On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing.
Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min
The patient received iv sedation to facilitate initial assessment, his ECG is below.
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- What does his ECG show ?
- How would you manage this patient in the Emergency Department ?
- What happened next ?