Abstract
Scenario: This continuous lead II rhythm strip was obtained in a 25-year-old woman admitted to the intensive care unit for intracerebral hemorrhage. The patient presented to the emergency department with a headache after a skateboarding accident. The patient stated that she “bumped” her head during the accident. The bedside monitor alarmed for bradycardia/pause. Upon assessment, the patient was alert, oriented, and hemodynamically stable. ECG PUZZLER A regular feature of the American Journal of Critical Care, the ECG Puzzler addresses ECG interpretation for clinical practice. We welcome letters to the Editors regarding this feature.
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