I don't have any clinical information on this case unfortunately but it looks like an interesting ECG :-)
ECG of the Week VAQ Corner
For those planning to sit the ACEM Fellowship, or any of our other interested readers.
I don't know anything about the real case so I've made up the clinical details for this question.
A 76 yr old female presents to your ED following a collapse at home.
She complains of feeling dizzy and lethargic for the last 2 days.
She has a history of IHD, CCF, and hypertension.
She is on multiple medications but can not recall them.
Observations: BP 85/45 RR 16 Sats 95% RA GCS 14 (M=6 V=5 E=3)
a) Describe & interpret the ECG (50%)
b) Outline your management (50%)
I appreciate this is probably a long question in terms of VAQ format but it's nice to think about what would you do with the patient in light of the ECG.