A 53 year old patient had a sudden onset of a tearing abdomi…
A 53 year old patient had a sudden onset of a tearing abdominal pain at the area of the umbilicus that radiates to his back. He is pale, ashen, and diaphoretic. He has a history of hypertension, for which he takes hydrochlorothiazide. Vital signs are BP 110/70, R 20. His ECG is below. How should you interpret this rhythm? 1593.jpg