Dr. Smith's ECG Blog

MARCH 13, 2024

Distilling this case into its most salient components, a man with multiple risk factors for coronary disease is presenting with several days of chest pain and markedly elevated troponin with no other reason to explain the lab abnormality ( e.g. sepsis). The patient has ACS by history, active pain, and an elevated troponin.

Coronary 108

Coronary ACS Emergency Management Emergency Manager 108

Don't Forget the Bubbles

OCTOBER 7, 2024

However, vertical flow can result in myocardial injury secondary to coronary artery spasm. This is supplied via alternating current (AC), increasing the risk of titanic contraction of skeletal muscle, leading to kids holding on to the electrical power source. AC and DC shocks may result in different injury patterns.

ACS 80

ACS Life Support OR CPR 80

Dr. Smith's ECG Blog

MARCH 25, 2025

In ACS, chest pain is the warning sign of ongoing ischemia. I have said before, treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep. The patient was taken to lab for coronary angiography.

Defibrillator 63

Defibrillator ACS Coronary ALS 63