A 50-year-old male with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus, and alcohol use disorder presents to the ED with chest pain. He states that his chest pain started around 6:30 PM today (it is currently 9:10 PM) and that he felt dizzy and diaphoretic upon onset of symptoms. He denies fever, chills, SOB, abdominal pain, nausea, vomiting, change in bowel habits, dysuria or any other complaints. An ECG was obtained on arrival (Figure 1).

Authored by Michael Hohl, MD; Taylor Wahrenbrock, MD; and Ari Edelheit, MD.

Article Reviewed:

Griffey RT, et al. The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics. Acad Emerg Med 2023. PMID: 36775281

Authored by Taylor Wahrenbrock, MD, Kathryn McGregor, MD, and Eric Leser, MD.

A 30-year-old male with a past medical history of Wolff-Parkinson-White Syndrome (WPW) s/p ablation (2023), HIV on highly active antiretroviral therapy (HAART), and seizure disorder presents to emergency department for palpitations and left-sided chest pain that started a few hours prior to arrival. The patient denies any recent systemic infectious symptoms, drug use, travel, or chronic medication non-adherence. An initial ECG was obtained in triage.

Michael Hohl, MD