ECG of the Week - 5th August 2013

This ECG is from a 28 year old male who presented following a fall from height, 2 metres, and complained of mild left chest & arm pain. His vital signs are all normal.
An ECG was performed, see below, thoughts, comments ?
Check out our interpretation, and some more information on the clinical outcome, here.

Click to enlarge

VAQ Corner

A 28yr old male presents to your ED following a fall from 2 metres.
He complains of left chest & arm pain.
His vital signs are normal.
An ECG is performed, see above.

a) Describe and interpret his ECG ? (50%)
b) Outline your risk stratification approach to blunt cardiac injury ? (50%)