Making big decisions on little information is the very nature of emergency medicine.  Nothing epitomizes this more than the decision to activate your cardiac catheterization lab for a patient with a potential ST elevation MI.  Grand Master of the squiggly lines, Dr. Sara Nelson, recently took us through a tour of several challenging chest pain patients and their respective ECG's.  Take a look at these cases and ask yourself, what is your initial management? What is your interpretation of the ECG  . . . do you activate the cath lab or not?.... you make the call!!

 

To the Cath Lab or Not ? - Case # 1

 

Sara Nelson, MD
Assistant Professor of Emergency Medicine
Maine Medical Center
Tufts University School of Medicine


To the Cath Lab or Not ? - Case # 2

 

Sara Nelson, MD
Assistant Professor of Emergency Medicine
Maine Medical Center
Tufts University School of Medicine


To the Cath Lab or Not ? - Case # 3

 

Sara Nelson, MD
Assistant Professor of Emergency Medicine
Maine Medical Center
Tufts University School of Medicine


To the Cath Lab or Not ? - Case # 4

 

Sara Nelson, MD
Assistant Professor of Emergency Medicine
Maine Medical Center
Tufts University School of Medicine


To the Cath Lab or Not ? - Case # 5

 

Sara Nelson, MD
Assistant Professor of Emergency Medicine
Maine Medical Center
Tufts University School of Medicine


To the Cath Lab or Not ? - Case # 6

 

Sara Nelson, MD
Assistant Professor of Emergency Medicine
Maine Medical Center
Tufts University School of Medicine


To the Cath Lab or Not ? - Case # 7

 

Sara Nelson, MD
Assistant Professor of Emergency Medicine
Maine Medical Center
Tufts University School of Medicine