Prehospital ECG's for a 76 year old female who called amb fo | Figure 1

Prehospital ECG's for a 76 year old female who called amb for SOB. Top ECG taken 12 mins after bottom one. Passed away 1 hr after arrival at ED

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42 year old male presents to the local urgent care with atypical chest pain. PT states he has occasional chest numbness, bilateral arm pain and tingling and upper back tightness. Bilateral BPs equal at 186/102 after 2 nitro. First two ECGs are done prehospitally at approximately 40 minutes after onset of discomfort, third is approximately an hour to an hour fifteen after onset. PT is a airline pilot that has come to our city after back to back three hour flights and has been to Mexico within the last month. No PMH no meds. He denies recent nausea, vomiting, diarrhea, and malaise. Family history of sudden cardiac related death in their 60s. Is a tobacco user. Unfortunately I'm prehospital, no labs or Chest x-ray available. What predictors do you see in the first two ECGs?

Patient had multiple stenting done after this ECG of course. The ECG from the case I linked before this was maybe 2 weeks closer to this event. I'll try and update with more specific information.](https://app.figure1.com/case-detail/5ab43633-d8d0-4312-b36a-994b588fae8f)

Demand ischemia. Elevated troponin and ECG changes in sepsis.](https://app.figure1.com/case-detail/632f2fa3-ab2a-49c4-b75b-e79893ffa5db)

ECG after rhythm termination from previous posted case.](https://app.figure1.com/case-detail/6f030d19-61be-46c7-9772-3c56912b8e6f)

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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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)