Pt arrived via EMS. Very little history. Pt does have hx ren | Figure 1
Patient Case Summary
Pt arrived via EMS. Very little history. Pt does have hx renal failure. CC is AMS with n/v. Initial EKG is shown. What do you see? What work-up would you initiate? EKG 2 is after appropriate management.
Additional Cases
Case 1: 34-year-old Female
34yoF called 911 due to severe chest pain that turned into palpitations just after calling. The patient presented as CAOx4 and complained of dizziness, lightheadedness, and nausea. Initial vitals HR 116, BP 146/96, RR 16, 98% @RA. Patient had previous cardiac history 10 years ago that I will share when the case is solved...the answer is in the EKG!
Case 2: 56-year-old Male
56M with recent CABG and AVR. PMHx: CAD, DLP, HTN, MI. Pt suddenly goes into this rhythm. What do you see? And how do you manage it?
Case 3: Aortic Insufficiency
Patient with #aortic-insufficiency in heart failure here for a valve replacement. What are the important EKG findings here?
Case 4: Cardiac Arrest Patient
77yo male presenting to ER post-cardiac arrest; received shock from ICD, had ROSC on arrival. PMHx: DMII, HTN, CABG (quadruple), BPH. EKG#1 (initial EKG on arrival, EKG#2 60min later. ER-MD consulted cardio on sight and refused to send to cathlab. Pt was initiated due instability and admitted to ICU.
Trending Cases
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