53 YOF with AMS: STEMI or Secondary ST-T Changes?

This is the case of a 53 year old female who presented to the Emergency Department (ED) via EMS, with Altered Mental Status (AMS). EMS was called to a local dialysis center due to the patient being unresponsive after approximately 3 hours of dialysis. Upon arrival to the ED, the patient was unable to answer questions, with a Glasgow Coma Scale (GCS) of 8 and the following baseline vital sings: Heart Rate: 74 beats/min, strong and regular Respiratory Rate: 15 breaths/min, adequate tidal volume and regular, with clear sounds Non-invasive Blood Pressure: 202/76 mmHg SpO2: 99% on 15 LPM via Non-rebreather Pupils: 3 mm and reactive to light Blood Glucose Level: 68 mg/dL Known Medical History: Hypertension (HTN) Chronic Renal Failure No know allergies. The following 12 lead ECG was obtained by EMS prior arrival to the ED: (Click on the ECG for a full view) What is your detailed ECG interpretation? What is your treatment? A detailed conclusion will be posted later on…
Source: EMS 12-Lead - Category: Cardiology Authors: Tags: 12 lead ecg Training Source Type: research