64 y/o male complains of chest pain to his daughter takes hi | Figure 1

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64 y/o male complains of chest pain to his daughter takes his own nitro then goes unconscious and unresponsive in front of her from 911 call to CPR time was 8 minutes (a cop made scene and initiated CPR for ems) placed an IO in the left shoulder pt was given 40 units of vaso and 2 doses of epi after ROSC was achieved this was his initial 12-lead pt is currently in ICU doing well

Trending Cases

continuation from previous case; pt returned from Angio with several stents and an EF 35%. Pt was stable thought evening until sudden rapid decompensation, was found unresponsive by pt with pic#2. Initiated CPR and worked on pt for 40min, shocking and dual-sync. defib given with no effect. Pt unfortunately expired.

EMS called out to home for chest pain. Pt complained of acute chest pain for 20minutes prior to calling 911 and pain in his left arm for 3 days. Pt presented lethargic and extremely diaphoretic. All vitals within normal limits upon initial assessment. No other medical Hx. Pt was transported emergency traffic. During transport pt went into ventricular fibrillation and pt was defibrillated immediately with sinus bradycardia following and no CPR required. V-fib lasted approx. 18 seconds. Pt remained stable throughout remainder of transport to cardiac catherization lab. Before and after pictures of RCA complete blockage relieved after catherization.

pt collapsed at work; immediate bystander cpr until ambulance arrival; cpr for 70min; initial VF, several times ROSC and arrest again. 8xshock, 8mg adrenalin, 450mg amiodaron. In resus 2xshock, than stable ROSC and Catholic lab. picture of venous BGA fem art, LCA and RCA...

update:previous VT rhythm, CPR was initiated rhythm degenerated into this. What's the rhythm and action?

Additional Cases

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?