An 88yr male who presented with syncope and diaphoresis. In ED he is alert and not complaining of dizziness, chest pain or palpitations. Here is his ECG:
What is your management?
Category Archives: Advanced EM Cases
ECG of the Week 28/5/25
Today’s ECG is from a 75yr old male patient. You have been handed over an EAU chest pain patient, the nurse hands you the following ECG and asks you if you are happy to discharge the patient given he is now pain free and has negative troponins.
Of course, as part of your assessment you compare to his initial ECG 3hrs ago when he had 5/10 central chest pain
What are you going to do?
VBG of the week 21/5/25
The following VBG was taken from a 20yr old with known T1DM:
pH 6.872 pCO2 27 pO2 36.5 HCO3 4.7 O2 59.9 Hb 164 Na 142 K 4.2 Cl 110 Ca 1.47 Glu 26.1 Lactate 3.5 Creat 75 Ketones 3.0
ECG of the week 14/5/2025
A 33yr old male presents with exertional chest pain, his ECG is below:
What is the specific finding and concern with this ECG?
VBG of the week 30 Apr 25
The following patient presents with 1day of vomiting, and has had multiple similar presentations:
ph 6.98 pCo2 70 pO2 45 HCO3 15 Base Xs -19 Saturation 57 Sample type: Venous Na 116 K 8.1 Cl 88 IonCa 1.19 Creatinine 204 Hb 149 Glucose 22 Lactate 13.1 Carboxy Hb 0 Met Hb 0.7
What is your diagnosis and management?
ECG of the week 30/4/25 “Doc is my pacemaker pacing properly?
This week we have a series of 3 ECGs from separate patients. These patients all had the same question. “Doc is my pacemaker pacing properly?”
Patient 1 78yr female presents following a mechanical fall. Her CXR shows likely left side nondisplaced rib fractures. The patient is worried that the fall may have dislodged the pacing leads. What will you tell her?
Patient 2 is a 65yr female who presents with chest pain. What is on her ECG?
Patient 3 75yr female presents with renal colic and complains of chest palpitations during periods of pain. Her ECG is below:
They say things come in 3s, I hope you enjoy todays trifecta of ECGs!
ECG of the week 23/4/25
The following 66yr old man went to the GP for a health check up, the GP found him to be bradycardic and referred him to ED. While your RMO is taking a history from this delightful gentleman, you get handed this ECG:
What is your diagnosis and management?
ECG of the week 16/4/25
The following 75yr old recently ceased amiodarone through the GP and presented with presyncope. Here are her serial ECG:
VBG of the week 26/3/25
A 40yr male patient presents with OOHCA. During arrest he received thrombolysis for potential STEMI and 10mmol KCL to treat an initial VBG K 2.5
The team then achieved ROSC and the following ABG was obtained immediately after placement of arterial line.
Please outline you management?
ECG of the week 26/3/25
This week’s ECG is from a 61yr male presents 3/7 post TKR with sudden onset SOB:
Please state your diagnosis and management of this patient