Same patient. Different readings in a matter of minutes due | Figure 1

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Same patient. Different readings in a matter of minutes due to the Cardiac Monitor being attached to the patient during the EKG. In the first picture, the reading stated the patient was having a STEMI. Our Attending already had solved the problem earlier on someone else....and told me to turn off the monitor while I did the EKG again. Sure enough, our patient was fine and did not need to be rushed to the Cath Lab. We now do the EKGs with the Cardiac cable unplugged from the monitor. 👌🏽

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911 for cardiac arrest. Patient is worked for 22 minutes on scene before ROSC is achieved. Ekg’s shown are post arrest. Patient transported to ED. Upon arrival at ED the patient arrest again. Worked for another 23 minutes and taken to catch lab. 100% LAD occlusion. Ultimately the patient did not survive.

74yo male went to his local urgent care for chest pain. MD did EKG and contacted our hospital. Patient flown directly from urgent care to us. EKG above taken upon arrival to ED and showed significantly more elevation than one taken at urgent care. Pt changed, lined, and labbed as prep for cath lab. Door to cath lab time: 7 minutes. Patients trops trended s/p cath and maxed out our readings at ">200". Today they came down to 70. Sorry for the poor picture quality.

This patient came to the ED with complaints of abd pain. Monitors showed an unusual rhythm. EKG done and showed cardiac #Tamponade A bedside u/s confirmed pericardial effusion. Patient coded and an emergency #Pericardiocentesis was done. 1800ccs of blood pulled off. Patient then went back into a NSR. He was awake by the time I took him to the ICU.

STUDENTS: an important look at the difference between filtered monitor EKG tracings and unfiltered 12 lead readings. Form an impression based on image 1, the monitor tracing, then look at image 2, the 12 lead tracing how does the appearance of complex 2 change your impression?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?