The patient presented with GCS 15, AOx4. Patent airway with | Figure 1

The patient presented with GCS 15, AOx4. Patent airway with oxygen saturation greater than 96% on 2LNC. EKG shows wide complex tachycardia with rates 160-170. Manual SBP 80s/40s. Fast ultrasound was negative for free fluid in the pericardial space. CXR performed. No sign of pneumothorax, with small apical hemothorax. Blood administration initiated due to hypotension, tachycardia, and potential for internal blood loss with mechanism of injury prior to CT scan.

Cardiothoracic surgeon consulted, no surgical intervention at this time given the risks and benefits. Admission for further stabilization and monitoring.

young male 25, brought to icu comatosed (4/15) GCS responds only to pain ( supraorbital oedema) CT shows , cerebral edema zygmatic fracture , scalp parietal and temporal hematoma, routine US shew urinary catheter secured from previous clinic wasn't in situ, and urethral rupture most probably, suprapubic catheter introduced, RBS 7 mmol, CBC,show hb : 7 , 2units of blood was given,chest x Ray free, patient now on mannitol for oedema, esomprazole, antibiotic, Iv saline infusion, pain killers, his spo2 99 temperature 37.5 problem tachycardia 140,high blood pressure mainly diastolic pressure , 150/115 amiadrone was given because of arrthymia associated with sinus tachycardia, nidiflol was given for hypertension. and tachycardia, the tachycardia disappeared heart rate 100, but pressure still high, were holding our hands of narcotic and use tramadol and paracetamol iv as pain killers, but no change in hypertension , even after tridil infusion, no history of hypertension

51 y.o. Male diabetic with 5 days groin and thigh pain, on keflex and topical steroid per pmd. Presented to ER with medial thigh indurated, generalized mottling of the rest of his skin, tachycardia, normal blood pressure, white count 44k.

Middle aged female with shortness of breath, cough, weight loss, tachycardia and stable blood pressure. This is the echo of her heart performed in the ED.

50 y old men emergency département for dyspnea arteritis hypertension no chest paint cardiogenic choc : tachycardia, blood pressure 70/40 Sat 93%, EKG at admission tachycardie, ST elevation in inferior and v1 TEE left ventricular dysfonction Cath lab in emergency occlusion of LAA, stenosis or CX

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?