Emergency Physician special interest in Critical care, Retrieval Medicine and Toxicology #Traveller#FOAMED#Educator#Emergency physician#ECG#MD

Australia
Joined September 2014
6 year old girl presenting to the ED with cough, when goes to sleep noted to be Brady ,ECG
5
2
16
2,224
45 year old male acute onset palpitations
13
5
2
40
9,437
Post Cardio version
1
2
90
This was an AF with pre excitation
2
85
25 year old previously healthy presenting with episodic self resolving palpitations. Looks anxious Exam Normal , no past Hx or family Hx of cardiac diseases. Would get cardio to have a look ?
5
2
12
2,129
82-year-old female, unwell with cough for ~1 week. While walking to the bus she became dizzy, pale, and sweaty. ECG one given Amiodarone by the paramedics ECG two on arrival
4
10
29
2,629
26 year old pregnant lady 26 weeks of POA with severe epigastric pain -Acute pancreatitis confirmed with lipase 6000+ ECG as below ( no ECGs to compare ) Thoughts
2
3
16
1,131
35 year old male coming with intermittent sharp episodic chest pain for the last 3 days duration Trop 1000— peaking to 4000 ECHO normal Angio mild muscular bridge on LAD What do you make of the ECG and presumptive Dx?
6
4
1
21
2,824
Mobitz type 11 or complete heart block ?
8
2
8
1,156
This patient had a Saddle PE needing urgent thrombolysis Would suspect a PE looking at his ECG ?
13
3
19
3,181
72 F Acute onset chest pain Value of serial ECGs (this change was over an hour ) Anything suspicious in the first ECG about what was coming?
9
4
1
28
2,096
Culprit artery/arteries ?
10
4
18
2,888
Culprits were LAD and D1
70
15 year old boy, acute onset palpitation with marginal BPs BG left Hypo-plastic heart heart syndrome with 4 reversion surgeries
7
3
1
17
2,528
We were thinking of AVRT as likelyDx , but his cardiologist had the impression to be Atrial flutter with 1.1
3
36
This was a interesting case, 72 year old male recent CABG 12 hours history of progressive SOB with pleuritic type of chest pain
4
2
20
1,912
I would label this as an essentially normal Looking EKG He had a RV strain feature on bed side ECHO and CTPA confirmed a saddle PE which was thrombolysed
1
44
53 year old female presenting central crushing chest pain ,has been on going for 12 hours now
10
5
38
5,005
CT Angio was normal , confirmed Takotsubo cardiomyopathy
1
52
Bed side ECHO was convincing for stress induced cardiomyopathy (Taskotsubo typical variation ) Waiting for coronary Angio will update with the results
1
102