HPI
A 75-year-old man with PMHx of hypertension on metoprolol is being brought in for 3 days of nausea, vomiting, and weakness. He reportedly appears dehydrated and is found to be hypotensive with concern for an unstable bradycardia. Standard prehospital ACLS treatment with atropine and transcutaneous pacing is failing. The following EMS ECG is obtained and transmitted:
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