Case 6: The Chest Pain Patient With Stripes

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The Patient You are on a busy evening shift in resus. An 88 year-old man is brought in by ambulance with chest pain. The nursing staff have recorded initial observations, obtained IV access and got an ECG whilst you referred your last patient to the medical on-call team. The paramedics have handed over to a nurse […]

EMJ blog – ECG Marksmanship: Posterior Wellen’s Syndrome

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You can check out my latest piece for the EMJ blog by clicking here. I take a look at a very interesting EMJ paper published online recently: Driver BE, Shroff GR, Smith S. Posterior reperfusion T-waves: Wellens’ syndrome of the posterior wall. Emerg Med J. 2016 Jul 29. Tellingly, one of the authors is Dr. Smith, author […]

Hunting the Culprit 2: Coronary Artery Anatomy

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This is the second post from the ‘Hunting the Culprit’ Series.  An appreciation that each of the 12 ECG leads is a ‘snapshot’ of the heart from a specific position is crucial for hunting the culprit vessel in STEMI patients. For a detailed explanation of ECG leads, here is the first post from this series […]

Hunting the Culprit: (Properly) Understanding ECG Leads

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Recently I was lucky enough to have attended the ‘EMECG’ course in Cape Town, SA. It was a 2-day event that took place at the beautiful V&A waterfront. Not a bad backdrop to learn about ECGs #emecg pic.twitter.com/aOVqfwJLht — Robert Lloyd (@PonderingEM) April 11, 2015 The faculty delivered high yield, EM-centric ECG education in a […]

Case 1: Who’s afraid of the big bad Wolff?

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The Patient… 21 year old girl. Clean bill of health. 1 hour of unrelenting palpitations that stopped her being able to concentrate on writing her dissertation. On standing to get a cup of tea she feels very dizzy and like she is about to collapse. She lays down and calls for her boyfriend who phones an ambulance. 15 […]