August 5, 2019

Don’t Miss a Landmine

Working in the ER has been compared to walking through a minefield in clown shoes. Stepping on a mine is inevitable; you rely on sound decision-making and a good patient/doctor relationship to minimize the ‘blast’. We are hit with a lot of interruptions on each
May 17, 2019

Isolated aVR ST Elevation

Here’s an excerpt from How to Not Kill Your Patients, a collection of interesting stories, cases, and advice for those who work in the ER: A 70 year-old woman presents to the ER with mid-sternal chest pain, shortness of breath, and diaphoresis. She’s clutching her
January 12, 2018

Beware The Legend of Zelda: Breath of the Wild

A 34 year old guy drove himself to the hospital because he was playing the new Zelda game on the Nintendo Switch and started having some chest pain. He mentioned it to his wife, who forced him to come to the hospital. He had no
August 8, 2017

Dynamic ECG Changes

I’ll present this case in the actual sequence of events as they happened: A patient in her mid-50s presented to the ED with chest pain. She saw her PCP and had an ECG done, after which he suggested that she go to an ED for
June 1, 2017

A Helpful Equation

A 55 year old man presented with intermittent chest pain for 2 weeks. His pain is currently a 7/10 and here is the initial ECG: Troponins remained negative. A second ECG was done 12 hours after the first:Nothing overtly impressive – some subtle ST elevation
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