This is part II to “37 year old male–CC: Chest Pain“. You may wish to review the case. So, while many of our cases are straightforward, this one is not. But hey, our patients don’t read the textbooks! First, let’s review the chief complaint: Our 37 year old male had “chest tightness”, but complained of lethargy […]
"For heaven's sake man, treat the patient not the monitor!" Ahh, the angry cries appear every time we post a difficult case with a challenging ECG or treatment decision.. The attitude seems intractable, despite our best efforts. Over a year ago, I wrote "Treat the Patient not the Monitor?", and not much has changed […]
The original presentation of this case appeared as "What's Wrong with Mr. Wilson?"… You can read the original post here. Much has been written lately about RBBB abnormalities that were missed. Dr. Smith has recently posted two cases here, and here discussing this. First, let's review the 12 lead of a typical RBBB. When learning […]
Sometimes recognizing sinus tachycardia can give us fits. What? Sinus tachycardia? One of the most basic rhythms? The discussion that follows will highlight some of the difficulties sinus tach can present at high rates. The pitfalls of using the generalized term "SVT" will also be discussed. This discussion is not meant to imply that […]
Happy New Year everybody! We start 2013 with a continuation of our discussion about the field treatment of hyperkalemia. It might be helpful to review the first part of the discussion," HyperK and Shades of Grey" here. We are fortunate to have as a guest contributor Dr. Brooks Walsh of the Mill Hill Ave Command blog. […]