This is the case of a 53 year old female who presented to the Emergency Department (ED) via EMS, with Altered Mental Status (AMS).
EMS was called to a local dialysis center due to the patient being unresponsive after approximately 3 hours of dialysis.
Upon arrival to the ED, the patient was unable to answer questions , with a Glasgow Coma Scale (GCS) of 8 and the following baseline vital sings:
Heart Rate: 74 beats/min, strong and regular
Respiratory Rate: 15 breaths/min, adequate tidal volume and regular, with clear sounds
Non-invasive Blood Pressure: 202/76 mmHg
SpO2: 99% on 15 LPM via Non-rebreather
Pupils: 3 mm and reactive to light
Blood Glucose Level: 68 mg/dL
Known Medical History:
Chronic Renal Failure
No know allergies.
The following 12 lead ECG was obtained by EMS prior arrival to the ED:
(Click on the ECG for a full view)
- What is your detailed ECG interpretation?
- What is your treatment?