ECG of the Week 23rd November 2022

The following ECG was printed when the ST segment alarm on the cardiac monitor started alarming:

It is after hours on a weekday. The patient is in his 70s, has a history of renal failure secondary to diabetic nephropathy on 3x weekly dialysis through a left sided AV fistula. He was found collapsed in his bathroom by his daughter and was incidentally found to be RAT positive for COVID by the ambulance crew that was transporting him to hospital.

Describe and interpret the above ECG. What considerations need to be made regarding his disposition from ED given the information presented in the stem? How will you manage the patient while he remains in the ED?