ECG of the Week - 19th May 2014

This ECG is from a 40 yr old female with sepsis. The patient was intubated and requiring vasopressor support.  Prior to this illness the patient was fit and well.
Thanks to Dr Nat for sharing this ECG.

Click to enlarge

Click to enlarge

VAQ Corner


A 40 yr old female presents to your Emergency Department with severe sepsis. The patient has been intubated and is on a noradrenaline infusion.  Prior to this illness the patient was fit and well.

Vitals signs:

• T 39.8 
• BP 104/65 [on noradrenaline] 
• Sats 98% [FiO2 1.0 Tv 500ml RR 12 PEEP 5]

a) Describe and interpret the patient's ECG (50%)

You transfer the patient to ICU and during handover the patient deteriorates .

Vital signs:

• BP 75/42 
• Sats 88% 
• [Noradrenaline and ventilator setting unchanged from previous]

b) Outline your approach to this situation (50%)