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:

  1. What ECG abnormalities do you notice?
  2. What is the underlying rhythm and most likely cause?
  3. How would you treat this patient who is not responding to standard treatment?