAD occlusionSubtle Anterior MI ECG FOAM Steve Smith A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees. Dr Smith's ECG Blog
Anterior STELAD occlusionSubtle Anterior MI ECG FOAM Steve Smith A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees. Dr Smith's ECG Blog
~Long QTSinus Tach ECG FOAM Steve Smith QT Correction Formulas Compared to The Rule of Thumb ("Half the RR") Dr Smith's ECG Blog