Post-cardiac arrest ECG: intracranial hemorrhage with elevated ICP

ECG Weekly Workout with Dr. Amal Mattu


A 36-year-old male is brought to the ED by EMS after PEA cardiac arrest. History is limited but he is known to have visited the hospital one week ago with a chief complaint of headache. ROSC is achieved after 2 rounds of CPR and the following ECG is obtained:

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

  1. What is the most likely cause of this patient’s arrest?
  2. What is the next best step in management of this patient?
  3. How many different causes of ST-segment elevation are there?