HPI
A 51-year-old truck driver presents to the ED after a brief syncopal episode at a rest stop. It is the middle of summer, his truck’s air conditioning is not working, he has had poor oral intake, and he appears clinically dehydrated. His vital signs are reassuring: afebrile, heart rate 100, respiratory rate 15, blood pressure 115/60, and fingerstick glucose 100. His exam is nondiagnostic except that he looks dehydrated. The following ECG is obtained and shows a pattern many clinicians are taught to associate with acute pulmonary embolism.
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