A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index ECG.
A 59-year old-male with a past medical history of uncontrolled hypertension and polysubstance use disorder presents with exertional dyspnea that started 2 weeks ago. He reports associated bilateral lower extremity swelling, right greater than left, that started 2 days ago. An ECG is obtained on arrival (Figure 1).
Michael Hohl, MD
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Figure 1. Index ECG.
A 58-year-old male with no reported past medical history presents with central chest “irritation” and exertional dyspnea for 1 day. He his hypotensive and diaphoretic upon evaluation. An initial ECG followed by a right sided ECG is obtained (Figures 1 and 2).
Adam Roussas, MD
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EMS brings you a 38-year-old male patient from the street. He is obtunded, GCS 6, smells strongly of vodka, and was reportedly surrounded by liquor bottles at the scene. He is breathing comfortably with both stable and normal vital signs on assessment. What should be done?
Jorge Aceves, MD
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