A 40 yo female is brought into the emergency department. The patient is unresponsive, hypotensive, and tachycardic. EMS providers are assisting ventilations with a bag valve masked and have attempted defibrillation without success. Paramedics state that the patient was somnolent prior to the arrest and has no cardiac history. A 12 lead ECG is obtained upon arrival at the emergency department.
BP: 80/50
P: 150
R: 12/assisted
Spo2: 100% via BVM
What are your thoughts on the 12 lead?
What is your next course of action?
