For those joining the story for the first time, you can catch up here….
My interpretation of the ECG;
Sinus rhythm with 1st degree HB, an ‘odd’ axis. Wide complex QRS (~140-160ms) with symmetrical tall T-waves.
? Hyperkalaemia. Needs urgent bloods….
The nurse returns…
No one can place an IV or take bloods from her. So off you go, USS in tow to the bedside.
IV placed; bloods taken; urgent VBG to the iStat…..