Shock first and ask questions later?

ECG Weekly Workout with Dr. Amal Mattu


An elderly woman with a past medical history of hypertension, diabetes, and Parkinson’s disease presents to the ED with hip pain after a fall. Her blood pressure and mental status are normal on arrival. She is found to have a hip fracture and the following preoperative ECG is obtained:

Before watching the video, ask yourself:

    1. What is the heart rate and rhythm?
    2. How would you manage this rhythm?