A 46yo man is brought to Emergency. You are in a regional hospital with no interventional cardiology service.
He is diaphoretic, mottled and agitated, with the following vital signs.
PR 140 RR 36 BP 60/- T 36.8 Sat unrecordable
His ECG is shown below:
a) Describe and interpret his ECG (50%)
b) Outline your management (50%)