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Serial

Anterior STEHyperTSTDSubtle Anterior MI ECG FOAM Steve Smith 30 yo woman with chest pain and a "normal ECG" by the computer, this one prehospital Dr Smith's ECG Blog

Prehospital

HyperTSubtle Anterior MI ECG FOAM Steve Smith 30 yo woman with chest pain and a "normal ECG" by the computer, this one prehospital Dr Smith's ECG Blog
DynamicReperfusionSerial ECG ECG FOAM Steve Smith 15 hours of chest pain. Too late for thrombolytics, right? Unstable Angina still exists. Dr Smith's ECG Blog
AntLat MILAD occlusion ECG FOAM Steve Smith 15 hours of chest pain. Too late for thrombolytics, right? Unstable Angina still exists. Dr Smith's ECG Blog

Lewis lead

Absent PJunctional TachycardiaLewis LeadRhythm Strip Only ECG FOAM Steve Smith A fast narrow complex rhythm. Dr Smith's ECG Blog

Serial

ECG FOAMJunctional Tachycardia Dr Smith's ECG Blog

Arrival

Junctional TachycardiaLewis LeadPalps ECG FOAM Steve Smith A fast narrow complex rhythm. Dr Smith's ECG Blog

Prehospital

AFlutter ECG FOAM Steve Smith A fast narrow complex rhythm. Dr Smith's ECG Blog

Rhythm during adenosine

AFlutterFlutterRhythm Strip Only ECG FOAM Steve Smith What happens when you give adenosine to a patient with this rhythm? Dr Smith's ECG Blog

Initial

AFlutter ECG FOAM Steve Smith What happens when you give adenosine to a patient with this rhythm? Dr Smith's ECG Blog

80nin later

Deeply Inverted T WaveIsorhythmic Dissociation3°AVB ECG FOAM Steve Smith Sudden weakness with bradycardia and bizarre T-waves Dr Smith's ECG Blog

Initial

BradyLPFB + RBBB2°AVB 2:1 ECG FOAM Steve Smith Sudden weakness with bradycardia and bizarre T-waves Dr Smith's ECG Blog
-AFECG FOAMWAP Dr Smith's ECG Blog

After more treatment

NSRResolved Type II MI ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Lewis lead

Lewis LeadRhythm Strip OnlySinus Tach ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Post fluids

Δ RhythmSinus TachSVTType II MI ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Initial

Ashman BeatAF + RVRType II MI ECG FOAM Steve Smith Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads Dr Smith's ECG Blog

Baseline

Baseline ECG ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

Next AM

Anterior STEReperfusion T Wave ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=68min

Anterior STEDynamicLAD occlusionSubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=35min

Anterior STESubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=19min

Anterior STESubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

t=5min

Anterior STESubtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog
Anterior STE-High Lateral MILateral STENormal AxisNormal Variant ST ElevationNotched J Point12-lead ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog
D1 OcclusionHigh Lateral MI ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog