Abstract

Scenario: This is a single-lead rhythm strip from a 38-year-old healthy man who suffered a traumatic amputation of his right upper arm during a farming accident. He was resuscitated and transported to the regional trauma center by Mercy flight. After surgical debridement of his wound, the patient remained sedated and intubated in the trauma intensive care unit. He was hemodynamically stable until the central monitor alarmed for ventricular tachycardia. A regular feature of the American Journal of Critical Care, the ECG Puzzler addresses electrocardiogram (ECG) interpretation for clinical practice. To send an eLetter or to contribute to an online discussion about this article, visit www.ajcconline.org and click “Respond to This Article” on either the full-text or .pdf view of the article. We welcome letters regarding this feature.

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