4 challenging EMS cases to help you nail the diagnosis

Baltimore City EMS Cases with Dr. Amal Mattu


A 60-year-old male calls EMS for nausea and vomiting. He is found to be hypotensive in the field with a blood pressure of 75/40 mmHg. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is the diagnosis?
  3. What is the best initial treatment for the patient’s hypotension?