Yes, this is VF.
Yes, the patient is conscious!!
In fact, he remained surprisingly stable both before and after this remarkable 12-lead ECG was taken.
Can you guess how this rare situation came about??
The ST segment is the flat, isoelectric section of the ECG between the end of the S wave (the J point) and the beginning of the T wave. What are the causes of ST elevation or depression?
A 27-year old female presents to ED one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with a heart rate of 46 bpm. Fifteen minutes earlier she had been awake and able to give a history to paramedics… You need to act fast to save this patient. Are you up to the challenge?