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A bedside cardiac ultrasound was normal. He was discharged and schedule for an outpatient echo which has not been done yet. Is there STEMI? There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. He wrote: "ECG 1 - shows wide ???IVCD IVCD type rhythm ??
Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound. He had multiple cardiac arrests with ROSC regained each time. Submitted by a Med Student, with Great Commentary on Bias! Chest pain, SOB, Precordial T-wave inversions, and positive troponin.
A bedside cardiac ultrasound was normal, with no effusion. 9 However, because troponin is a clear marker of disease severity and a powerful independent predictor of adverse outcomes, it may be quite useful in the ED disposition decision: if troponin is elevated, then outpatient management should be reconsidered.
So I immediately left the room to get an ultrasound machine. While calling for some help and arranging to have her transported to our critical care zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances. mm STE depression in aVL.
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