STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

ECG Weekly Workout with Dr. Amal Mattu


HPI

A 62-year-old male is being transported by EMS to the ED for acute onset chest pressure. He is noted to be hypotensive with a systolic blood pressure in the 50’s. A prehospital ECG is obtained and transmitted:

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

  1. What ECG abnormalities do you notice?
  2. Would you activate the cath lab based on this ECG?
  3. What other differential diagnoses are you considering?