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Author: Phaedra Rampersad / Editor: Sarah Edwards / Codes: SLO3, VC2 / Published: 11/11/2024

A man in his 60’s 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:

Fig. 1 via LITFL