Could you have prevented this young man’s cardiac arrest? Repeat ECG after ROSC

In the ECG Quest archives, this ECG has been tagged with: - Peaked T waves Hyperkalemia 12-Lead Dr Smith's ECG Blog CC BY-NC

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This ECG is from a young man who was found at the bottom of his basement stairs. He complained of right hip or leg pain but seemed confused about what had happened. He had a history of IV heroin abuse. Shortly after he had a wide complex PEA arrest and had a ROSC after 20 min of resuscitation with epinephrine, glucose, calcium and bicarb. This was his ECG after he had a return of spontaneous circulation.

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Could you have prevented this young man’s cardiac arrest? Repeat ECG after ROSC

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