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Truck driver found sitting at a gas station c/o chest pain for 1 hr before pulling over. 12 lead taken in field is shown. Right side 12 taken and positive. Pt BP 80/40, IV fluids started in field. Pt braided down and needed to be paced in ER. Follow up showed pt had 100% blockage in RCA. No previous cardiac problems other than HTN. Family history of MI.

FU for 43 yo male with AMI/STEMI. The first 12-lead shows ST-elevations septal, anterior & lateral leads. The 2nd 12-lead was taken after Stent placements in LAD & LCx and confirms Anteroseptal Infarct. The last 12-lead was taken the day after reperfusion. Apologies for the poor Dx quality of the last EKG.

A strip and a 12 lead from the same pt. 56 yr old. Crushing chest pain. Complete block with inferior MI also.

Elderly male presented to medics with "chest pressure" after going out to dinner with family. Pt alert, oriented and stable. Pt has pacemaker/defibrillator implanted. 12 lead taken in patient's home shown on top. Pt transported to ambulance via stair chair. Between the house and ambulance the pt broke out his vtach and presented in the rhythm shown in the second EKG which was taken in the ambulance. No shocks ever delivered by internal defib and no meds given in the field. Follow up revealed pt's defibrillator never went off because it's set to go off at 150BPM, pt remained between 130-140bpm.

58yof c/o chest pain x3hours. No significant medical history. Serial 12 leads taken in field. # 1. Original. pain 9/10. # 2. After 324mg ASA & 2 NTG pain 3/10. # 3. 3rd nitro given and Chest pain returned 9/10. What do you think? The change in elevation throughout this event could be caused by what? Treatment plan for pt?

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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?