STAT ECG Diagnoses: how to use ECG differentials to clinc the diagnosis in patients who are altered and can not provide a reliable history

ECG Weekly Workout with Dr. Amal Mattu


A 50-year-old woman is found unconscious by a family member this morning. She was last known normal yesterday afternoon. On arrival to the ED she is minimally responsive and only moaning to pain. Her vital signs are; BP: 110/60, HR: 115, RR: 8, SpO2: 95%, afebrile, with a finger stick glucose of 110. Her exam is otherwise non-diagnostic. The following ECG is obtained:

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

  1. What ECG abnormalities do you notice?
  2. What is your complete systematic ECG interpretation?
  3. What is the most likely cause and your initial treatment of choice?