ECG of the Week - 23rd December 2013

The following ECG is from a 58yr old male who was brought to the Emergency Department following an out-of-hospital cardiac arrest. 
The inital rhythm on paramedic arrival was VF, initial DC cardioversion resulted in PEA with ROSC following iv adrenaline. A further episode of pre-hospital VF responded to DC cardioversion.
On arrival to the Emergency Department the patient is intubated, starting to make voluntary movements, with eye opening to stimuli. Vital signs: BP 98/67, BSL 8.2, Temp 36.8
The initial ECG is below:

Click to enlarge

VAQ Corner

A 58yr old male is brought to your Emergency Department following an out-of-hospital cardiac arrest. 
The initial rhythm on paramedic arrival was VF, initial DC cardioversion resulted in PEA with ROSC following iv adrenaline. A further episode of pre-hospital VF responded to DC cardioversion.
On arrival to the Emergency Department the patient is intubated, starting to make voluntary movements, with eye opening to stimuli. Vital signs: BP 98/67, BSL 8.2, Temp 36.8.

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