EMS ECGs: ventricular tachycardia (VT) pearls and pitfalls

Baltimore City EMS Cases with Dr. Amal Mattu


A 47-year-old woman is brought in by EMS with intermittent palpitations and lightheadedness. The following prehospital ECG was obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is the rhythm?
  3. What is Josephson’s sign?
  4. What is steeple sign?