You are working as the resus registrar and have been asked to assess a patient for sedation for cardioversion.
He is a 37 year old man who has a background history of dysrhythmia. He has had palpitations for the last 8 hours and has had no resolution after taking his PRN Sotolol.
His observations are BP 128/92, RR18, Sats 99% on air, T35.7 BSL 6.5.
His K and Mg are normal and has had recent normal TFTs.
ECG is as follows:
Questions:
- Interpret his ECG
- What other details do you want to know from your airway assessment?
- What risks will you make him aware of as you take his consent for DCCV?