ECG of the Week - 8th July 2013

This ECG is from a 47 year old female.
She presents with acute onset severe dysponea and pre-syncope.
Vitals signs are BP 95/42 RR 30 Sats 88% (Room Air)
Her ECG is below.

Click to enlarge

VAQ Corner

A 47 year old female presents to your regional ED.
She presents with acute onset severe dysponea.
Vitals signs are BP 95/42 RR 30 Sats 88% (Room Air)
Her ECG is above.

a. Describe and interpret her ECG (50%)
b. Outline your further management (50%)