ECG of the Week - 3rd October 2016

The following ECG is from a 78yr old female who presented to the Emergency Department with a 1 day history of cough, confusion, fever and dysponea. She has a prior medical history of COPD, PVD and rheumatoid arthritis.

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Things to think about

• What does the ECG show ?
• What are the key steps in managing the patient ?