A patient with community acquired pneumonia and hypoxemic respiratory failure written by Dr. Allen Tran. In this scenario, the patient is initially admitted to the medicine floor but deteriorates requiring intubation.
A case of a left MCA stroke with intracranial hemorrhage after administration of tPA. Written by Dr. Iain Arseneau.
A patient with known severe aortic stenosis presents via EHS because of worsening dyspnea, and is found to have atrial fibrillation with rapid ventricular response and to be in congestive heart failure. His hemodynamic status will worsen, prompting management decisions around cardioversion or pharmacologic rate control, and definitive management of his aortic stenosis.
Initial ECG from http://www.wikidoc.org/index.php/Atrial_fibrillation_EKG_examples
Post cardioversion ECG from http://bestpractice.bmj.com/best-practice/monograph/409/resources/image/bp/5.html
A patient with pneumosepsis and rapid afib. Aimed at junior residents. The goal is for junior residents to recognize that this patient, who is normally rate controlled, is in rapid afib precipitated by a pneumonia. Treating the underlying cause is essential. Written by Dr. Alison Rodger.
ECG source: Life in the Fast Lane ECG library (https://lifeinthefastlane.com/ecg-library/atrial-fibrillation/)