Quiz ECG 002


A 35 year old man is brought to your Emergency Department following two seizures.

His observations are:


Describe and interpret his ECG (100%)



FACEM VAQ Exam 2009.1 – Question 7

  • The overall pass rate for this question was 52/81 (64.2%)
  • ECG showing regular broad complex tachycardia with widened QRS and abnormal terminal R wave in aVR.
  • Again the examiners were disappointed with the response to this straight forward question.
  • Pass criteria were identifying the abnormalities listed plus considering toxic ingestion (especially Tricyclic Antidepressant Overdose (TCA)) as a cause in this scenario.
  • Fail criteria were absence of the above.

ACEM Fellowship Visual Aid Questions


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