Chest Pain Circulation Nursing 
Dr. Smith's ECG Blog
OCTOBER 26, 2011
This 42 yo diabetic male presented with cough and foot pain. In spite of aggressive questioning, he denied chest pain, but he did tell one triage nurse that he had had some chest burning, and so he underwent an ECG: There are deep Q-waves and QS-waves in precordial leads V2-V3, with a bit of R-wave left in V4.
Dr. Smith's ECG Blog
DECEMBER 5, 2022
It’s an intubated septic nursing home patient." Acute chest pain and a bizarre ECG Bizarre (Hyperacute??) Incredibly , this case was just published in Circulation on January 22, 2018 (thanks to Brooks Walsh for finding this!) link] Circulation. Here is her old ECG:" What do you think? What do you think?
Dr. Smith's ECG Blog
AUGUST 10, 2023
Case submitted and written by Dr. Mazen El-Baba and Dr. Emily Austin, with edits from Jesse McLaren A 50 year-old patient presented to the Emergency Department with sudden onset chest pain that began 14-hours ago. The nurse alerted the MD because the patient was still symptomatic, diaphoretic and “looking unwell”.
Dr. Smith's ECG Blog
DECEMBER 11, 2023
After dinner the day of presentation, she had left neck and elbow pain which she described as dull, achy, and worse with exertion. She contacted her neighbor, a nurse, for help. See this case: Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. Circulation , 130 (25). At midnight. Mukherjee, D.,
Dr. Smith's ECG Blog
APRIL 8, 2016
A late middle-aged man presented with one hour of chest pain. It would be difficult to get a nurse to give it faster! During the resuscitation, I ordered 10 mEq KCl push, but the patient received 40 mEq of KCl, push (far more than recommended) The resident had ordered 40 mEq and that is what the nurses heard.
American College of Cardiology
FEBRUARY 1, 2025
Thus, she runs a monthly maternal heart council where physicians, advanced practice practitioners, nurses and hospital administrators meet to discuss prenatal, natal and postpartum care pathways for the entire health care system. That's the only way we can give women a definitive diagnosis for what's causing their chest pain."
Dr. Smith's ECG Blog
APRIL 9, 2025
A middle-age woman with no previous cardiac history called 911 for chest pain. I'll never forget when I ordered such an infusion in 1991 and then my patient started seizing and I looked up and the nurse had hung the lidocaine wide open! Return of spontaneous circulation (ROSC) was the primary outcome.
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