The EMRA offices will be closed for the upcoming holidays from Wednesday, December 24, 2025 until Monday, January 5, 2026.

Jeremy Berberian, MD

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EM Resident ECG Challenge Faculty Editor
EMRA EKG Guide Editor-in-Chief

Associate Director of Resident Education, Department of Emergency Medicine, Christiana Care Health System

Fellowship (Medical Education): Christiana Care Health System
Residency: Penn State Health Milton S. Hershey
Medical school: Drexel University College of Medicine

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A 22-year-old male with a history of sickle cell disease is brought to the ED by police after he was found altered and naked outside on a rainy night.
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An 87-year-old female presents with generalized weakness for the past several days after a recent increase in her diuretic medication by her cardiologist.
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A 62-year-old female presents with 1 hour of crushing substernal chest pain. What is your interpretation of this EKG?
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STEMI equivalents represent coronary occlusion without meeting the traditional STE criteria. It's important to recognize these patterns in a timely fashion.
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A 54-year-old male with a history of hypertension presents to the ED with palpitations. What is your interpretation of his EKG?
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A 52-year-old male presents to the ED with chest pain. What is your interpretation of his EKG?
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Can you distinguish between an abnormal EKG and a cardiac device malfunction at a glance, recall common pacer codes, or identify pacemaker problems on an X-ray? As the use of cardiac devices increases
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A 72-year-old female presents with exertional syncope for the past several days. What is your interpretation of her EKG?
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A 44-year-old male presents to the ED with intermittent chest pain for 2 weeks, worse with exertion, and resolves with rest. He is currently symptom free. What is your interpretation of his EKG?
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An 89-year-old female with atrial fibrillation presents with altered mental status. What is your interpretation of her ECG?
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