Chest Pain Critical Care Ultrasound 
Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant.
Dr. Smith's ECG Blog
JANUARY 15, 2024
Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. They had difficulty describing their symptoms, but complained of severe weakness, nausea, vomiting, headache, and chest pain. Edits by Willy Frick.
Dr. Smith's ECG Blog
DECEMBER 16, 2024
Case 1: 20-something woman with chest pain Case 2: 50-something man with chest pain Case 1 A 20-something yo woman presented in the middle of the night with severe crushing chest pain. The blood pressure was 170/100 in the critical care area. Which patient needs a CT Scan? Denies SOB.
Dr. Smith's ECG Blog
OCTOBER 26, 2010
This 54 year old patient with a history of kidney transplant with poor transplant function had been vomiting all day when at 10 PM he developed severe substernal crushing chest pain. He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He had this ECG recorded.
Dr. Smith's ECG Blog
MARCH 6, 2023
If you saw this ECG only knowing that it is an acute chest pain patient, what would be your interpretation? There was high suspicion of OMI, so patient was brought to critical care area and another ECG was recorded just 7 minutes later as the pain had diminished to 4/10. Suspicious but not diagnostic.
Dr. Smith's ECG Blog
FEBRUARY 12, 2023
There was no chest pain. Later, I was working in the ED and a patient was moved from a regular room to the critical care area due to recurrent hypotension. The patient was now under my care. So we did a bedside cardiac ultrasound. But today's patient had no chest pain.
Dr. Smith's ECG Blog
JUNE 2, 2023
She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? Despite otherwise normal vital signs, she was appropriately triaged to the critical care area of the ED.
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