Author: Phaedra Rampersad / Editor: Sarah Edwards / Codes: / Published: 11/11/2024
A man in his 60s presents to the Emergency Department (ED) with a syncopal episode. The patient has a background history of chronic kidney disease and hypertension. He attended his regular dialysis and on returning home his family heard a crash and was found on the floor.
He was brought in unresponsive GCS3/15 and then gradually regained consciousness without any intervention. His vital signs are as follows:
- BP: 155/95
- Pulse: 85 bpm
- RR: 18 brpm
- SpO2: 99%
- BM: 6.0
He was put on high flow oxygen and then assessed using the ABCDE approach. An ECG was taken and is shown below:
