Remove Cardiac Arrest Remove Cardiac Function Remove Tachycardia
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Prehospital "Altered mental status and hypotension due to probable DKA" (everyone must know this ECG diagnosis)

Dr. Smith's ECG Blog

This is obviously severe hyperkalemia and the patient is near cardiac arrest. There was no IV access, so we obtained intraosseous (IO) access, but she arrested before we could give her all the calcium. Here is the transesophageal echo (TEE) at the same time as this 2nd ECG: Excellent LV Function. The medics had no idea.

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

Cardiac function is poor, with akinesis of the LAD territory. This progressed to electrical storm , with incessant PolyMorphic Ventricular Tachycardia ( PMVT ) and recurrent episodes of Ventricular Fibrillation ( VFib ). The echo images below were obtained on the day of presentation after PCI.