80 yof c/o sob and having been shocked a reported 8 times in | Figure 1

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Paramedic

80 yof c/o sob and having been shocked a reported 8 times in 20 minutes by her AICD. PT skin is diaphoretic. Initial rhythm shown in picture 1 with vitals in picture 3. IV NS bolus started. Given 150mg amidarone and converts to rhythm in picture 2, which is the last 12-lead we obtained before arrival at ER.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?