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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
ArrestMissed MIPaced Inferopost MIVentricular Pacing ECG FOAM Pendell Meyers, Steve Smith See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm Dr Smith's ECG Blog
Missed MIPaced Inferopost MIVentricular Pacing ECG FOAM Pendell Meyers, Steve Smith See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm Dr Smith's ECG Blog

After atropine

BradyLBBBMissed MIWenckebachLBBB Inferopost MI ECG FOAM Pendell Meyers, Steve Smith See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm 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
Excess Disc. STERCA OcclusionSyncope3°AVBVentricular Escape ECG FOAM Ken Grauer, Andy Lichtenheld, Steve Smith A 70-something woman with syncope and a wide complex Dr Smith's ECG Blog

Baseline

Baseline ECGLBBB ECG FOAM Ken Grauer, Andy Lichtenheld, Steve Smith A 70-something woman with syncope and a wide complex Dr Smith's ECG Blog

Initial

Excess Disc. STDExcess Disc. STERCA OcclusionRight Ventricular MI - V1LBBB Inferopost MISyncope3°AVB ECG FOAM Ken Grauer, Andy Lichtenheld, Steve Smith A 70-something woman with syncope and a wide complex 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 cath rhythm change

Post-Intervention ECGReperfusionVentricular Pacing ECG FOAM Pendell Meyers, Steve Smith A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm Dr Smith's ECG Blog

Post intervention

Atrial PacedPost-Intervention ECGReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm Dr Smith's ECG Blog

16min later

Excess Disc. STDExcess Disc. STEPaced Inferopost MIVentricular Pacing ECG FOAM Pendell Meyers, Steve Smith A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm Dr Smith's ECG Blog

Initial

Excess Disc. STDExcess Disc. STEPaced Inferopost MIVentricular PacingBaseline wander ECG FOAM Pendell Meyers, Steve Smith A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm Dr Smith's ECG Blog

Prehospital

IVCDLong PRNondiagnostic ECG ECG FOAM Pendell Meyers, Steve Smith A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm Dr Smith's ECG Blog
2:1 P:QRSAFlutter-Inf STD ECG FOAM Pendell Meyers, Steve Smith What is the cause of this patient's inferior ST depressions? Dr Smith's ECG Blog

1h later

ArrestHyperKWide QRS ECG FOAM Pendell Meyers, Steve Smith, Scott Weingart "Steve, what do you think of this ECG in this Cardiac Arrest Patient?" Dr Smith's ECG Blog

Initial

ArrestHyperK (7.6)-MIWide QRS ECG FOAM Pendell Meyers, Steve Smith, Scott Weingart "Steve, what do you think of this ECG in this Cardiac Arrest Patient?" 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