Dr Ed 'ECG' Burns

Ed Burns emergency physician with a passion for cardiology, ECG and the brains behind the ECG library on Life in the Fast Lane Google

About Edward Burns

Ed Burns is an Emergency Medicine Registrar, originally from England, but now based in Western Australia. A self-described ECG nerd, Ed is the force behind the ECG library and ECG Exigency series - Read Posts + Edward Burns | Contact

Conscious VF!

ECG Library Feature

Yes, this is VF.
Yes, the patient is conscious!!
In fact, he remained surprisingly stable both before and after this remarkable 12-lead ECG was taken.
Can you guess how this rare situation came about??

Diagnosis, Wenckebach Squared?

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Find out the solution to LITFL’s most recent ECG Exigency, is the diagnosis Wenkebach?

Diagnosis, Wenckebach?

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Can you spot the “deliberate” mistake and solve the puzzle of this unusual ECG tracing?

Brain Dead?

homer brain

A baffling case of apparent brain death… Can you work out what has happened?

ECG ST Segment evaluation

The ST segment is the flat, isoelectric section of the ECG between the end of the S wave (the J point) and the beginning of the T wave. What are the causes of ST elevation or depression?

A Fumbling, Mumbling Mess!

delirium

A puzzling case of drug-induced delirium. Can you solve the mystery?

Paracetamol-induced hepatotoxicity

yellow-man

A case of paracetamol-induced hepatotoxicity with a discussion of the Schiodt scoring system for predicting paracetamol-induced liver failure.

Massive Propranolol Overdose

pills

A 27-year old female presents to ED one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with a heart rate of 46 bpm. Fifteen minutes earlier she had been awake and able to give a history to paramedics… You need to act fast to save this patient. Are you up to the challenge?

Shock, syncope, sweating… and severe chest pain!

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A 67-year old male is brought to hospital by ambulance with severe chest pain, sweating, vomiting and syncope. There is something deeply worrying on his ECG… Can you make the diagnosis that will save his life?

Right Ventricular Infarction

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Here’s another volume from LITFL’s ever growing ECG Library — all you need to know about the ECG diagnosis of right ventricular infarction.