ECG RMHere’s a formula – and an app – to help you catch this easy-to-miss diagnosis

A 37-year-old man presented to the emergency department with severe respiratory distress. He reported a history of hypertension, diabetes and end-stage renal failure for which he received hemodialysis three times per week. However, he admitted to missing his last two dialysis sessions.

titleA 39-year old female presents to our emergency department with complaints of “worsening of heartburn”. The patient states that for several months she has had episodic indigestion and chest discomfort. She has been taking antacids for several weeks as prescribed by her family doctor without improvement.

"I think my child has swan flu!” You pause and try your hardest to maintain that poker face you’ve perfected. “I saw it on the news,” she continues, “and then my daughter was at Disney World running around with all these swans yesterday. I think they were contagious!”
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What does the EKG show? What should you do next?

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