STAT ECG Diagnoses: what to do when advanced life support (ACLS) does not work
ECG Weekly Workout with Dr. Amal Mattu
A 40-year-old man is brought to the ED moribund with agonal respirations, hypotension (SBP~50) and bradycardia. The following ECG was obtained and ACLS started with no response to atropine or an epinephrine drip:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is the underlying rhythm and most likely cause?
- How would you treat this patient who is not responding to standard treatment?