A 77-year-old female diabetes and hypertension presents to the emergency department for generalized weakness, shortness of breath, and abdominal pain. A brief initial exam demonstrates that she is in respiratory distress, diaphoretic, tachypneic. The patient is immediately brought to the resuscitation bay and she is found to have an oxygen saturation of 77% on room air and a point-of-care glucose of 500.

Michael Hohl MD and Ari Edelheit MD

A 66-year-old female with a past medical history of acute myeloid leukemia on chemotherapy complicated by tumor lysis syndrome and myelofibrosis presents for a concern of hypotension and tachycardia which was noted on presentation to the outpatient infusion clinic.  The patient states she has been feeling well and her last chemo was a month ago.  The patient denies any physical manifestations including shortness of breath, chest pain, nausea, vomiting, or other symptoms at present. She does have a history of supraventricular tachycardia (SVT). 

Erica Dolph MD and Ari Edelheit MD

A 25-year-old male with no medical history presents to the emergency department with intermittent chest pain and palpitations. The chest pain is not exertional, positional, or radiating and the patient denies shortness of breath or syncope. The patient does note palpitations associated with lightheadedness.. He denies family history of sudden cardiac deaths. Initial vital signs are notable for BP 129/58, HR 76, RR 18, and O2 saturation of 98% on room air. The patient’s initial EKG (Figure 1) is shown.

Abish Kharel MD and Ari Edelheit MD