A cardiac arrest alert sounded on the orthopedic surgery ward. When you arrived, CPR was already started by the intern and nursing staff with the 3rd cycle underway. You ask "what was the rhythm?" and the nursing supervisor recording the events responded "PEA!". The intern runs to you saying "this is a 77-year-old lady, who is hypertensive, diabetic and had PCI to the RCA 3 months ago who is post op day 3 after total hip replacement" and she shows you this ECG (done between cycles when ROSC was briefly achieved before she arrested again!)
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