• Home
    • Clinical Curriculum
    • Didactic Curriculum
    • Sub-Specialties
    • Diversity and Inclusion
    • Residency Awards
    • Wellness
    • Cook County ED
    • Benefits
    • Interview Day Logistics
    • About Chicago
    • FAQ
    • Contact Information
    • Medical Student Elective
    • Rotating Student Resources
    • M4 Externship Scholarship
    • Emergency Ultrasound
    • Simulation
    • Toxicology
    • Residents
    • Fellows
    • Faculty
    • Program Directors
    • Where We're From
    • Where Are We Going?
    • Alumni
  • Blog
  • Login
Menu

Cook County Emergency Medicine Residency

  • Home
  • Residency
    • Clinical Curriculum
    • Didactic Curriculum
    • Sub-Specialties
    • Diversity and Inclusion
    • Residency Awards
    • Wellness
  • Recruitment
    • Cook County ED
    • Benefits
    • Interview Day Logistics
    • About Chicago
    • FAQ
    • Contact Information
  • Students
    • Medical Student Elective
    • Rotating Student Resources
    • M4 Externship Scholarship
  • Fellowships
    • Emergency Ultrasound
    • Simulation
    • Toxicology
  • People
    • Residents
    • Fellows
    • Faculty
    • Program Directors
    • Where We're From
    • Where Are We Going?
    • Alumni
  • Blog
  • Login

the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Figure 1. Index EKG

Heart of the Matter: Not So Broken Heart Syndrome

October 23, 2025

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

Read More
In Cardiology Tags Cardiology
Comment

Figure 1. Index EKG

Heart of the Matter: SVT and the RP Interval

October 7, 2025

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

Read More
In Cardiology Tags Cardiology
Comment

Figure 1. Index EKG

Heart of the Matter: Don't Forget to Look for the Delta

September 22, 2025

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

Read More
In Cardiology Tags Cardiology
1 Comment
Older Posts →
  • Abdomen/GI
  • Cardiology
  • Critical Care
  • Endocrine
  • HEENT
  • Infectious Disease
  • Neurology
  • OB/GYN
  • Orthopedics/MSK
  • Pediatrics
  • Pharmacology
  • Psychiatry
  • Pulmonary
  • Renal
  • Sim Corner
  • Social EM
  • Toxicology
  • Trauma
  • Ultrasound
Tweets by @CookCountyEM

Contact Information

© 2020 Cook County Emergency Medicine