STAT ECG Diagnoses: the value of expert ECG interpretation when dealing with patients with altered mental status

ECG Weekly Workout with Dr. Amal Mattu


An unidentified male is brought into the ED unresponsive. He was reportedly found down with suspected trauma and required intubation at the scene. History is otherwise limited. The following ECG is obtained on arrival:

Before watching the video, look closely at this ECG and ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is your differential for the markedly prolonged QT interval?
  3. What is the most likely diagnosis based on this ECG and next best diagnostic test?