EMS ECGs: hypothermia emergencies, accelerated idioventricular rhythm (AIVR), and so much more!

Baltimore City EMS Cases with Dr. Amal Mattu


 A 63-year-old male presents to the ED with chest ache, near syncope, and exertional lightheadedness. The following ECG is obtained: 

Before watching the video, look closely at this ECG and ask yourself:

  1. What is the heart rate and rhythm?
  2. What is the most likely diagnosis?
  3. Would you activate the cath lab?