@emswami: Right Axis Deviation (Dominant R wave in II, III, aVF and Dominant S wave in lead I) is extremely uncommon in STEMI PE should be stronglytconsidered in patients with chest pain, shortness of breath with RAD Key points: avoid premature closure 1) don’t jump to the most likely diagnosis w/o considering alternates 2) remember that RAD is really rare in STEMI and should prompt consideration for PE which can be a STEMI mimic #emergencymedicine #criticalcare #emergencynurse #emergencynursing #resuscitation #prehospital #ems #emergencymed #emergency #stemi #pulmonaryembolism

Anand Swaminathan

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Thursday 15 October 2026 17:31:05 GMT