9 results
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... Cath showed 100% ... - Sam Ghali, ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... this you must act ... - Sam Ghali, M.D ... @EM_RESUS #STEMI ... Tombstones #SharkFins #ecg
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... an impressive #ECG ... Cath showed 100% ... Sam Ghali, M.D. ... @EM_RESUS #STEMI
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Computer is calling STEMI ... classic “Pseudo-STEMI ... kidneys in the Cath ... - Sam Ghali, M.D ... #ECG #Electrocardiogram
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Axis Response to ACTH ... Early am cortisol ... Stim test is 250 mcg ... Insufficiency #Diagnosis #Algorithm
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
, no extensive workup ... EtOH - Infectious workup ... blood cultures - ECG ... antibodies #Diagnosis #EM ... #Differential #Algorithm
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... Cath showed 100% ... - Sam Ghali, ... @EM_RESUS #STEMI ... LAD #Diagonal1 #ECG
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... acidosis) ACTIVATE CATH ... Cardiogenic #Shock #Algorithm
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (-) EM ... thickening and SAM ... stress ==> Clean cath ... ) septal HCM + SAM